Prosthesis placement is usually done through the areola or the axilla, like the patient in the photograph. This last option leaves a nearly invisible scar but it doesn’t provide as much breast projection. We don’t use crease incision unless the patient has it from previous surgery.
Perfect symmetry doesn’t exist. Body asymmetry is completely normal and we live side by side with it without nearly perceiving it. This is even easier to see in the breast, reason why it is often said that no woman has two identical breasts.
The point at which breast asymmetry becomes a problem is when size and/or shape difference is so big that the person who suffers it perceives a real distortion of her body and femininity.
Few patients recur to plastic surgery due to breast asymmetry. Normally, they desire breast augmentation, reduction or lifting (Mastopexy) and want surgeons to diagnose the asymmetry level and to correct it through different sized prostheses or asymmetric breast size reduction.
Only in extreme cases of breast asymmetry might both breast reduction and prosthesis implant be necessary.
On the other hand, important shape asymmetries frequently appear in patients with tuberous breasts. Their correction usually requires a prosthesis implant, the removal of skin excess around the areola and performing a mammary gland plasty.
Poland Syndrome is another breast asymmetry pathology, which usually consists of a unilateral agenesis of the mammary gland (doesn’t develop or develops very slightly) and, in some cases, a complete loss of the pectoralis muscle.
Finally, other asymmetry cases are those shown by patients who in their childhood suffered burns, infections, surgery or trauma in the breast bud, which can lead to alterations in breast development, or by patients who have undergone mastectomy due to breast cancer.