M L AESTHETICS
BREASTS ASYMMETRY CORRECTION
By Mr Ali Juma
Breasts Asymmetry is prevalent amongst both sexes ; however , with a variable degree of presentation . In the majority of cases it is congenital , i . e . from birth . Men do not normally present for surgical correction .
The majority of women with breasts asymmetry do not normally warrant surgical intervention as it does not affect them or they may not be aware of its presence , as they have become accustomed to its presence , especially when it is mild .
In some patients breasts ’ asymmetry is such that it may impact on the patient ’ s ability to fit a bra , wear a dress ; or they may feel self-conscious . In the case of teenage females , there may be peer pressure at school with potential psychological implications in the long-term .
As a consultant Plastic Surgeon of nearly 20 years experience including in breasts asymmetry correction I have learnt it is important to ascertain what the patient is aspiring to achieve ; and what their expectations are . It is also important to keep in mind that perfect breasts ’ symmetry is a rarity prior to surgery and is not achievable following surgery . Beauty in my opinion is in the subtle differences in the human form . I remember when training one of my consultant colleagues used to say , following surgery the breasts will become sisters , not identical twins . I would go on to add that even in identical twins there are subtle differences , when looked for .
During the consultation / s process it is important to establish the information relevant to the patient presentation . The next step would be to discuss the options available , doing nothing being one such option . The surgical options may include a one or a two-stage surgery .
In my opinion , seeing a patient for one pre-surgical visit is not adequate enough when undergoing a cosmetic procedure . This surgery is a life event that will affect the patient for the rest of their life and as such must be dealt with utmost care , with attention to details at all fronts .
The one-stage technique may involve a breast reduction on the bigger breast , this in my near 20 years experience as a consultant Plastic Surgeon is more desirable to females in the age group 30 years or more , and following having had children . I find the majority of females less than age 30 years ; tend to favour the larger breast ; and wish to either match it or enlarge it further .
Breast reduction of both breasts is also a possibility ; albeit not that common a route to take in the majority of significantly asymmetrical breast patients . The other treatment pathway may also involve the enlargement of the asymmetrical breasts , with or without a Mastopexy ( breast uplift ).
The two-stage surgery , in my opinion could be a more dynamic pathway to achieve results , and is likely to be more suited to those of younger age , i . e . prior to the breasts having concluded their growth , up to age 21-23 years , however , it is a longer route and may not be suited to all patients .
The first stage would involve the insertion of expandable breast prosthesis , in either or both breasts . This may be replaced with
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