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BREAST ASYMMETRY - This means that the breasts are dissimilar. This can be manifest as one breast is larger, higher, displace more outward on chest wall, different shape, or nipple position is higher or lower; the chest wall ribs project outward or inward; the creases under the breast are at different positions. Obviously more than one of these conditions often exists and, as such, your expectations of having them match perfectly needs to be modified accordingly.
There are many conditions that can result in breast asymmetry. Some of these are listed below:
a) Congenital malformation resulting in asymmetries like Poland's syndrome (small or absent breast, pectoralis muscle and hand deformities).
b) Acquired deformities - trauma or surgery to the chest at a young age that caused under development or disfigurement of the breast (silicone breast injections and burn scars would fall in this category)
c) Developmental asymmetries - one breast is larger, higher, wider, different shape; nipple position or size differs.
d) Subcutaneous or partial mastectomies - prophylactic breast removal to prevent cancer with high risk patients or large lumpectomy can cause asymmetry of the breasts.
e) Breast cancer with mastectomy or results of treatment for it like radiation therapy leaving breast deformed, scarred or absent.
f) After augmentation or reductions with scar contractures and deformities
For any of these, a variety of techniques used for cosmetic reasons as well as reconstruction techniques may be employed. In some cases these can be done as combined procedures in one operating room session but, in other cases, as a series of surgical procedures over the course of months are necessary depending on the problem. There is an exhaustive list of procedures that can be used in combination for each breast. Below is a limited list of procedures that can be used alone or in combination to achieve the best results.
1)Tissue expanders - Implants placed in chest wall that can be serially filled in the office and eventually replaced with a permanent implant of saline or silicone.
2) Flap reconstruction - This is where abdomen, back, or buttock skin and muscle are moved to reconstruct the breast by various techniques.
3) Breast Augmentation - Making the breast larger using implants (saline or silicone)
4) Breast Reduction - Making the breast smaller
5) Mastopexy - Lifting the breast tissue and nipple
6) Nipple reduction - Making the nipple or areola smaller
7) Skin grafts - Thin slice of skin placed to cover a defect or wound
8) Nipple Reconstruction - Many techniques using flaps and skin grafts
9) Tattooing - To color in areola to match the two sides
10) Allograft Implants - Alloderm is a sheet of allograft material placed to fill in contour irregularities or defects
11) Capsulotomy - removing the scar tissue (capsule) around the implant which has caused the breast to be hard and misshapened
During this visit you will first meet with our consultant, view several "before" and "after" photographs, and have all of your questions answered. You will be introduced to your surgeon, permitting you the opportunity to learn and discuss the technical aspects of the surgery you are interested in. At the time of your visit our staff will provide you with a price quote and scheduling information. We believe the quality of our service is foremost; however, we also recognize that cost is a valid concern to everyone. Upon request we can refer several finance companies to choose from. All you have to do is ask!
For a complimentary preliminary evaluation without having to leave the comforts of your home simply submit any photos of the areas of concern and attach them via e-mail for our surgeons to review. The photos would be most helpful if you can emulate the samples enclosed in our before and after sections. Please make them comparable in composition of the photos you see throughout our site. Email photos to info@oceansplasticsurgery.com and include a phone number and the best time of day for our consultant to contact you.
Have fun! We look forward to helping make your plastic surgery experience a happy and gratifying one!
Click here to contact Dr. '90210' William P. Aiello, experienced plastic surgeon with plastic surgery centers in Los Alamitos and Newport Beach, CA specializing in various plastic & cosmetic surgery procedures.