Is it possible to correct breast asymmetries with same implants? Breast asymmetry, when one breast is different from the other, is relatively frequent. Nobody has one side exactly equal to the other side. Small differences are acceptable and extremely common. In breast surgeries, this is yet another challenge! We, plastic surgeons, seek the best way to make these breasts similar. Before that, we have to identify and characterize these differences. Many times they are related to posture or chest wall deformities. But how to correct these deformities? We use techniques commonly used in aesthetic surgery to decrease or increase volume, such as mammoplasty with implant of silicone or reduction mammoplasty by resecting tissue. This way we adjust the breasts to make them more similar. It is common in these cases for doctors to use silicone implants with different volumes. This solution can bring other complications. For example: breasts with different implants will never be perfectly equal, and over time, with weight gain or weight loss, breastfeeding, pregnancy, this difference can become increasingly evident. Therefore, for cases with small differences in breast volume, I prefer to use identical implants, and why? Imagine: one breast with 80 ml and another with 100 ml, if we place a 300 ml implant, one will become 380 ml and the other 400 ml in the end. This difference will change from 20% to 5% of the final volume. In this way, I end up correcting by the proportion of the final volume, without having to use different implants with different shapes! Got it? Another situation is when it is necessary to perform a mammoplasty, the tissue resection is never exactly equal, but what needs to be most similar is what remains in the breast. The idea is the same, always leave the breast as similar as possible, try to use techniques in the most similar way… For these breast asymmetry surgeries, I also use molds during the surgery, which facilitate these choices, and in the consultation, I do simulations with a 3D camera that can estimate the volume of each breast, facilitating this calculation. And in surgery, one of the techniques that helps correct this deformity is fat grafting, favoring a better result! So, did you like this topic, do you have any questions? Write here, comment, if you liked the video, like it, share it, subscribe to the channel, and activate the bell to see our other videos. Watch this video on how to care for the drain in the postoperative period: https://www.youtube.com/watch?v=mnGmQ… Also watch this video about Hematoma: https://www.youtube.com/watch?v=xY6sN… And perhaps you might be interested in this video: https://www.youtube.com/watch?v=56AaG… 00:00:00 INTRODUCTION 00:00:05 WHAT IS BREAST ASYMMETRY 00:00:20 SMALL DIFFERENCES 00:00:27 CHALLENGE 00:00:50 CONSULTATION 00:01:05 HOW TO CORRECT 00:01:24 SURGERY 00:01:00 IMPLANTS DIFFERENT 00:03:30 SIMULATION

Is it possible to correct breast asymmetries
with identical implants?

Breast asymmetry,

when one breast is different from the
other, is relatively common.

Nobody has one side exactly
equal to the other side.

Small differences are
acceptable, and it is extremely common.

In breast surgeries, this is another challenge!

To make the breasts equal!

We, plastic surgeons, seek the best
way to make these breasts similar.

Identify and characterize
these differences during the consultation.

Often these differences are related to
posture or chest wall deformities.

But how to correct these deformities?

We use techniques commonly used in aesthetic
surgery to decrease or increase volume,

such as breast augmentation with silicone
implants or reduction mammoplasty

by resecting tissue.

This way we adjust the breasts to become

more similar, more equal.

It is common in these cases for doctors to use
silicone implants with different volumes.

This solution can lead to other complications.

For example: breasts with different implants
will never be equal. And over time, with weight gain

or weight loss, breastfeeding, pregnancy, this
difference can become increasingly evident.

Therefore, for cases with small differences

in breast volume, I prefer to
use identical implants, and why?

Imagine: one breast with 80 ml and another with 100
ml, if we place a 300 ml implant,

one will become 380 ml and the other 400 ml
in the end. This difference will change from

20% to 5% of the final volume. This way I
end up correcting by the proportion of the final volume,

without having to use different implants,
with different shapes! Understand?

Another situation is when it is
necessary to perform a mammoplasty,

the tissue resection is never exactly equal, but what
needs to be most similar is what remains in the breast.

The idea is the same: always leave
the breast as similar as possible,

try to use the techniques
in the most similar way…

For these breast asymmetry surgeries,
I also use molds during the surgery,

which facilitate these choices, and in the
consultation, I do simulations with a

3D camera that can estimate the volume
of each breast, facilitating this calculation.

And in surgery, one of the techniques that helps
correct this deformity is fat grafting,

favoring a better result!

So, did you like this topic, do you have any questions?
Write here, comment, if you liked the video, like it,

share it, subscribe to the channel, and activate
the bell to see our other videos.

Thank you very much and see you later