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Breast asymmetry is common and only requires correction if it causes the woman significant embarrassment.
OA distinction is made between deformities and simple asymmetries, in which the breasts are 'normal' but are of different sizes. Most asymmetries are congenital. Sometimes they are iatrogenic (related to illness caused by a medical examination or treatment): Aesthetic Sequelae of Breast-Conserving Therapy (ASBCT), which was referred to in the Reconstruction after Breast Surgery chapter), breast abscess, etc…
Through consultation, the surgeon and patient must identify an 'ideal compromise' which takes into account the anatomy of the thorax and the shape of both breasts. Various breast surgery techniques are combined on a case-by-case basis, in order to increase or decrease the size of one or both breasts, to correct ptosis (sagging breasts)... The surgeon, depending on the size and shape of the breasts, will therefore carry out :
- a breast augmentation using filling or prosthesis ;
- a reduction mammoplasty ;
- a breast lift mammoplasty in the case of ptosis.
Wherever possible, when a unilateral augmentation is carried out, the surgeon will opt for the filling technique rather than inserting an implant, in order to obtain breasts with a consistent, symmetrical appearance. Prostheses lend themselves well to bilateral augmentations. If there is significant asymmetry, the procedure can be covered by social security for French residents.