Complex Breast Augmentation for Asymmetry Pittsburgh

Home · Breast · Complex Breast Augmentation for Asymmetry/Tuberous Breast Correction


Complex Breast Augmentation for Asymmetry/Tuberous Breast Correction

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.

Breast Augmentation Types

When considering breast augmentation surgery, there are two kinds of breast augmentation 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.


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 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.

Breast Augmentation Methods

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.

Complex Breast Augmentation for Asymmetry Photos

See the results for yourself

Featured Testimonials

Here’s what our clients have to say

"Dr. Pautler is fantastic. I had a breast augmentation and lift in December 2017 after one of my implants ruptured from a previous augmentation done about 15 years ago (with a different doctor). The results are exactly what I was hoping for! Dr Pautler also has a great bedside manner, is very patient and answers all your questions, works with you to figure out what you're looking for, and is extremely talented. I don't have enough amazing things to say about her and my experience. I also had a pretty quick recovery. Was up and moving around a day or two after surgery with minimal pain. The office staff is also so helpful!  I'm adding this review because I did a ton of research when looking for a plastic surgeon and I'm posting this for the next person who isn't sure which doctor to choose. Choose Dr. Pautler. She's amazing."

"In all aspects of the surgical experience over a five month period of time from initial consultation to most recent followup appointment, each and every aspect of my experience with this entire professional office stands as a model for what all patients deserve who place their trust and well being in the hands of medical professionals. Please continue to offer this exemplary standard of care, respect, support, and medical expertise that made for such a personal positive experience and result."

"Dr. Pautler is the best! I had a tummy tuck and liposuction of my sides. My results are better than I could have ever dreamed of!! I finally have my body back! Dr. Pautler spent a lot of time with me before the surgery explaining all the ins and outs. I saw her and her nurse a lot after the surgery and they were always available to answer any questions. I highly recommend her!"


"She is amazing. A truly careful, competent and artistic plastic surgeon who is also a good and decent person. I met with all the top plastic surgeons in the area and went with Dr. Pautler. She will take good care of you and you will love the results. I know people who have come in from far away for procedures after seeing her results. Seriously the best decision I made was choosing her for this procedure."


Breast Augmentation Faqs

Have a specific question? Contact us!

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.

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.

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.


Thanks For Visiting!

If you’d like to schedule a consultation with Dr. Pautler, please contact our practice using the provided form. A member of our staff will be in touch with you shortly.


Recent Blogs

Dr. Pautler’s thoughts

Facial plastic surgery header

Cost of Cosmetic Surgery In Pittsburgh

Labiaplasty Pittsburgh

Tummy Tuck Pittsburgh

Ear Surgery Pittsburgh

Reduction Mammoplasty Pittsburgh

Scroll to Top