"You don't have to live with breasts that are mismatched in size and shape. I use a number of techniques - including breast reduction, breast implants, or both - to create a more balanced and naturally symmetrical look."
Although breast asymmetry (one breast is a different size and/or shape than the other) is extremely common, it can cause many challenges. Many women feel self-conscious or have difficulty getting clothing to fit properly. Others live in fear of becoming intimate with someone and having to expose their mismatched breasts. In severe cases, breast asymmetry can be truly disfiguring. Fortunately, Dr. Cassileth offers a number of precision techniques to correct breast asymmetry and help you feel more comfortable and confident in your appearance.
The first step in correcting breast asymmetry and enhancing your look is to determine the ideal size breast for you. Dr. Cassileth will work closely with you to make this essential decision. Questions to answer may include whether the smaller breast needs to be made bigger with an implant, or whether the larger breast should be reduced.
Sometimes the best results are achieved if the same thing is done in both breasts. For example, with very large breasts, both may be reduced, but one is reduced more than the other. Or in the case of small breasts, both may be augmented, but one is augmented more than the other. It is important to keep the breasts as much "the same" as possible, so each final breast contains roughly the same amount of breast tissue and implant volume after the surgery is completed. Only then will you enjoy symmetrical breasts with long-lasting results. Dr. Cassileth can help you determine the best approach to take in order to achieve the beautiful results you deserve.
In some cases, breast asymmetry correction surgery may be covered in part by your insurance company. Before surgery, our billing team will verify your benefits to see if your insurance plan provides coverage.
To help you prepare for and understand what to expect from breast symmetry surgery, Dr. Cassileth will explain the process in detail during your personal consultation and pre-surgery appointments. A summary of the process and brief explanation of various incision techniques is also described at this time.
Essentially, Dr. Cassileth performs breast symmetry surgery through a small incision in the lower breast, usually at the bottom edge of the areola. This allows access to either shift the breast tissue to a different position, or place an implant. Often with breast asymmetry correction, one or both breasts are "constricted" in the lower pole, called "tuberous breast deformity". This incision allows Dr. Cassileth to "unroll" the breast so that it extends to the correct position, which rounds the breast tissue out and raises the nipple position. At this point the nipple height or areola width is adjusted for symmetry.
Dr. Cassileth will thoroughly evaluate your specific needs, make specific recommendations, and work closely with you prior to surgery to ensure that you understand both what to expect and what the end result of your procedure will be.
Plan on relaxing at home the first two days after your breast asymmetry correction surgery. You will be in a comfortable surgery bra that has adjustable straps. You may take pain medication during this period of time. After the first few days, most people are up and around, off all prescription pain medication, and usually have resumed basic activities. However, it is important to avoid all exercise, heavy lifting, and other more strenuous activities for the first three weeks. If you go to work, expect to be more tired during the first week and sore by the end of the day. If your work involves a lot of moving of your upper body, take the entire first week off.
Dr. Cassileth insists that all patients undergo a six-month scar treatment regimen after any type of breast augmentation surgery to minimize all scars. During the healing period, the breasts often have tight or small lumpy areas where the internal sutures are located. This is common and is most prominent 4-8 weeks after surgery. These sutures are absorbable and any lumps caused by them will resolve. Your breasts need up to 2 months to fully heal and take their final shape. Our team will discuss with you what kind of support and activity you will need during this time.