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Breast asymmetry, or differences in appearance between the breasts, can be evident as differences in many variables: differences in size, shape, areola size and nipple position can all cause the appearance of breast asymmetry. Most women do have some degree of asymmetry between their breasts but the differences are often negligible and therefore are not cause for concern. Significant breast asymmetry, however, can be very noticeable and can cause emotional distress for a woman. In severe cases, this problem often results in poor self-esteem and body image.
Like any breast surgery, it is advisable to wait until breast development has concluded before any surgical correction is undertaken. However, if asymmetry is significant and causing emotional distress during puberty, Dr. Barr may suggest correctional surgery even if breast development is expected to continue.
During the consultation process, Dr. Barr will examine the size and shape of the breasts, the quality of the breast skin, and the placement of the nipples and areolas. Treatment for the correction of breast asymmetry is customized for the unique characteristics of each patient. The correctional techniques chosen are based on the patient's physique as well as their desired result and will be discussed in detail during the consultation.
To achieve the goal of breasts that are similar in appearance, Dr. Barr may operate on one or both breasts. The procedure may involve Breast Reduction, Breast Augmentation, Mastopexy (Breast Lift), or a combination of any of these. If the breast asymmetry is severe, a portion of the corrective surgery may be covered by OHIP. During the consultation, Dr. Barr will explain which part of the procedure may be covered. Dr. Barr's office will make the appropriate requests to OHIP on behalf of the patient.
Post-Operative Course
Regardless of the combination of surgical procedures required to correct the breast asymmetry, the surgery is usually done as an outpatient procedure. At the completion of the surgery, light dressings and a bra will be applied. The post-operative dressings must stay in place for a period of 3 days, after which patients are encouraged to shower daily. A light gauze dressing is applied once daily. Any post-operative swelling usually settles within 5 to 7 days and patients are seen 7 to 10 days following surgery for removal of the sutures. Patients may undertake light activities only for 7 to 10 days following surgery. After 3 weeks, it is possible to participate in full normal activity.
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