This patient is a 25-year-old female who presented to my office with complaints of severe breast asymmetry which was even difficult to hide in clothes. The patient was noted to have undersized breasts relative to her body size as well as ptotic breasts with a very short nipple to inframammary fold nipple distance. On the left side, the breast was also small with a lesser degree of ptosis. The patient was noted to have significant lipodystrophy of the bra fat area bilaterally which I felt would compromise the aesthetic results. I felt the patient would benefit from bilateral breast augmentation with a circumareolar mastopexy on the left and a circum-vertical mastopexy on the right to correct her asymmetry. I also recommended power-assisted liposuction of the bra fat to improve her lateral chest contours.
During surgery, I placed Allergan Natrelle Inspira smooth round full profile implants. On the left side, the implant was 695 cc and on the right side, the implant was 560 cc due to her asymmetry and wide base width diameter. I performed a circumareolar mastopexy on the left and a vertical (lollipop) mastopexy on the right due to the differences in her anatomy. Overall, she had a major improvement in her overall shape, size and symmetry, and she was extremely happy with her improved appearance.