Breast Asymmetry

Breast Asymmetry

Breast asymmetry is a difference in size, shape, and volume between the breasts. It is very common for women to have some difference, even if discreet. Sometimes it is related to changes in posture or even spine deformities such as scoliosis.

Almost all patients present with some difference.

Small differences are acceptable, but depending on the case, it can not only interfere with quality of life but also worsen the patient's posture, leading to spinal complications.

Classification:

• • Type 1: Unilateral hypomastia

• • Type 2: Bilateral hypomastia with asymmetry

• • Type 3: Unilateral mammary hypertrophy

• • Type 4: Bilateral mammary hypertrophy with asymmetry

• • Type 5: Unilateral hypomastia + Unilateral hypertrophy
  • Type 6: Hypomastia + thoracic deformity

Treatment can vary according to each case, but it is mainly done with techniques already used in aesthetic breast surgeries and breast reconstruction. It can be like in breast augmentation with breast implants, mastopexy with or without implants, reduction mammoplasty, in addition to the association of other techniques such as lipofilling (fat grafting).

To try to improve the result, it is already possible to predict the volume of implant placed or breast reduced using 3D simulators.

 

https://youtu.be/pt-_dG_Qo-k Description

Breast Asymmetry is the difference between breasts in terms of size, shape, or position. Treatment varies for each case, and may involve mammoplasty and mastopexy, with or without breast implants. Watch the video for more details with Dr. Fernando Amato (CRM 133826).

Transcript

Breast asymmetry is the difference in size

between breasts.

 

This difference can be very subtle and is

very frequent.

 

It can occur in almost all women,

at least with some asymmetry, which is

 

acceptable.

 

This asymmetry can even be associated with

a change in the patient's posture or

 

some spinal condition, such as scoliosis.

 

Small differences are acceptable, but

depending on the case, it can interfere with the patient's

 

quality of life or even lead to poor posture,

causing back pain, spinal pain.

 

This asymmetry can present in several

ways, with some classifications, being

 

one of them type 1, when only one side is

small.

 

There's type 2, when both sides are small,

but one is smaller than the other.

 

It can present with hypertrophy, meaning

one side is very large and, therefore, may need

 

to undergo breast reduction, which can

be unilateral hypertrophy, that is, on

 

only one side.

 

This hypertrophy can also occur on both

sides with a very large difference.

 

Furthermore, there can be hypomastia, meaning

one side is undeveloped and one side is very

 

developed, and, in rare cases, there can be

hypomastia, meaning a small breast

 

with some thoracic wall deformity.

 

Treatment will vary according to each

case.

 

So in cases where the breast is small,

it can be done with implants only, it can be

 

done with fat grafting, and in large breasts,

breast reduction, mammoplasty, can be done,

 

and there are cases that require nipple-areola

repositioning, which is mastopexy.

 

And this mastopexy can be done with or without

breast implants.

 

Current technology allows for the prediction of

a result or at least the prediction of a

 

volume through 3D simulations, and I believe

that this is the future: being able to use

 

technology to assist in correcting

breast volume differences.

 

Did you like our video?

 

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https://youtu.be/sbd1kGm1ia0 Description

In this video, Dr. Fernando Amato @Dr Fernando Amato, Plastic Surgeon at Instituto Amato, will talk about doubts women have about breast surgery! Augmentation mammoplasty? Reduction mammoplasty? Fat grafting? Hybrid mammoplasty? Mastopexy with implant? Mastopexy without implant? Anatomical implant? Conical? Round? Silicone implant? What is best for your health? What are the complications? What are the risks? A controversial topic worth discussing!!! Check out Dr. Fernando Amato's channel: https://www.youtube.com/channel/UCJ_9Ge8xH4mkfvYM2yk5k8Q Check out the channel's exclusive Plastic Surgery playlist: Follow Dr. Fernando on Instagram: @meu.plastico.pro Visit Dr. Fernando's Website: www.plastico.pro Watch the featured video of the CHANNEL now: https://bio.amato.io/indicado Watch this video about how to care for the drain in the postoperative period: Also watch this video about Hematoma: https://www.youtube.com/watch?v=xY6sN1Fy-Ys https://www.youtube.com/watch?v=56AaGlgVAAc&t=1s

Transcript

if you want to have breast surgery

and have doubts about which procedure is

ideal: mammoplasty

mastopexy, silicone implant placement

fat grafting, which is the best

procedure for you, what are the

risks and benefits of a silicone implant,

what are the advantages of a silicone implant,

what is the difference among

silicone implants, what texture, what

shape, what volume and ideal size for

your case; did you know it's possible

to simulate the result of a mammoplasty

besides a thorough physical examination of the

patient's measurements, breast measurements,

assessment of skin quality, in a

consultation, performing volume simulations

both with molds for the patient to

experience the desired volume, but

also, mainly, we perform

3D simulations

one of the most modern tools

available to assist in choosing the ideal

breast implant for you is a technology

mainly performed in breasts with

breast asymmetries, it is done with a

camera with adapted lenses, and

the images are processed by specific software

And with this, it's possible to visualize the

breasts in 3D on the computer and thus

we do the simulation

testing various sizes, shapes, and

volumes

for the patient to have this experience, the

patient can get an idea of how

the breast will look after the implant is placed

even before plastic surgery

This is already a reality, although it is not

a promise of results, this

technology greatly helps in communication

between patient and plastic surgeon regarding

understanding the surgery and its possible results, the

doctor must respect the patient's wishes and

this desire will serve as a guide

for choosing the ideal silicone implant

the

ideal shape and volume for you, the doctor

must use common sense and explain to the

patient which implant will provide the

best result, the most harmonious result as

the measurements of each

implant can vary greatly, for example,

the implant may have the same base but may

have different projections, also will have

different volumes

I particularly like to present in the

consultation before surgery

different volumes and shapes for the

patient to touch, feel, and understand the

difference between them, another technique

can be adopted in the office is the use

of molds, molds allow the

patient to try them in a bra and feel the

difference between different volumes

it facilitates

your choice, it's important to say that

we also use molds during surgery

but these molds serve to guide

the surgeon in choosing the best

implant, I particularly use the

molds in surgery in cases where the

patient presents breast asymmetry,

making it easier to choose implants of different volumes

with 3D technology, it is increasingly helping in plastic surgery,

helping the patient's understanding

about the desired procedure

I usually tell patients that the

surgery

really starts at the time of the 3D simulation

besides augmentation mammoplasty with silicone implant,

3D technology can also be used in surgical simulations

of other breast procedures, such as

breast reconstruction, fat grafting,

and correction of breast asymmetries

we also use it for other regions

such as the face, abdomen, buttocks, and

other body regions, I like

this 3D technology to monitor the

post-operative evolution,

showing the differences from pre to post-operative,

and we can even monitor the post-operative

evolution, showing the decrease in swelling in the

first days, if you liked this

technology, I am Dr. Fernando Amato,

a plastic surgeon from Dr. Amato, and I

look forward to seeing you there.

And so