Asymmetrical breast shapes and unequal breast sizes

Closeup of a woman with lopsided breast wearing a bra

More than half of all women have different sized breasts and unequal breast shapes

Most women have asymmetrical breasts. Unequal sizes or different shapes of female breasts are normal from a medical point of view. The size and position of the nipples can also vary from breast to breast.

If uneven breasts are very pronounced, the visual flaw can become a psychological burden for women. If the pressure of suffering becomes too great for affected women, breast adjustment can be a solution. Very rarely, a simple breast augmentation can reduce the asymmetry of the breast. Various measures are necessary for optimal symmetrisation.

Normal sizes and shapes of the nipples are the rule. Congenital malformations can cause great distress to affected patients. Nipple malformations that develop in the course of life can also be corrected surgically.

PD Dr med Mathias Tremp Consulting

Do you have questions about the correction of uneven breast shapes?

During a consultation you will be fully informed by PD. Dr. med. Mathias Tremp will fully inform you about the procedure, possible risks and the feasibility of the desired breast correction.

A detailed consultation is at the beginning of every aesthetic procedure. Before and after pictures and bras with removable cushions are also important aids in the consultation.

Breast correction for uneven breast shape and for breast malformations

Many women have two different breasts. It is normal for one breast to be too small or too large in relation to the other. Different sizes and shapes or even the nipples can be an issue.

There are congenital or genetic malformations of the breast. About 5 % of women are affected by tubular breast.

The prerequisite for an equalising operation for younger women is the completion of breast growth.

Methods for severe asymmetry of breast volume

If there is a significant difference in breast volume, different implants can be used per breast to achieve symmetry.

This involves adjusting the shape and size of the treated breast to the preferred breast. Depending on the situation and the patient's wishes, this is achieved by a breast enlargement or a breast reduction.

Methods for sagging breasts

If the asymmetric breast is sagging at the same time, combined surgery is an option. In this case, the adjustment can be made by lifting the breast in combination with the enlargement or reduction.

The tightening can be done with an internal tightening for a discreetly sagging breast. If the breast is clearly sagging, the tightening must be done externally.

Own fat for the correction of uneven breast shapes

A very popular option is breast correction with transplanted fat. Lipofilling is suitable as an alternative to breast implants. The method is an alternative for balancing asymmetrically shaped breasts.

Fat can be suctioned from several regions and injected into the breast. The fat is injected via special cannulas into aysmmetrical areas of the treated breast.

Tubular breast deformity (trunk or tube breast)

Tubular breast is a growth disorder of the connective tissue. A tubular breast is caused by regions of the breast developing differently. The lower part of the breast is less developed than the upper part.

The chest appears small and shapeless. This is where the term trunk chest, tube chest or Snoopy chest comes from.

In addition, the areolae of the tubular breast are sometimes excessively large. Because the mammary gland tissue is underdeveloped, full breastfeeding is often not possible. The cause could be a genetic predisposition.

Correction of the tube breast

A tubular breast is caused by regions of the breast developing differently. The breast appears small, misshapen and resembles a "tube breast".

This congenital form of the tube breast affects about 5% of women. Different techniques are used depending on the expression. The most common procedures include: Transplantation of autologous fat, implants and unfolding of the mammary gland. The underdeveloped glandular body is compensated with an implant.

Correction of the retracted nipple (inverted nipple)

Individual women have temporarily or permanently retracted nipples. The causes of inverted nipples are usually too short mammary gland ducts or scarring.

Affected women complain of inflammation and pain. For many women, inverted nipples are also an aesthetic problem in most cases. Inverted nipples can be treated with a small operation.

Reduction and enlargement of the nipples

Some women suffer from oversized breasts since birth. An overly large nipple is also often a problem. For some women, nipple correction is an issue after breastfeeding at the latest.

Reduction and enlargement of the nipple or areola is possible surgically. The scars that remain are hardly visible.

Surgery, ability to work, risks and aftercare

Depending on the surgical procedure, local or general anaesthesia is used.

After the procedure, the patient must wear a tight-fitting bra for 8 weeks. During this time, sporting activities should be avoided in order not to stress the new shapes of the breast.

Depending on the extent of the operation, normal work can be resumed after 7 to 14 days. Showering is allowed after 48 hours. Physical activities are possible again after 4 weeks.

Possible risks are infections, secondary bleeding, capsular contraction or unsightly scarring. There is a feeling of numbness at the beginning. However, the feeling usually returns to normal after a few months.

Depending on the extent of the breast surgery, minor surgical corrections are often necessary in the further course.

Costs for the correction of asymmetric breast shapes and breast malformations

The costs include all measures such as preliminary consultation, operation, anaesthesia, medication, stays and follow-up.

The costs for breast surgery vary depending on the duration and severity of the operation. The costs are discussed in detail beforehand.

In the case of pronounced malformations of the breast, the health insurance fund may be able to cover part of the costs. The prerequisites for the assumption of costs must be checked.

Offer and prices

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