Skip to main content
Top
Published in: Aesthetic Plastic Surgery 3/2020

01-06-2020 | Breast Augmentation | Case Report

Our 10 Years’ Experience in Breast Asymmetry Correction

Authors: Gennadiy Patlazhan, Olga Shkolnaya, Igor Torubarov, Maxim Gomes

Published in: Aesthetic Plastic Surgery | Issue 3/2020

Login to get access

Abstract

Background

Breast asymmetry is a common problem in augmentation mammoplasty. The notorious different implant volume approach has been shown ineffective because of recurring breast asymmetry in course of time. A uniform approach to the correction of breast asymmetry is still unavailable.

Methods

Four hundred and two patients underwent breast asymmetry correction with augmentation mammoplasty. We have described our technique providing good results in breast asymmetry correction using similar volume implants and resecting glandular tissue from the larger breast.

Results

Good aesthetic results were reported by all patients. No additional management of asymmetry was required in 290 patients (72%). One hundred and twelve (28%) patients received an additional correction of breast asymmetry due to breast ptosis, different levels of submammary folds. No major volume correction was required, and no implant change was needed.

Conclusion

Our method of breast asymmetry correction allows using identical implants and presents good long-term results and no relapse.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literature
3.
go back to reference Rohrich RJ, Hartley W, Brown S (2006) Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg 118(7Suppl):7S–13S discussion 14S, 15S–17S PubMed Rohrich RJ, Hartley W, Brown S (2006) Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg 118(7Suppl):7S–13S discussion 14S, 15S–17S PubMed
4.
go back to reference Stevens WG, Spring M, Stoker DA et al (2007) A review of 100 consecutive secondary augmentation/mastopexies. Aesthet Surg J 27:485–492CrossRef Stevens WG, Spring M, Stoker DA et al (2007) A review of 100 consecutive secondary augmentation/mastopexies. Aesthet Surg J 27:485–492CrossRef
5.
go back to reference Nahai F (2005) The art of aesthetic surgery. Quality Medical Publishing, St.Louis, pp 2046–2074 Nahai F (2005) The art of aesthetic surgery. Quality Medical Publishing, St.Louis, pp 2046–2074
6.
go back to reference Kovacs L, Yassouridis A, Zimmermann A et al (2006) Optimization of 3-dimensional imaging of the breast region with 3-dimensional laser scanners. Ann Plast Surg 56:229–236CrossRef Kovacs L, Yassouridis A, Zimmermann A et al (2006) Optimization of 3-dimensional imaging of the breast region with 3-dimensional laser scanners. Ann Plast Surg 56:229–236CrossRef
7.
go back to reference Tebbetts JB (2011) Correction of breast asymmetry does not exist, and the role of three-dimensional imaging remains a question. Plast Reconstr Surg 28:824–825CrossRef Tebbetts JB (2011) Correction of breast asymmetry does not exist, and the role of three-dimensional imaging remains a question. Plast Reconstr Surg 28:824–825CrossRef
8.
go back to reference Mazzocchi M, Dessy LA, Fallico N, Alfano C, Scuderi N (2014) Evidence-based evaluation technique to assess augmentation mammaplasty results: a simple method to objectively analyze mammary symmetry and position. Aesthet Surg J 34(8):1205–1220CrossRef Mazzocchi M, Dessy LA, Fallico N, Alfano C, Scuderi N (2014) Evidence-based evaluation technique to assess augmentation mammaplasty results: a simple method to objectively analyze mammary symmetry and position. Aesthet Surg J 34(8):1205–1220CrossRef
9.
go back to reference Liu C, Luan J, Mu L, Ji K (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126(6):2125–2132CrossRef Liu C, Luan J, Mu L, Ji K (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126(6):2125–2132CrossRef
10.
go back to reference Hall-Findlay E (2015) Comments on article three-dimensional imaging for breast augmentation: Is this technology providing accurate simulations? Aesthet Plast Surg 35(3):NP68–NP72CrossRef Hall-Findlay E (2015) Comments on article three-dimensional imaging for breast augmentation: Is this technology providing accurate simulations? Aesthet Plast Surg 35(3):NP68–NP72CrossRef
12.
go back to reference Grolleau JL, Lanfrey E, Lavigne B, Chavoin JP, Costagliola M (1999) Breast base anomalies. Treatment strategy for tuberous breasts, minor deformities and asymmetry. Plast Reconstr Surg 104:2040–2048CrossRef Grolleau JL, Lanfrey E, Lavigne B, Chavoin JP, Costagliola M (1999) Breast base anomalies. Treatment strategy for tuberous breasts, minor deformities and asymmetry. Plast Reconstr Surg 104:2040–2048CrossRef
13.
go back to reference Meara JG, Kolker A, Bartlett G, Theile R, Mutimer K, Holmes AD (2000) Tuberous breast deformity: principles and practice. Ann Plast Surg 45:607–611CrossRef Meara JG, Kolker A, Bartlett G, Theile R, Mutimer K, Holmes AD (2000) Tuberous breast deformity: principles and practice. Ann Plast Surg 45:607–611CrossRef
14.
go back to reference Puckett CL, Concannon MJ (1990) Augmenting the narrow-based breast: the unfurling technique to prevent double-bubble deformity. Aesthet Plast Surg 14:15–19CrossRef Puckett CL, Concannon MJ (1990) Augmenting the narrow-based breast: the unfurling technique to prevent double-bubble deformity. Aesthet Plast Surg 14:15–19CrossRef
15.
go back to reference Mallucci P, Branford OA (2012) Asymmetric implants for breast asymmetry. J Plast Reconstr Aesthet Surg 65(11):1580–1583CrossRef Mallucci P, Branford OA (2012) Asymmetric implants for breast asymmetry. J Plast Reconstr Aesthet Surg 65(11):1580–1583CrossRef
16.
go back to reference Chunjun L, Luan J, Mu L, Ji K (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126:2125–2132CrossRef Chunjun L, Luan J, Mu L, Ji K (2010) The role of three-dimensional scanning technique in evaluation of breast asymmetry in breast augmentation: a 100-case study. Plast Reconstr Surg 126:2125–2132CrossRef
18.
go back to reference Khan U (2017) Preoperative planning and breast implant selection for volume difference management in asymmetrical breasts. Plast Aesthet Res 4(7):108–115CrossRef Khan U (2017) Preoperative planning and breast implant selection for volume difference management in asymmetrical breasts. Plast Aesthet Res 4(7):108–115CrossRef
19.
go back to reference Khan UD (2014) Review of implant sizes in 164 consecutive asymmetrical augmentation mammoplasties. Eur J Plast Surg 37:273–280CrossRef Khan UD (2014) Review of implant sizes in 164 consecutive asymmetrical augmentation mammoplasties. Eur J Plast Surg 37:273–280CrossRef
20.
go back to reference Khan UD (2011) Breast and chest asymmetries: classification and relative distribution of common asymmetries in patients requesting augmentation mammoplasty. Eur J Plast Surg 34:375–385CrossRef Khan UD (2011) Breast and chest asymmetries: classification and relative distribution of common asymmetries in patients requesting augmentation mammoplasty. Eur J Plast Surg 34:375–385CrossRef
22.
go back to reference Adams WP Jr, Conner WC, Barton FE Jr et al (2001) Optimizing breast-pocket irrigation: the post-betadine era. Plast Reconstr Surg 107(1596–601):41 Adams WP Jr, Conner WC, Barton FE Jr et al (2001) Optimizing breast-pocket irrigation: the post-betadine era. Plast Reconstr Surg 107(1596–601):41
23.
go back to reference Adams WP Jr, Rios JL, Smith SJ (2006) Enhancing patient outcomes in aesthetic and reconstructive breast surgery using triple antibiotic breast irrigation: six-year prospective clinical study. Plast Reconstr Surg 118:46S–52SCrossRef Adams WP Jr, Rios JL, Smith SJ (2006) Enhancing patient outcomes in aesthetic and reconstructive breast surgery using triple antibiotic breast irrigation: six-year prospective clinical study. Plast Reconstr Surg 118:46S–52SCrossRef
Metadata
Title
Our 10 Years’ Experience in Breast Asymmetry Correction
Authors
Gennadiy Patlazhan
Olga Shkolnaya
Igor Torubarov
Maxim Gomes
Publication date
01-06-2020

Other articles of this Issue 3/2020

Aesthetic Plastic Surgery 3/2020 Go to the issue