Before and after breast augmentation in a 36 year old woman with breast asymmetry and mild pectus excavatum/scoliosis. In this condition, the sternum and/or chest wall and ribs are slightly depressed on one side, contributing to asymmetry of the breasts.
Many patients don’t realize their ribs or chest has bony underlying asymmetry – this is part of the preoperative assessment at the initial consultation and again at the preoperative visit. In cases of underlying chest wall asymmetry, which are actually more common than you would think, a slightly larger and/or higher profile implant needs to be used on the side of the chest with more depression to achieve equal projection with the other breast and to create the best possible symmetry.
Two different sized smooth round silicone gel breast implants were inserted under the breast tissue but on top of the pectoralis major muscles. The difference in implant volume was 75 cc between the two sides. Liposuction of the axillary rolls helped to contour these areas to create the best aesthetic outcome.
Early follow up photos are shown just three weeks after surgery. Her incisions still have some scabs on them and her breast tissue is slightly swollen. She can resume exercise now and all other activities. The mild swelling will continue to go away on its own over the next several weeks.
*All photos are actual patient photographs and are for illustrative purposes only. Individual results may vary.
