Complex Breast Augmentation for Asymmetry Pittsburgh

Complex primary breast augmentation surgery applies the arts of plastic surgery for women who have an extensive amount of asymmetry or naturally uneven breasts or unusually shaped breasts.

Eighty percent of women have some degree of asymmetry, with 15 percent of these extremely “lopsided.” Women who seek correction for this condition usually need breast augmentation surgery with breast implants that are of different sizes, and also some breast lift surgery to adjust the nipple-areola area to different positions. Other women may need a breast reduction in one breast to help obtain an even, symmetrical breast shape and size. Many of these plastic surgery patients are young and are extremely embarrassed by their breasts.

By providing well-planned complex primary breast augmentation and correlating cosmetic surgeries, Dr. Pautler can significantly improve the balance of the breasts, as well as boost the overall self-esteem and well-being of patients who have been troubled by their breasts. If you would like to find out more about complex primary breast augmentation, contact our plastic surgery practice near Pittsburgh to schedule a consultation.

For more information about Complex Breast Augmentation, view the Frequently Asked Questions.

Testimonial for Breast Augmentation

Words cannot begin to express how happy I am with the results of my surgery and what a wonderful surgeon you are. What you were able to do is simply amazing! I never dreamed that the difference would be this dramatic! My entire experience with you and your staff was also terrific. I also want to thank you for spending so much time with me during my consultations and before and after the surgery.

“It is obvious how much you care about your patients and what you do.

“You have changed my life in such a positive way. I simply cannot thank you enough for the wonderful job you’ve done.”

Dr. Pautler will discuss all of these options for complex primary breast augmentation at the initial consultation. For more information or to make an appointment for your initial complex primary breast augmentation, contact Dr. Pautler’s plastic surgery practice near Pittsburgh.

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When considering breast augmentation surgery, there are two kinds of breast augmentation implants:

  • Saline breast implants – saline breast implants are filled with a natural, salt-water solution. If you have breasts with different volumes, saline breast implants can be filled to different amounts, one side more or less than the other, making your breasts appear more even and balanced. A rupture, if it occurs, is fairly easy to diagnose just by physical exam. According to the FDA, women should be 18 years of age or older to receive saline implants. These implants can be rolled up and placed under the breast through a small incision, and are filled AFTER insertion. Some women think saline breast implants feel firmer than silicone-gel implants.
  • Silicone-gel breast implants – in thin skinned patients, silicone-gel breast implants tend to feel more natural. They are pre-filled with a safe, FDA-approved, man-made polymer substance. Numerous scientific studies over the years have shown that silicone gel-filled implants are both safe and effective for breast augmentation and reconstruction. Because these breast implants are pre-filled, their volume cannot be altered to adjust symmetry. In this situation, implants of different sizes are needed to balance out breasts that are different sizes. They also require a slightly larger incision. A rupture is much harder to detect and special diagnostic imaging may be required to detect any leakage. You must be over 22 when your body is considered fully matured to receive silicone-gel breast implants.

Please visit the Aesthetic Society and Breast Implant Safety website for the latest information on breast implant options.

It is the goal of plastic surgery to minimize scarring or make scarring as discrete as possible. In the case of complex primary breast augmentation surgery, Dr. Pautler will use one or a combination of the following methods to reduce scarring:

  • Inframammary fold approach – this plastic surgery incision is made in the crease underneath the breast. It is used to place the breast implant in the preferred position under the muscle.
  • Circumareolar approach or Donut Mastopexy – the plastic surgery incision is made between the white and the pink skin of the entire areola. This approach is necessary if the nipple-areola area needs replaced to a higher location on the breasts.
  • Vertical Mastopexy – also known as a lollipop mastopexy, the plastic surgery incision is around the areola and with an up and down limb to the crease underneath the breast.
  • Standard Mastopexy – for additional tightening and lifting the plastic surgery scar is around the areola, up-and-down from the areola, and underneath in the crease beneath the breast.
  • Vertical breast reduction – scars from the plastic surgery are limited to around the areola and an up-and-down scar from the areola to the crease beneath the breast.
  • Wise-pattern breast reduction – this plastic surgery incorporates the scar around the areola, up-and-down from the areola, and underneath in the crease beneath the breast.

View our Glossary of Breast Surgery key terms Here.

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FAQs for Complex Breast Augmentation

Can you increase the size of one while reducing the size of the other or do you increase the size of one to match the other?

During the initial consultation, Dr. Pautler will discuss with you the combination of recommended procedures necessary to obtain the best possible look and symmetry. It may include a breast enlargement in one breast, a breast reduction in the other breast and a breast lift one or both breasts. Dr. Pautler will determine the correct combination of procedures that will be best for you.

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Over time, will my breasts go back to being asymmetrical?

Many factors can affect the overall symmetry of your breasts. These factors include pregnancies, breastfeeding and losing or gaining weight. If you lose a significant amount of weight, the breasts may become flabbier. If you gain a significant amount of weight, the breasts will become larger and gravity will have more of a negative effect. You can have as many revisional breast surgeries as time, health and other factors may dictate.

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How long does it take for the breast lift scars to fade after surgery?

Every individual is unique. Some women heal quickly and some heal slowly. In general, skin type determines the quality of the scar. Despite the most meticulous technique, some individuals heal poorly, while others heal beautifully. Age can also play a factor in healing time after breast lift surgery. The older you are the less red and tender your breast lift scars may appear while younger women may have pink or reddish scars that will be tender for several months and may take up to a year to fade. A patient should massage the scars a few times a day with a product such as vitamin E oil or cocoa butter applying pressure while massaging the scars. The pressure during the massage is more important than the type of cream product used.

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