Some Women Have Very Unique Breasts
Within the entire realm of aesthetic breast surgery (augmentation, mastopexy and reduction) there are wide variations of breast types and problems to be treated. Most women have issues that are commonplace and are treated using routine surgical techniques. The results are typically predictable and favorable in such cases.
Some women have somewhat rare problems with the natural shape, size and position of the breasts. And others may have unusual problems with their breasts following initial breast surgery. These problems can be complex and may require extensive and less common surgical techniques to treat. The results are less predictable in such cases, and achievement of optimal aesthetics may not be possible. Here are some examples of special cases:
Tuberous breasts are small and constricted breasts. This is a congenital anomaly in the development of the breasts. The breasts may also sag. One or both breasts can be affected. Treatment usually requires some combination of mastopexy and augmentation.
True congenital absence of a breast is very rare. But, in some cases one breast may be very underdeveloped, while the opposite breast may be normal. Breast augmentation, sometimes with an adjustable implant, is the typical treatment. The "normal" breast may also need to be augmented or lifted to improve symmetry.
The breasts can be severely different in size. In such cases, some combination of augmentation, mastopexy and reduction may be needed to treat each side to improve overall size, shape and symmetry.
Excessively Ptotic And Deflated Breasts
Severely ptotic and deflated breasts can occur naturally. This is most common after massive weight loss following gastric bypass surgery. The tissues are excessive and very thin. In addition, the bases of the breasts may be low on the chest wall, compared to the average woman. Treatment involves a breast lift. If increased size is needed, then an implant can be used. In some cases, if excess skin is present at the side of the chest, that excess tissue can be rotated into the breast to increase volume.
Stretched And Sagging Breasts After Augmentation
Excessively stretched and ptotic breasts following breast augmentation can occur with nearly any size breast implants. However, the most problematic and severe cases occur after very large implants have been placed. Because the tissues are usually extremely thin, this is a difficult problem to treat. Treatment usually involves mastopexy and exchange of the implants with smaller implants.