Challenging Breast Anomalies and Asymmetry – Case 11

Challenging Breast Anomalies and Asymmetry – Case 11

Asymmetric constricted breast anomaly is among the most challenging problem faced in cosmetic breast surgery.  Among the challenges are how to manage unusually short distances from nipple to inframammary fold, large areola, and narrow breast footprint.  Circum-areola (peri-areola) alone incisions often fail at creating ideal projection and nipple elevation.  I use a combination of:  1) Internal release  2) Implant augmentation  3) Intermediate deconstruction, and 4) Surface repositioning with 3D approach necessitating inverted T incision.

This case demonstrates the successful culmination of this with poor breast aesthetics transformed to a beautiful outcome.