Photo: Congenital asymmetry, preop and postop. Correction with implants and mamillaplasty in left breast. On the right side implant only.
Breast asymmetry can be congenital or a result of chest deformity. Asymmetry may also arise due to various breast operations or prosthetics.
Minor breast asymmetry correction or slight breast uplift can sometimes be performed under local anaesthesia. However, asymmetry correction is usually a complicated surgery that is performed under general anaesthesia.
There are various methods and the method of surgery is selected individually for each patient during the consultation. Implants, adipose tissue and acellular matrix transplants can be used.
After the surgery, the patient stays overnight in our postoperative ward and is discharged the following morning. After the operation, you should avoid physical exertion until the stitches are removed (8 days). During the surgery drains (catheters) are placed under the breast through which the possible tissue fluid produced under the wound is drained. The drains stay in place as long as there is drainage (1–3 days).
You can take a shower the day after the surgery.
You can return to work about a week after the surgery.
Asymmetry correction by adipose tissues transplantation
Adipose tissue (body fat) transplantation is expected to become a commonplace method in breast reconstruction in future. Adipose tissue has a lot of stem cells that can transform into the required tissue. Adipose tissue is taken, for example, from the abdominal region by liposuction using a water jet and then moved to the breast area.
The reconstruction of a medium-size breast needs 4–5 adipose tissue transfers. The post-mastectomy scar is in most cases so hard that it cannot be expanded without using a prosthesis for tissue expansion (expander).
Thus breast reconstruction by means of adipose tissue transplantation is rather a hard process and takes a lot of time. According to the present research data, only about 60% of the transferred adipose cells remain alive.
Adipose tissue transplantation is suitable for the correction of moderate breast asymmetry. This method allows the elimination of congenital differences between the breasts as well as the correction of the possible size difference between a reconstructed breast and the patient’s own breast. By means of 3D breast measurement preceding the operation and by using flap transplants, every effort is made to obtain breasts of equal size during one operation. If additional correction is needed, the breast shape can be adjusted by means of adipose tissue transplantation in conjunction with nipple formation.
Correction using Acellular Tissue Matrix
Increasing the breast size by means of implants is a complicated procedure. In order to rebuild a beautiful and natural-looking breast it is important to choose a correct size of the implant and the best place for inserting it. We use an incision in the armpit area and a semi-endoscopic method, with no scars left on the breast.
A round prosthesis can rise too high while a drop-shape prosthesis implanted through the lower fold of the breast may slip down if the preparation preceding the surgery and the postoperative care are not thorough enough.
In slim women implants are inserted under the pectoral muscle. The pectoral muscle is insufficient to support the lower part of the implant. It is only covered by the skin and thin chest tissue underneath.
Special acellular tissue matrix is used to prevent the implant from dropping down or to correct its position. It supports the lower part of the breast.