Doctor’s Thoughts on Breast Deformity

At Pacific Center Plastic Surgery, Dr. Nichter and Dr. Horowitz each work to understand a patient’s individual goals and concerns to determine the right treatment plan. Because there are several variables to correcting a breast deformity, we believe that being honest about the pros and cons of your options is the best way to begin treatment. Undergoing surgery to correct a breast deformity can result in increased self-esteem and peace of mind about your appearance. Regardless of the cause of a breast deformity, we aim to deliver the best care to restore long-lasting confidence.

What is Breast Deformity?

Breast deformity can be the result of either congenital defects, scarring after an accident or surgery, genetic factors, or breast cancer. There are several ways that the breasts may be deformed, and with these varied deformities come a variety of surgical solutions.

Tubular Breast

Tubular breasts, also known as tuberous breasts, are the result of a birth defect. During puberty, the breast tissue develops abnormally. This results in enlarged and puffy areola, unusually wide space between the breasts, minimal breast tissue, and sagging among other issues both cosmetic and medical.  Many patients first seek surgery to correct asymmetrical breasts without realizing that they actually have one tubular breast.

A breast augmentation with specific considerations is a solution for the appearance of tubular breasts. This includes reducing the size of the areola, forming a lower breast fold, and inserting a breast implant. Many patients find that this greatly reduces stress that resulted from their abnormal-looking breasts.

Breast Asymmetry

Breast asymmetry occurs when one breast is larger than the other or when the breasts vary in shape or position. This typically occurs naturally as the breasts develop during puberty. Aside from self-esteem issues, this can cause frustration with ill-fitting bras and other clothing if the size difference between the two breasts is severe.

Breast asymmetry can be corrected through a breast augmentation, reduction, or lift depending on your aesthetic goals. You may wish to decrease the size of the larger breast, increase the size of the smaller breast, or choose two different sized implants to make both breasts larger. Finally, it may be necessary to lift a drooping breast to achieve a uniform position and shape.

Prior Lumpectomy or Mastectomy

After breast cancer treatment, many survivors choose to pursue breast reconstruction. There are two main techniques to reconstruct the breast, which depend on your goals and the results of your lumpectomy or mastectomy.

The first is implant reconstruction. This involves inserting either a saline or silicone implant to increase the fullness of the breast.

An autologous or “flap” reconstruction is another option. This uses tissue from another part of the body, usually the belly, thigh, or back, to reconstruct the breast. A fat graft may also be used to reconstruct the appearance of the nipple.

Dr. Nichter and Dr. Horowitz will work to understand the specific factors affecting your surgery such as your current health, breast size, and the extent of your lumpectomy or mastectomy, to help you determine the reconstruction plan that will yield the best results.

Scar Deformity

Major scarring can impact the appearance of the breast in either shape or size. Scars can be removed either surgically or non-surgically, depending on their severity and the specific type of scarring present. For example, raised keloid scarring may be repaired by removing the formation with an incision.

Recovering From Breast Deformity Correction

Because the treatments for breast deformity vary, recovery times and considerations do as well.

Generally, breast deformity correction recovery is similar to that of breast augmentation or lift recovery. Patients can expect soreness and discomfort for the first five to seven days, which can be managed by taking medication prescribed by Dr. Nichter or Dr. Horowitz. Most patients can expect to return to work after about a week. Beyond this first week of rest, it’s important to avoid strenuous exercise or lifting heavy objects until full recovery, which takes about three weeks.

Consultations at Pacific Center Plastic Surgery

To learn more about your options in correcting breast deformity, contact our office and schedule your consultation. Dr. Nichter or Dr. Horowitz will meet with you to discuss the potential solutions and learn more about your needs and goals.