Breast correction
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.
Poland syndrome
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 silicone 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 silicone gel 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 silicone gel implants. In patients with nipples which are overdeveloped, a correction or adaptation can be made by means of an incision in the areola.
Since most female breasts are asymmetrical and tubular breast deformity, ranging from mild to severe, is the most common deviation from what we consider the “norm” (up to 20% in some cultures). the health insurance companies cover the costs for a corrective operation or breast adjustment only for individual patients.
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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