Breast asymmetry
D Morello · Aesthetic Surgery Journal · 2003
Dr. Morello: The first patient is a 27-year-old woman with nipple–to–sternal notch measurements of 20 cm for her right breast and 24 cm for her left breast (Figure 1). Dr. Christensen, how would you approach this patient's treatment? Dr. Christensen: She has a fairly significant chest wall deformity on the right side, with a depression of the ribs. Her breasts are nicely shaped but differ in size by 150 to 200 gm. I would start by asking whether she wants to alter her left breast or if she wants to make the right breast look more like the left. Dr. Morello: Can you describe how you would handle both treatment options? Dr. Christensen: If I did not alter the left side, I would place a smooth-surface saline implant subglandularly on the right side and possibly use a Becker-type adjustable prosthesis to get the necessary stretch to achieve the slight ptosis that is evident on the left. On both sides, a Benelli-type mastopexy1 would tighten the skin envelope and give a little more lift.