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Subject Area

Dermatology

Article Type

Original Study

Abstract

Objective The aim of this study was to evaluate the different types of breast asymmetry and choice of the suitable approaches for each type of deformity. Background Naturally, there is asymmetry in female normal breast. When the difference in the site, size, shape, or volume of the breast, nipple–areola complex, and inframammary crease position is visible, surgical correction is the only treatment option and presents one of the greatest challenges for a plastic surgeon. Patients and methods The study included 29 female patients presented by breast asymmetry aged 14–43 years in the period from September 2016 till September 2018 at the Department of Plastic and Reconstructive Surgery of Menoufia University Hospitals. All patients were evaluated by history, physical examination, investigations, and photography. Surgical methods used for correction of breast asymmetries include: reduction mammoplasty, mastopexy, breast lipofilling, silicone gel implant and reconstruction of the missing breast, nipple–areola complex, and inframammary fold using different methods including pedicled latissimus dorsi, free transverse rectus abdominis myocutaneous, deep inferior epigastric artery perforator as well as a combination of the mentioned techniques. Results Most of the breast asymmetries were corrected by a combination of surgical procedures. Having combined different surgical procedures achieve satisfactory results. Conclusion The key to successful treatment is to define the nature of the breast asymmetry, respecting the patient's esthetic goals. It is critical to grasp the concept that the more similar the procedures performed on each breast, the more likely there will be symmetry over time.

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