07/11/2025
A really big thank you to my wonderful patient for allowing me to share these pictures with you, since it’s one of the most unusual cases you will see. This is also for fellow plastic surgeons who may not see this case, or may not know how to do this case, because you really need to think outside the box.
So this patient has significant chest asymmetry. The right breast was a lot bigger than the left, and this was due to rib cage asymmetry, so the right side was a lot more protruding. If you just do the traditional thing and put a much bigger implant in one side than the other, this will not really treat the upper part of the breast, as you can see on the video.
So in this case we had to really think outside the box, as I said, and put a small round implant (155 cc’s) on the right side, and a 340 cc anatomical implant (tall height) on the left side. Meaning that it’s more tall than it is wide, and that would fill up the upper part of the breast.
Another thing that you could possibly do in this situation is maybe do some fat transfer in the upper pole and use a round implant, but in her case, as you can see, there is very little fat available. And the operation, the way we did it, worked magnificently. She is over the moon, I am over the moon, and it’s a good case for you to see and for fellow plastic surgeons to learn from.
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