Breasts have individual characteristics, usually having small differences. At times the differences can be drastic they can look prominently different. However, this can be corrected using breast asymmetry correction. The procedure is curated to the patient’s needs, this may include breast augmentation, breast reduction or breast lift. This cosmetic surgical procedure results in symmetrical and aesthetic breasts.

Pre-procedural prep

  • Expectations – during the consultancy, the patient is prompted to express their desired expectations with the surgeon and discuss its possibilities. Showing pictures of desired results is more helpful in reaching a consensus.
  • Medical history – the physician will ask the patient about their past-medical history as well as family history to ensure that they are eligible to undergo the surgery. Patients with blood disorders are advised not to undergo this procedure as they are at higher risk.
  • Photography – a professional will take before and after pictures in different angles to record the change made due to the procedure. The patient may also be provided with a photoshopped picture before the surgery to have realistic expectations.
  • Smoking – the patient is strictly advised to avoid smoking a week before the procedure as it can affect the surgery and healing process.
  • Medications – after reviewing the patient’s medical history, the physician may ask the patient to stop consumption of certain medicines. They include – aspirin, immunosuppressants, anti-inflammatory medicine, herbal capsules, blood thinners and other anti-coagulants.
  • Care – the patient will be asked to arrange for driven transport as they cannot drive post-surgery. It is also advisable to have someone at home to help a few days during recovery.

 

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Procedure

Breast asymmetry correction reduces the differences between the breasts and makes them look closely similar. Depending on the patient’s case, a combination of different techniques can be used to acquire desired results. This procedure can take 2 to 5 hours to complete depending on the combination of procedures. Breast asymmetry correction is performed either under local or general anaesthesia, depending on the complexity of the procedure.

Breast augmentation:

This technique helps create size symmetry. Breast augmentation can be performed using implants or fat grafting.

Breast implants:

Breast augmentation via an implant, involves the surgeon making an incision on the thoracic region, either above or under the breast. The selected implant is placed in position and secured. Once the desired results are achieved, the surgeon closes the incision using sutures. The patient may be required to wear a surgical bra to support the stitches during recovery.

The implant is of alloplastic (synthetic) origin, most likely made of medical-grade silicone.

 Fat grafting:

  • Step 1: liposuction

Fat grafting begins with liposuction and is typically performed using local anaesthesia. Fat is extracted from the adipose layer in the donor site. This is performed using thin liposuction cannulas to ensure that there is no unnecessary damage to the fat cells. The incision made is closed using sutures.

General anaesthesia may need to be used if liposuction is above 500cc.

  • Step 2: purification

The extracted fat is then processed via decanting, centrifugation or by washing the adipose tissue in sterile saline solution. Processing the fat ensures that only healthy adipose cells are transferred into the recipient site while leaving behind debris, fluids and necrosed cells.

  • Step 3: delivery of fat

The purified adipose cells are then delivered by the surgeon to the recipient site/ target area via injection to achieve desired results. The fat is deposited evenly to ensure that there sufficient blood supply to avoid necrosis.

Breast reduction:

This procedure aids in correcting size asymmetry. Breast reduction surgery, involves the surgeon making an incision around the areola and under the breast, resembling a keyhole. Excess skin, tissue and fat are removed by the physician. Once the desired results are achieved, the nipple is positioned and the incision is closed using sutures. The patient may be required to wear a surgical bra to support the stitches during recovery.

Breast lift:

This procedure reduces drooping and aids in levelling both breasts. Breast lift begins with the surgeon making incisions around the areola and along the breast crease. The breast is pulled upwards and the excess skin is trimmed. Once the desired results are achieved, the nipple is positioned and the incision is closed using sutures. The patient may be required to wear a surgical bra to support the stitches during recovery.

Risks & recovery

  • Downtime – the patient can resume normal activities in 7 to 14 days, depending on the technique used.
  • Activities – there should be minimal mouth or jaw movement for the first few days into recovery. Swimming, gymming or any strenuous exercise should be avoided until prompted by the surgeon.
  • Breastfeeding – breast surgeries can lead to lower production of breast milk.
  • Scarring – depending on the technique used, there may be visible scarring. This can be reduced using laser resurfacing.
  • Bruising – in case of breast augmentation, the patient’s skin will stretch rapidly and lead to severe bruising due to volume increase.
  • Sensation – there may be partial loss of sensation after complete healing. This can cause temporary or permanent numbness around the treated area. Loss in areolar sensation can lead issues in breast milk production.
  • Rejection – there may be a mild possibility that the patient’s body may reject the implant.
  • General risks – surgical procedures may cause redness, bruising, bleeding, scarring, loss of sensation and infection.
  • Rest – the patient is advised to take complete rest to promote fast healing.
  • Ice & compression – the wound should be compressed with an ice pack to reduce swelling.
  • Elevation – the patient is advised to sleep in an upright and elevated position. This reduces swelling and avoids any tugging or pulling.
  • Smoking – the patient is strictly advised to avoid smoking for up to two weeks post-treatment. Smoking can interfere with blood flow and can cause problems with healing.
  • Alcohol – the patient is advised to avoid alcohol consumption for a few days as it can counteract with medications prescribed for aftercare.
  • Medicines – the surgeon may prescribe painkillers, immunosuppressants and antibiotics. They can be a combination of tablets as well as topical treatments. These medicines need to be used promptly as prescribed by the physician.
  • Makeup – makeup can be used to conceal any prolonged bruising and scars post-recovery.

 

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