There is a natural asymmetry in female breast. When the difference in the shape, size or position is visible and represents a psychological problem for the patient, surgical correction is mandatory and represents one of the greatest challenges for a plastic surgeon. In 1968 Hueston evaluated the different causes of breast asymmetry and its psychosocial impact. Liu YJ and Thomson JG in their work studied the ideal anthropomorphic values of the female; breast asymmetry and insufficient cleavage resulted as the most important issues affecting the esthetic outcome. Insufficient cleavage with lack of fullness in to the supero-medial quadrant of the breast had the most negative effect on aesthetic value. Several techniques have been proposed for the treatment of breast asymmetries. Often the surgeon must use different approaches on each breast in order to achieve the best balance and harmony. Thus, the surgeon must have good knowledge of the various operative techniques and plentiful clinical experience, as well as good aesthetic sense. Mammary asymmetry can be divided in congenital and acquired; the latter may be a consequence of surgery, trauma, burn injuries or radiation therapy. Mammary asymmetries can be classified as volume, positional, shape and NAC asymmetries and they are often present at the same time. Tuberous breasts constitute a further challenge. It is characterized by three main features: a constricting ring at the base of the breast that leads to herniation of breast tissue towards the nipple areola complex, hypoplastic breast tissue in the lower quadrants, abnormal elevation of the inframammary fold and asymmetry of the breasts. The Importance of the Breast Aging Process in the Treatment of Breast Asymmetries: Razzano S, DAlessio M and DAlessio R
Last date updated on March, 2024