In view of the fact that even when clothed, it is very difficult for women to conceal a pronounced asymmetry of their breasts, let alone in a swimsuit or bikini, many of them wish for effective correction and adaptation of their asymmetrical breasts. A breast correction operation is normally necessary when the patient has a clearly visible breast imbalance, either genetically, or as a consequence of illness or one or more operations for breast cancer.
The correction is mostly performed by surgical treatment, in which either the larger breast is reduced or the smaller breast augmented to the volume on the other side. In some cases, this can be done with the aid of autologous fat and implants. There is also a wide range of corrective lifting procedures designed to adapt the shape of the breasts. A combination of several techniques is often required to achieve an appealing result.
The »Poland syndrome« is a complex malformation of the breast (inhibition malformation) which is probably congenital. Early on, during puberty, the women affected mostly feel that their breasts are not developing as expected. The primordium for both the mammary gland and the chest muscles is lacking. This makes the breast and often the whole of the thorax on the side affected look under-developed. The »Poland syndrome« can occur unilaterally or bilaterally, and it can be accompanied by other malformations.
The method involves the surgical correction of breast size by means of breast augmentation on the side affected – and, depending on the findings, also a lifting or reduction of the opposite side with a reduction of the areola. The breast can be augmented by means of a silicon prosthesis, whilst tailor-made breast inlays can also be deployed for compensation of the pectoral muscle. If appropriate, the correction can also be performed with flaps of dermic fat or autologous fatty tissue from the patient’s own body.
Tubular breast deformity
Tubular or tuberous breast deformity, the so-called »conical breast«, is mostly congenital, though it can also come about as a result of external influences, for example following an accident or tumorous disease. In this condition, the breasts, and to some extent also the nipples, show a noticeable difference from the distributional norm in terms of their shape and size.
Tubular breast deformity is understood as a congenital weakness and narrowness in the formation of the breast tissue, particularly in the lower quadrants of the breast, accompanied by disproportionately prominent nipples. Depending on the asymmetry, it may become necessary to perform a surgical correction of one or both breasts. In order to give both breasts a shape which is as symmetrical and natural as possible, the breasts can be reduced, lifted or augmented by means of silicon implants or autologous fat. If the patient has a chest which is very much underdeveloped, it may make sense to perform a tissue expansion by means of expanders, followed later by replacement with silicon implants. In patients with nipples which are overdeveloped, a correction or adaptation can be made by means of an incision in the areola.
Since the majority of female chests are asymmetrical, and since tubular breast deformity to a greater or lesser extent is the most common deviation from what we consider normal – affecting up to 20% of women in the population in some cultures – , the health insurance providers only cover the costs of a corrective operation in individual cases.
DURATION OF OPERATION: 90 minutes or longer
ANAESTHETIC: general anaesthetic
HOSPITALISATION: out-patient, or in-patient with 1 – 4 overnight stays
AFTER-TREATMENT: compression bra for 6 weeks
PRESENTABILITY, RETURN TO WORK: 7 – 21 days depending on occupation
SPORT: after 6 weeks, full performance after 12 weeks
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