BACKGROUND: Breasts are an integrai part of
feminine beauty and breast symmelry is a key
lo beautlful formo Severe breasl asymmelry can
be psychologically dislurbing, especially for teenagers.
Correction of breast asymmetry may
present a challenge for plastlc surgeons.
PATlENTS AND METHODS: 72 cases of breast
asymmetry complalning of varying degree and
etlology of breasl asymmelry, treated between
December 2009 and December 2012. Their age
ranged from 18 lo 65 years, with Ihe mean age
was 34 years. Every palient conducted doctor
interview for good psychological analysls.
Preoperallve clinical assessment of the specific
anatomical deformity, a good surgical pian, subsequent
surgical treatment modalities, esthetic
outcome, and patient's satisfactlon were evaluated.
Surgical modalilies used in Ihls series
included augmentation mammaplasty, reduction
mammaplasty, mastopexy, T.R.A.M flap, multiple
z plasties, Thoracodorsal flap, and nipple and
areola reconstructlon. Ali patlents were done
under generai anesthesia.
RESULT: 25% palients (18fl2) had breast asymmetry
alter mastectomy, 20.8 % patients
(15/72) had virginal hypertrophy asymmetry,
16.7 % patients (12/72 ) presented by breast
asymmetry alter burn, 12.5% patients (9/72)
presented by bilateral developmental hypoplasla
with small-volume asymmetry, 12.5% patients
(9fl2) had Poland's syndrome, 8.3% patients
(6/72) liad a iatrogenic breast asymmetry following
breast surgery and 4.2% patients (3/72)
presented by breast asymmetry following hemi-
Irunk atrophy. 9 of 72 patients were found to
have a minor complication, whereas 2 of 72
were found to have a major complication.
CONCWSION: The common cause of breast
asymmelry Ihat ultlmalely undergo surgery in
Upper Egypt was post maslectomy and the least
type was breasl asymmetry following heml-
Irunk atrophy. Patients' satisfaction were 83.3%,
while 73% was the physician' satisfaction.
The keys to successful treatment are to deline
Ihe nalure of the asymmelry, respect the
aesthetic goals of·the patient, and perform a
well thought out surglcal pian.