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All women experience some type of asymmetry. While subtle differences between breasts are normal, Dr. Markarian is able to demonstrate how these subtleties may impact surgical planning to achieve your desired goals. When family traits, changes during pregnancy, trauma, or prior surgery have left your breasts looking dramatically different from each other, this imbalanced shape can damage your self-confidence and sense of well-being.  Common breast abnormalities that require breast asymmetry correction include:

  • Tubular Breasts: Although there is considerable variation in this congenital condition, tubular breasts all share some common features. Tubular breasts are usually elongated and narrow and have an areola (pigmented area around the nipple) that appears disproportionately large. Often, the breast tissue behind the nipple and areola protrudes and makes the nipple look puffy. The location at which the underside of the breast joins the chest (known as the infra-mammary fold) tends to be relatively high on the chest, thus causing the breast to droop and look long and constricted. When only one breast is affected, significant asymmetry is a common result. When both breasts are affected, the distance between the breasts will be widened, making the cleavage area appear unnaturally broad. Surgery performed by Dr. Markarian to correct tubular breasts always involves augmenting the breast with an implant. In addition to adding volume to the breast with an implant, the base of the breast is widened to a normal size, the infra-mammary fold is restored to a more natural position, and the areola is usually reduced in size.
  • Chest and Breast Deformities in Poland’s Syndrome: Poland’s syndrome is another congenital condition characterized by variable underdevelopment of the breast, nipple, chest muscles, and/or ribs on the side of the body affected by this condition. Both men and women can be affected. In milder cases, the involved breast is generally smaller than the uninvolved breast and it may not be shaped normally. In more severe cases, the breast, nipple, areola, and even the pectoralis muscle (large muscle of the chest), may be completely absent. In the most severe cases, the skeletal structure of the chest (ribs and breast bone) may also be affected. Reconstructive surgery is commonly sought by both men and women affected with Poland’s Syndrome.   Markarian always seeks to perform innovative techniques to correct the associated chest and breast abnormalities with breast implants and/or muscle flaps.
  • Breast Hypoplasia: Breast hypoplasia (or hypomastia) describes a condition in which one or both breasts never mature or develop properly. Hypomastia can be the result of several possible known causes or might be idiopathic, and can be an emotionally troubling condition which often necessitates treatment to restore aesthetic harmony to the body. If hypomastia is caused by a disease or systemic disorder (such as anorexia), it may be reversed if the causative condition is resolved in time to resume normal growth. Hormone therapy is effective in some cases but must be monitored by a specially trained expert to minimize any unwanted side effects, especially in young patients. Women who never develop breasts are often good candidates for breast augmentation surgery. Women who have no breast-feeding ability or an undeveloped sensory response in their breasts will not regain these functions by receiving implants. However, the look and feel of the breast will be normal, which is one of the most important criteria in overcoming psychological issues stemming from aesthetically immature breasts.

Dr. Markarian is well-versed in evaluating and treating all of the above conditions and will discuss his commitment to personalized, natural-looking results during your consultation.

 The common goals of breast asymmetry correction (in all of the above conditions) are to restore a more even shape, volume, and position to the breast mound, to redefine the shape and dimensions of the breasts, to address discrepancies in the position of the nipple or breast crease, to correct imbalances resulting from mastectomy, family traits, physical trauma, or prior surgeries, and to help make activities like clothes shopping or looking good in a swim suit more enjoyable.

Dr Markarian will personalize your procedure – as each breast asymmetry patient is unique, Dr. Markarian will carefully examine your medical history, current breast shape, and enhancement desires before recommending a specific, personalized approach focused on your goals.  Typical choices involved in breast asymmetry correction include variations in implant type and size, the position of implant placement, breast modification options, and other special considerations based on unique anatomy:

  • Implant Type and Placement: Markarian’s advanced aesthetic training in the clinical use of breast implants for breast asymmetry correction enables him to choose from the entire collection of available breast implants: saline, standard silicone gel implants, or form-stable (“tear drop” or “gummy bear”) silicone gel implants. His analysis during your consultation will help determine not only which implant best “fits” your unique situation, but also what incision and technique is best for your individual needs.
  • Combination approaches and Breast Modification: Due to the many variations of breast asymmetries, some require a more complex approach to achieve satisfying results. In some cases, implants with slight to greater size or shape differences may achieve the desired results. In other cases, it will be necessary to modify the breast by repositioning the nipple, refining the areola, or adjusting the position of the breast mound through a breast lift, in addition to performing a breast augmentation.
  • Special Anatomical Considerations: Some women are born with breasts that never develop, chest muscles that are missing, or chest bone shapes that are uneven and unsightly. Childhood surgical procedures or trauma can also prevent breasts from developing normally. These unique anatomical findings are carefully noted during your consultation and factored in during your surgery.

Breast asymmetry surgery is performed under general anesthesia, meaning you will be completely asleep and feel nothing during surgery. The surgery takes a few hours, although you should expect to spend extra time in the operating room if your procedure will focus on multiple areas. The surgery is performed as an outpatient procedure, but some patients prefer an overnight stay.

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MD TLC


Wellesley Office

Call Us At: 781-431-0009

25 Walnut Street, Suite 400,
Wellesley, MA 02481

Suite Six Medical Spa


Suite Six Medical Aesthetics

Call Us At: 978-358-8178

6 Winter St, Unit 6D,
Newburyport, MA 01950

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Mark Markarian, MD, MSPH Aesthetic Plastic Surgeon

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