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Sydney Breast Asymmetry Correction Surgery

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Breast Asymmetry Correction Surgery with dr turner

Breast asymmetry is a common occurrence as breasts are naturally unique and may exhibit variations in volume and shape. While certain asymmetries can be concealed with padded bras or loose-fitting clothing, there are instances where these methods may not suffice.

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What is Breast Asymmetry Correction?

It is also common for women to experience asymmetry concerns when they have a condition called tuberous breast deformity or tubular breasts. This condition often affects young women going through puberty and breast development. Tuberous breast deformity is characterised by a narrow or constricted base, enlarged areolas, breast asymmetry, and a high breast crease.

Breast asymmetry correction, also known as tuberous breast correction, requires the skills of a Specialist Plastic Surgeon. This is a cosmetic surgical procedure aimed at addressing differences in size, shape, or position between the breasts.

Breast Asymmetry Development

During adolescence, young girls may find themselves particularly affected by breast asymmetry. This condition becomes more apparent as the breasts undergo development during puberty.

Tuberous or tubular breasts are a condition characterised by noticeable differences in breast appearance. This condition encompasses various issues, such as low-positioned breasts, enlarged areolas, breast tissue herniation, and base malformation. While breast shapes and sizes naturally vary, tuberous breasts exhibit distinct features like small, narrow breasts with wide spacing and asymmetry as well as some degree of conical appearance. Additionally, large areolas and downward-pointing nipples are common in this condition.

Features of Tuberous Breasts

  • A narrow or constricted base
  • A gap of 1.5 inches or more between the breasts
  • A high breast crease
  • Enlarged areolas
  • Noticeable breast asymmetry (one is obviously larger than the other)

If you suspect that you might have tuberous breasts, you can have them properly assessed by a qualified plastic surgeon. You should choose a certified plastic surgeon who is familiar with diagnosing and treating tubular breasts and not just any surgeon.

Types of Tuberous Breasts

Dr Turner begins by evaluating the type or grade of tuberous breasts you may have before presenting treatment options tailored to your specific condition.

Tubular breasts are classified into three types based on their severity:

  • Grade I: This is the least severe type. If breasts lack tissue in the lower and middle regions, then it may indicate type I tuberous breasts. This is the most common type, giving breasts a “smaller than average” appearance.
  • Grade II: There is more tissue deficiency in this type than in type I. The entire lower half of the breast is affected. The areola in type II tuberous breasts is usually enlarged, stretched, and pointed downwards.
  • Grade III: This is the most severe type. In this case, the breast growth is constricted in all four quadrants of the breast; the entire breast is severely affected. The areolar tissue is stretched thin and weak. This type may affect breastfeeding ability.

To accurately determine your specific grade, it is essential to consult with a professional. During your visit to our clinics in Sydney or Newcastle, Dr Turner will conduct a thorough examination of your breasts and provide a precise assessment of your grade level.

What is Involved in Corrective Breast Surgery?

Oftentimes, Dr Turner may combine up to three different adaptations of breast surgeries to achieve the desired outcome. These usually include Breast Lift, Breast Augmentation, Hybrid Breast Augmentation, and Breast Reduction surgery.

In the majority of cases, Dr Turner will perform a Breast Augmentation procedure for women undergoing Breast Asymmetry Correction, or Tuberous Breast Correction surgery. Not only does the breast implant increase the overall breast volume, but it widens a constricted breast and adds volume to the lower pole of the breast. This surgery can also correct breast ptosis.

For asymmetry-corrective surgeries, the overall objective in most cases is to balance the shape and size of both breasts. However, it is important to remember that the breasts are ‘sisters, not twins.’ Thus, patients should have realistic expectations about their surgery.

Surgical Solutions for Breast Asymmetry or Tuberous Breast Deformity

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Breast Augmentation

Breast implants can be positioned within the smaller breast to add breast volume and correct breast symmetry. If the patient would like the overall breast to be bigger on both sides, then there is the option of either using different-sized breast implants to create symmetry, or the preferred method is using the same sized breast implant on both sides and performing a breast lift or reduction on the larger side or both.

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Breast reduction

A breast reduction may be performed only on the larger breast in order to match the smaller breast in shape and volume. However, if the patient desires both breasts to be small overall, a breast reduction can be performed on both sides, with customisation of the amount of breast tissue removal to achieve breast symmetry.

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Breast lift

In patients with one breast that is slightly larger, often with the nipple/areola lower than the contralateral breast, then a breast lift on one side only can be performed. However, in patients with tuberous breasts, Dr Turner will perform a breast lift combined with a breast implant, plus the addition of fat grafting to change both breast volume and shape (Hybrid Breast Augmentation).

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Breast Tissue Modification/Reconstruction

In patients who have severe breast asymmetry or tubular breasts, Dr Turner modifies the glandular tissue in the breast to allow the breast implant to expand in an often tight, or constricted breast. This has historically been done by cutting and reshaping the breast tissue, a technique called glandular scoring.

However, by using the latest fat grafting techniques, Dr Turner can now expand the deficient aspects of the breast tissue by using your body’s own fat tissue and reinjecting it into the breast at the same time as the breast augmentation procedure. If the breast asymmetry is significant, Dr Turner may elect to stage the breast reconstruction by using a breast tissue expander before performing the final breast implant surgery.

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Fat Grafting

Fat grafting is recommended for patients who want to fix their tuberous breasts without implants. During this procedure, Dr Turner removes excess fat from one region of the body (e.g. hips, belly, thighs, etc.) using liposuction. The fat is then purified and reinjected into the breasts to add volume. The injection of the fat beneath the skin loosens up the constricted tissue.

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Specialist plastic surgeon

Dr Scott J turner

Dr Turner FRACS (Fellow of the Royal Australasian College of Surgeons – Plastic Surgery) is a Sydney Plastic Surgeon with clinics in the Eastern Suburbs at Bondi Junction and Northern Beaches at Manly.

Dr Scott J Turner has over a decade of experience in private practice solely focused on performing cosmetic surgery.

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Breast Asymmetry Correction Gallery

Before and afters

DISCLAIMER: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Breast Asymmetry
Breast Asymmetry

Staged Procedures

Correction of tuberous breasts is most often carried out within just one procedure. However, it is not uncommon for patients who present with stage II or III tuberous breasts to have a multi-stage procedure, carried out across 9-12 months.

An example of this staged procedure is outlined below, however, please note that breast expanders are only utilised where necessary for stage II and III tuberous breasts.

  • During the first surgery, Dr Turner implants tissue expanders (temporary inflatable implants).
  • The expanders stretch out your chest muscles and skin making room for future implants.
  • They will be kept in place for several weeks or months and will be regularly inflated by Dr Turner.
  • Once your breasts are large enough, you will receive a final corrective surgery, and the expanders will be replaced by definite implants.

In most cases, breast implants alone are not enough, and surgical remodelling (lifting) is performed.

Other Breast Asymmetry Causes

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Poland’s Syndrome

Poland’s Syndrome can affect women’s breasts in various ways. The condition often leads to underdevelopment or absence of breast tissue on the affected side of the chest, which results in noticeable asymmetry between the breasts, with the affected side appearing smaller or even completely absent compared to the unaffected breast.

In some cases, the nipple and areola may also be underdeveloped or positioned differently on the affected breast. They may appear smaller, higher, or lower in relation to the unaffected side.

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Rib Cage Abnormalities

Women with rib cage abnormalities present with breast asymmetry. If the ribs are deficient or very prominent, this in turn can affect the size and projection of the breast, such that women with a prominent rib on one side can have a breast that appears much larger, and vice versa.

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Breast Hypoplasia

Breast hypoplasia, also known as underdeveloped breasts or hypoplastic breasts, is a condition characterised by insufficient breast tissue growth during puberty and adulthood. It refers to breasts that do not reach the expected size or volume for an individual’s age, body type, or genetic potential.

In cases of breast hypoplasia, the breasts may appear smaller or less rounded compared to what is considered typical or proportional for the person’s body. The condition can affect one or both breasts and may result in noticeable asymmetry.

Breast hypoplasia can occur due to various factors, including hormonal imbalances, genetic predisposition, certain medical conditions, or prior breast surgeries. It can also be influenced by lifestyle factors such as extreme weight loss, malnutrition, or certain medications.

Risks and Complications of Breast Asymmetry Correction Surgery

Like any surgery, breast asymmetry correction surgery has risks and complications, such as:

  • Anaesthesia risks
  • Asymmetry recurrence
  • Bleeding
  • Breast shape or size discrepancies
  • Changes in nipple sensation
  • Dissatisfaction with results
  • Fluid accumulation
  • Implant-related complications
  • Infection
  • Scarring

Reasons for Breast Asymmetry Correction Surgery

Breast asymmetry correction surgery is designed to address differences in the size, shape, or position of a woman’s breasts, which can vary widely from subtle to more pronounced discrepancies. Patients may undergo this surgical procedure to correct asymmetries that affect their overall appearance and physical proportionality. While some individuals may have lived with uneven breasts since puberty, others might notice changes due to life events or medical conditions that alter breast symmetry.

Breast asymmetry can be congenital or develop over time through various influences. Hormonal fluctuations, physical trauma, and developmental conditions such as scoliosis, which impacts the alignment of the spine and can thereby influence chest and breast appearance, are common factors. Life events such as pregnancy and breastfeeding, as well as significant weight gain or loss, can also lead to or exacerbate existing asymmetries by changing breast volume and skin elasticity, often leaving one breast noticeably different from the other.

The surgical correction of breast asymmetry is a personalised process that involves a combination of techniques tailored to the individual’s specific needs. Depending on the nature and extent of the asymmetry, the surgical plan might include breast reduction, augmentation, or a lift to achieve a more symmetrical appearance. The goal of these interventions is to make both breasts more similar in size and shape and to ensure that the nipples are properly aligned.

Our Philosophy on Breast Asymmetry Correction Surgery

At FacePlus Aesthetics, Dr Scott Turner understands that each patient’s situation is unique. He emphasises a personalised surgical plan that addresses individual variations in breast asymmetry. Our goal is not just to adjust the size and shape of the breasts but to change each patient’s natural body contours in a way that aligns with their overall physique and personal expectations.

We hold detailed consultations with our patients to understand their concerns fully and discuss their desired outcomes. Dr Turner assesses the degree of asymmetry through precise measurements and imaging and discusses the possible surgical options that suit the patient’s anatomical needs and aesthetic goals. This might involve augmentation of one breast, reduction of the other, or a combination of procedures on both breasts to achieve symmetry.

Our philosophy extends beyond the technical aspects of surgery to encompass comprehensive patient care. We believe in supporting our patients through every step of their journey — from the initial consultation through the recovery process. We ensure that they are fully informed, comfortable with their choices, and confident in the care they receive, fostering a trusting relationship and a comfortable, supportive environment.

How the Procedure is Performed

Breast asymmetry correction surgery at FacePlus Aesthetics is meticulously planned to meet the individual requirements of each patient. Dr Scott Turner conducts this surgery under general anaesthesia, ensuring patient comfort throughout the procedure. The extent of the asymmetry dictates the specific surgical techniques employed, which may include augmentation to increase breast size, reduction to decrease size, or a lift to adjust the position.

During the surgery, Dr Turner makes careful pre-surgical markings to ensure precision in incision placement. These markings are critical as they guide the surgical adjustments needed to achieve symmetry. If one breast is significantly larger, excess breast tissue and skin may be removed to match the smaller breast. Conversely, if one breast is smaller, implants may be used to increase its size and shape. In some scenarios, a combination of procedures on both breasts might be necessary—such as augmenting one breast while lifting the other—to ensure that both breasts are symmetrical in size and shape as well as correctly positioned.

Incisions for the procedure are strategically placed to be as inconspicuous as possible, typically around the areolae or within the natural creases under the breasts, which helps to minimise the visibility of any scarring. After the desired adjustments have been achieved, Dr Turner carefully sutures the incisions and applies bandages to support the new breast contours during the initial recovery phase. The duration of the surgery varies, generally lasting several hours, depending on the complexity of the case and the specific combination of techniques employed to achieve the desired outcomes.

Recovery Period

The recovery period following breast asymmetry correction surgery is an essential phase designed to minimise the risk of complications. After the procedure, it is common for patients to experience varying degrees of swelling, bruising, and discomfort. These symptoms are typical responses to surgical intervention and can be effectively managed with medications prescribed by Dr Scott Turner. Additionally, he provides comprehensive postoperative care instructions that are crucial for managing pain, supporting proper wound healing, and reducing the likelihood of infection.

Patients are advised to take a significant amount of time off from work—typically one to two weeks—depending on the extent of the surgery and the nature of their employment. This downtime is vital to allow the body sufficient time to begin the healing process without the stresses of daily activities. Moreover, engaging in any strenuous physical activities or heavy lifting is strongly discouraged for up to six weeks post-surgery. This precaution helps prevent undue strain on the healing tissues and ensures that the newly established breast symmetry is maintained as the tissues settle.

During the recovery period, wearing a specially designed supportive bra is also recommended. This garment plays a critical role in supporting the new breast contours and can significantly aid in the overall healing process by stabilising the breasts and reducing movement that might disrupt the surgical results. Regular follow-up appointments with Dr Turner are scheduled to closely monitor the patient’s recovery, make any necessary adjustments to the postoperative care plan, and address any questions or concerns that may arise. These appointments are crucial for assessing the progress of healing, confirming the absence of complications, and ensuring that the patient remains comfortable and informed throughout the recovery process.

Risks and Complications

Breast asymmetry correction surgery, like all surgical interventions, entails inherent risks and potential complications that patients must be aware of before proceeding. Common issues that may arise include adverse reactions to anaesthesia, which are relatively rare but serious, and infections at the incision sites, which can delay healing and affect the outcome. Bleeding during or after the procedure is another risk, along with the development of visible scarring, which can vary in severity among individuals.

Specific risks associated with breast asymmetry correction include the uneven healing of the breasts, which can potentially result in a continuation of some degree of asymmetry. There is also a risk of altered or complete loss of nipple sensation due to the repositioning of breast tissues and nerves during surgery. Slight differences between the breasts may also exist postoperatively.

Dr Scott Turner is committed to reducing these risks through meticulous surgical planning, precise technique, and comprehensive postoperative care. He employs the latest surgical methods designed to minimise tissue trauma and promote recovery. Strict adherence to postoperative care protocols is essential to prevent complications such as infection and to manage any bleeding or adverse reactions effectively. Regular follow-up visits are scheduled to monitor the healing process, detect any early signs of complications, and make timely interventions if necessary. These measures are critical for ensuring patient safety and increasing the overall success of the breast asymmetry correction surgery.