Breast Surgery Options to correct Assymetry
Breast Surgeon Richard Ellenbogen, MD
Asymmetric breasts are a congenital condition in which one breast is significantly larger than the other (most breasts are naturally asymmetric, however these cases are usually those with a difference of a cup size or more between the two breasts).
Asymmetrical breasts can be made more even either by augmentation of the smaller bust or by reduction of the larger one.
In a breast augmentation procedure, the surgeon makes an incision either under the armpit, in the crease under the breast, around the areola (the pigmented tissue around the nipple), or through the navel. Your breast surgeon then lifts the breast tissue, creates a pocket in the chest area above or below the muscle, and then places the implant inside the pocket. Almost all implants used today are filled with a saline solution.
In a breast reduction procedure, an anchor-shaped incision is made on the breast itself. The excess fat tissue removed in a liposuction-type procedure , and then the incision is closed, creating a contour closer in size and shape to the other one. If less tissue will be removed, a doughnut-shaped area of skin may be removed just around the nipple. An advantage to this procedure is that the incision and stitches may be less visible.
Breast Surgery Recovery
Whether you choose breast augmentation surgery or breats reduction surgery, you should:
- Expect to feel tired and tender for the first 24 to 48 hours. Your breasts will be bruised and sore be prepared to take it easy.
- Drink plenty of fluids and be sure to follow your medication schedule.
- Allow enough time for recovery. If your job is not too physically demanding, you'll probably be able to go back to work in a week or so. If your work requires physical energy and stamina, you'll need to allow more time for your recovery.
- Avoid vigorous or strenuous exercise for six weeks.
- Know what to expect. Your stitches will be removed in a week to 10 days. The incision scars will be firm and pink for at least six weeks, and then will begin to fade. Your breasts will remain swollen for three to four weeks following surgery. They will be tender to touch and movement.
- Avoid lifting and pushing for two weeks -- no heavy lifting or pushing for four weeks.
- Allow about two months for complete recovery.
Revision of Previous Breast Surgery
Women go through many cycles where their body changes and a previous aesthetic surgery may not match the body. Breast implants can shift, elevate, or contract as well over time and need to be corrected. It is estimated that as many as 40% of breast surgery patients are dissatisfied and seek revision. Revision Breast Surgery is significantly more difficult than the original surgery and requires a surgeon with significant experience in the area. Over the years, Beverly Hills Body has become known as a "fix-it" shop for dissatisfied breast patients from all over the world for repairs of surgery they had done previously by other doctors. To be sure you are choosing the right surgeon the first time around; ask to see pictures of your surgeon's work . His or her aesthetic sense might not be the same as yours. Communication with your breast surgeon is as important as your selection of a surgeon who specializes in what you are looking for.
Revision Breast Surgery Recovery
Although the breast skin and tissue are already accustomed to the presence of implants, recovering from breast augmentation revision is very similar to the recovery experienced after the initial implant surgery. Symptoms such as swelling, soreness, and stiffness are to be expected for the first week or two.
To learn more about breast surgery and correction for assymetrical breasts, or to find out more about any of our breast surgery options, please schedule a personalized consultation with our board certified Beverly Hills breast surgeon, Dr. Ellenbogen. Beverly Hills Body helps patients from Beverly Hills, Los Angeles, Hollywood and surrounding California communities, and around the world.