Breast lipofilling for mammary asymmetry Introduction Females are very sensitive when it comes to their body aesthetics. They desire to have balance and aesthetic qualities in their physical appearance. It is natural for them to be body conscious as society expects women to be more feminine and have specific cosmetic features. The breasts are considered to be one of the most critical body areas in women. Given the importance of the breasts, aesthetic flaws in the breasts often lead to self-esteem problems for women. One of the common issues that women suffer from is mammary asymmetry. Mammary asymmetry is a condition wherein one breast is different in size or shape than the other. If one of your breasts is smaller or less projected than the other, you have mammary asymmetry. The good news is that this problem can be effectively treated and resolved via plastic surgery. Breast lipofilling is an excellent option to address mammary asymmetry. Mammary asymmetry Mammary asymmetry happens when there exists a variation in the size, shape, position, volume, projection, or form in the breasts. While mild mammary asymmetry is very common and exists in many women, moderate to severe asymmetry can be a cause of concern for many women. A study that involved 100 women who wanted to get breast augmentation with implants discovered that 88% of them had some form of breast asymmetry. There are several reasons as to why your breasts may change in shape, size, projection, or volume over time. These include genetic factors, hormonal changes, trauma, etc. Keep in mind that your breasts change during ovulation. They will also feel more sensitive, fuller and more prominent. It is a normal process and happens due to water retention and increased blood flow and estrogen level. When you hit your menstrual cycle, your breasts will gradually return to their standard size and shape. Mammary asymmetry can also happen as a result of juvenile hypertrophy of the breasts. While this condition is rare, it affects many women every year. This factor causes one of the breasts to develop more quickly than the other. As a result, patients experience emotional and self-confidence issues. They feel insecure and embarrassed at having different sized or shaped breasts. Extreme forms of juvenile hypotrophy also affect their overall body outline of women. Mammary asymmetry is not a health problem in most cases; however, it can affect the health of the patient indirectly. In most cases, it is an aesthetic body problem that leaves the patient in emotional pain and affects her quality of life. Assessing mammary asymmetry and understanding anatomy Fortunately, the advancements made in medical technology enables doctors to measure and evaluate mammary asymmetry and then use their understanding of the female breast anatomy to diagnose the condition and offer useful treatment options. The first option to diagnose breast asymmetry is through a mammogram. On the other hand, a modern advanced technology to assess breast asymmetry is through a 3D laser scan. It is also important to keep in mind that an assessment of a female’s mammary asymmetry also calls for a deep understanding of the anatomy of the female breast as well. Only an experienced and board-certified plastic surgeon can make a proper assessment of the condition and then offer reliable treatment options. The female breast is made of mammary glands, pectoral muscles, and fat. The normal breast weight is an average of ten ounces and made mainly of 12-20 loves that branch out from the nipple. Each lobe has a primary duct that connects with the nipple and ejects milk after childbirth. Mammary asymmetry treatment: Lipofilling Surgical procedures available to fix mammary asymmetry are complex. As such, you must be careful when selecting a plastic surgeon to correct the problem. Make sure to choose only a board-certified plastic surgeon who is experienced in fixing mammary asymmetry to operate on you. The doctor needs to consider the existing anatomy, size, shape, projection, and volume of both breasts into account. Lipofilling is one of the famous and effective plastic surgery procedures to treat mammary asymmetry. The procedure involves the use of your excess body fat to fix the aesthetic flaws in your breasts. It can effectively treat a mild to moderate difference in the size, shape, and projection of the breasts. The best thing about this procedure is that the results are natural and the procedure is safer because your own body fat is used. The procedure can increase the size of the smaller breast by a mild to moderate degree. However, if one breast is considerably smaller than the other, then you should get an implant in the smaller breast instead of lipofilling. In case both of your breasts are not large but you do not want to get implants, then the plastic surgeon will evaluate your candidacy for lipofilling. The surgeon may ask for a mammogram and other scans and tests before telling you whether the procedure can treat the condition. Keep in mind that to be a good candidate, you need to have excess fat in your body. If you are thin and your body lacks the required volume of excess fat, you may not qualify. How is the surgery performed? Breast lipofilling for mammary asymmetry is performed under general anesthesia or IV sedation with local anesthesia. A board-certified anesthesiologist will administer the anesthesia and monitor your behavior under the effects of the anesthesia throughout the surgery. Afterwards, the plastic surgeon will start the operation by making tiny incisions on the fat donor sites and performing liposuction. By using liposuction, the surgeon will remove the excess fat from the fat donor sites like the abdomen, sides, and flanks. Liposuction involves inserting a hollow tube called a cannula inside the fat donor site through the incision and then moving the cannula back and forth. During this process, a tumescent solution is also introduced into the area. It helps control the bleeding and helps dislodge the fat cells from the surrounding tissue. The fat is then suctioned out with the help of a suction pump or special syringe. After removing the fat, the incision is sutured and closed. The same process is repeated on other fat donor sites until sufficient volume of fat is available for transfer to the breasts. The collected fat is then processed in a centrifuge for purification. After the fat is purified, the plastic surgeon will carefully inject it into the breast that needs contouring. He will inject it into the breast that is smaller in size or different in projection or shape, with the goal to balance it with the other breast. The fat grafting process is sophisticated, calls for attention to detail, and involves meticulous work. The doctor will use not only his surgical skills but also his artistry and sense of aesthetics to properly sculpt the breasts by grafting the fat in the breast areas that need improvement. Recovery and results Your recovery will begin immediately following the operation; however, the results will not be visible yet. After the fat cells are injected into the breast, your body will vascularize them so that they can live and grow. The breasts will gradually become balanced and symmetrical in the next few weeks and months. The recovery period comprises many weeks; however, the primary recovery takes placed during the first two weeks. During this period, you must take sufficient rest and avoid work and other physical activities. The fat grafts are fragile during this time, so you must avoid sleeping on your front and applying pressure to them. Pressure and strain can damage the fat cells. After two weeks, you may resume work; however, you should still avoid physically strenuous activities for the next four weeks. Wear a support bra for the recommended time and avoid exercises, jogging, weight lifting, jumping, and doing household chores. Six weeks after the surgery, you can gradually resume exercise and other activities. By now, the fat grafts will be stronger and the results will evolve. However, complete improvements in the breasts will occur many months after the procedure. Aftercare and following the surgeon’s instruction is critical to achieving the aesthetic results. The outcomes will be visible in the form of symmetrical, balanced, and even breasts that look aesthetically appealing and enhance your overall body outline. Conclusion One of the common problems that many women experience is mammary asymmetry. The condition affects thousands of women. Mild mammary asymmetry that goes unnoticed exists in more than half of the female population. Asymmetry in the breasts can cause self-esteem issues for women, though it is not a health problem in most cases. Fortunately, there are treatment options available to treat the condition, and one of the useful options is breast lipofilling. It involves the use of your body’s excess fat to make your breasts symmetrical and balanced in terms of size, shape, and projection.