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This is a 25-year-old Phoenix plastic surgery patient who came to my Paradise Valley, Arizona, medical office with complaints of severe breast asymmetry and drooping.  The Patient had naturally developed a relatively large right breast and a somewhat small left breast, each with a very different shape.  The patient was understandably very self-conscious about her breast appearance.

Upon evaluating this patient, I knew this would be a very challenging case.  Each breast, by itself, would normally be challenging to shape nicely.  However, I not only had to make each breast look good individually, but I also needed to ensure they matched as closely as possible.

For the patient's left breast, I felt that a breast augmentation using a silicone implant under the muscle would be needed for fullness and shape.  Also, due to the high, tight fold under the breast (tuberous breast), I knew I would need to release the tight tissue internally and further reshape the breast with a circumareolar mastopexy (around-the-areola breast lift).

On the patient's right breast, the main issue was drooping.  However, to match the breast's appearance to the left side, I felt that a smaller implant would be beneficial.  I also recommended removing some excess breast tissue and tightening/lifting the breast using an anchor-scar breast lift.  In general, I do not like to use different incision patterns on each breast, but with this patient, it was the only good option.

In the OR, I performed a breast augmentation on both sides using Mentor smooth, round, moderate plus profile cohesive silicone gel implants.  On the left, I used a 375 cc implant; on the right, a 225 cc implant.  I also removed an additional 40cc of breast tissue from the right to even out the breast sizes.  Finally, I performed a circumareolar tightening on the left and an anchor scar lift on the right.

The patient did very well after surgery, her cosmetic surgery near Phoenix, and was extremely happy with the improved symmetry and shape of her breasts.  These photos were taken approximately 6 weeks after surgery, and I anticipate that the breast appearance will continue to improve and even out over time.

Provider: Dr. Cohen