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Correction of breast asymmetry: surgery equals size, shape or position of the breasts

Correction of breast asymmetry: surgery equals size, shape or position of the breasts

Surgery for correction of breast asymmetry is the mammoplasty that corrects the difference in size, shape or position of the breasts and / or areolas. The surgery aims to leave the breasts with the smallest possible difference between measurements. However, in some cases, the surgery can not fully match the breasts because of the musculoskeletal (bony and muscular part of the thorax). In addition, certain pathologies also cause breast asymmetry, as is the case with breast cancer. This aspect is very important, so when the person observes an asymmetry he / she should first seek the guidance of a mastologist to evaluate the case. The problem of increased breast (s) or with asymmetry may still occur in men, which is called gynecomastia, when there is growth of the mammary gland of one or both breasts.

Other names

Correction of breast asymmetry fits the technique of mastoplasty or mammoplasty.

Who is the professional apt to do the surgery for correction of breast asymmetry?

The medical specialist in plastic surgery. The mastologist is also apt for cases of acquired breast asymmetries.

Indications of the surgery for correction of the mammary asymmetry

Firstly it is necessary to emphasize that the mammary asymmetry is very common and in most cases goes unnoticed. At puberty it is usually more prominent because the breasts do not grow and develop at precisely the same time. It is only after this time, with the development completed, that the person can see if there is a marked and perceptible asymmetry.

The surgical indication is for the breasts that present very distinct sizes, shapes or positions and that is really noticeable. People who have these characteristics or even women in whom the problem arose or became more pronounced after breastfeeding, especially if the baby sucks only one breast, are the ones recommended for surgery to improve this esthetic aspect.

Prerequisites for surgery for Correction of breast asymmetry

It is important that the patient who undergo breast asymmetry correction surgery be in good health.

In the case of people with serious conditions, such as breast cancer, that can cause asymmetry

Contraindications for surgery to correct breast asymmetry

Correction surgery for breast asymmetry is not indicated for those who are not in good clinical condition, with the exception of cases of breast cancer that require the evaluation and indication of a specialist in the area.

The procedure will depend on the need and the case of each patient. You can implant the smaller breast, reduce the bigger breast, reposition them, etc. Therefore, everything will be subordinated to the type of asymmetry that exists and each one will have the application of a certain technique.

The procedure is done with local anesthesia with sedation or general, according to the surgical technique employed. of surgery

Correction surgery for breast asymmetry can last from 1h30 to 3h

Preoperative surgery for correction of breast asymmetry

Laboratory tests, mammography or ultrasonography of the breasts, electrocardiogram and medical advice , depending on the case.

It is also important to stop using medication containing acetylsalicylic acid, arnica, ginko biloba and anticoagulant prior to surgery two weeks before and two weeks after the intervention. In addition, cigarettes and alcoholic beverages should be avoided altogether because they compromise the anesthetic procedure, healing and recovery. In particular the cigarette which must be suspended at least one month before the operation.

Post-operative surgery for correction of breast asymmetry

It will also depend on the technique employed, but the average is 15 days to resume routine activities.

The region usually becomes swollen and purplish for approximately two weeks. It is still normal for the person to feel some discomfort and sensitivity in the place, so it is advised not to make sudden movements with the arms, not to make physical effort, to sleep of belly upwards with the arms stretched along the body and not to wear tight clothes.

In some cases it is necessary to place suction drains, which are removed between 24 and 48 hours after surgery.

Avoid sun exposure for 30 days and do not practice for about 60 days physical exercises

Possible risks and complications of surgery

The risk inherent in any surgery, such as hemorrhage, hematoma, infection, areolatic necrosis, loss of sensation, rejection of stitches and dehiscence (opening of stitches)

Before and after surgery to correct breast asymmetry

The results can be observed from one month. The correction or reduction of breast asymmetry is durable and may change only because of sudden changes in weight, hormonal changes, and due to aging, which normally causes sagging and ptosis in the breasts.

Scars will vary according to the type of technique applied. In general, the scar is subject if the surgical technique uses the inclusion of breast prostheses or not. With the placement of prostheses, the incisions can be: periareolar, transareolar, inferior sulcus of the breast or axillary. The choice of incision depends on a few factors.

The transarelo-mamillary is the incision that results in a line passing in the middle of the areolas horizontally. The periareolar is the incision in the circle around the areola. The infra-areolar is the curved incision that margins the lower half of the areolas. The lower groove of the breast is the incision used when the areola is very small located horizontally in the mammary furrow. The vertical is the incision in a vertical line below the areola to the inferior groove of the breast perpendicularly, which is usually used for breast lift associated with flaccid breasts.

When there is no inclusion of a prosthesis, when there is excess skin and gland, the scar is inverted "T", ie a vertical below the areola to the inferior groove where you will find another horizontal incision positioned over the natural groove and a scar around the areola. Or a vertical scar below the areola, to the inferior sulcus of the breast and another around the areola, and in some cases to decompose into a small inverted "T." Sources

Plastic Surgeon André Eyler (CRM-RJ : 667,862), member of the Brazilian Society of Plastic Surgery and American Society of Plastic Surgery


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