A New Suggested Comprehensive Classification for Breast Asymmetry | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 4, Volume 47, Issue 2, April 2023, Page 97-105 PDF (18.08 MB) | ||||
Document Type: Research article | ||||
DOI: 10.21608/ejprs.2023.291377 | ||||
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Authors | ||||
Dalia Saleh* ; Ayman A Shaker; Mohamed O Saad El Din; Mina Agaiby Estawrow* | ||||
The Department of Plastic, Burn & Maxillofacial Surgery, Faculty of Medicine, Ain Shams University | ||||
Abstract | ||||
Background: Minimal breast asymmetry is a normal finding in 88% of women, however considerable breast asymmetries constitute a major concern for patients. These asymmetries can be classified according to their etiology into three types, primary, secondary and tertiary. In the literature there is no definite classification that can gather all breast asymmetries and correlate them with the patients' presentation. Objective: The authors are going to present their experience in management of breast asymmetry. They are going to suggest a new classification for this deformity based on the patients' presentation and the decision making for the management protocol respecting the patient's aesthetic goals. Patients and Methods: All women who had breast asymmetry were reviewed and analyzed. The different etiological factors, the patients' presentation, and the impact of this on the decision making were studied. Results: Four groups of patients were identified: First group, included patients having evident asymmetries due to definite causes. Second group, included patients having variable degrees of asymmetry without a definite cause. Third group, included patients having minimal asymmetries that were discovered accidentally during consultation for aesthetic breast surgery. The fourth group included patients having asymmetries secondary to aesthetic breast surgery. Conclusion: A new comprehensive classification is suggested for breast asymmetry. The proposed classification is a reliable method for assessment and treatment of breast asymmetries. | ||||
Keywords | ||||
Aesthetic breast surgery; breast asymmetry; classification | ||||
References | ||||
Chunjun L., Luan J., Mu L. and Ji K.: The role of threedimensional scanning technique in evaluation of breast asymmetry in breast augmentation: A 100 case study. Plast. Reconstr. Surg., 126: 2125-2132, 2010. 2- Maliniac J.: Breast Deformities and Their Repairs. New York: Grune & Stratton, p 163, 1959. 3- Vandenbussche F. and Krizek M.: Asymmetry of the breast: Proposed classification (150 cases). In Transactions of the VII International Congress of Plastic Surgery of the IPRS, Montreal, Quebec (Canda), June 26 - July 1, pp 533-534, 1983. 4- Vandenbussche F.: Asymmetries of the breast: Classification system, Aesthetic Plastic Surgery, 8: 27-36, 1984. 5- Nahai F.: The art of aesthetic surgery. St Louis, MO: Quality Medical Publishing, pp. 2046-2074, 2005. 6- de Vita R., Buccheri E.M., Villanucci A. and Ragusa L.A.: Breast Asymmetry, Classification, and Algorithm of Treatment: Our Experience. Aesthetic Plastic Surgery, 43 (6): 1439-1450, 2019. 7- Reilley A.F.: Breast asymmetry: Classification and management. Aesthet. Surg. J., 26: 596-600, 2006. 8- Maxwell G.B.: Breast asymmetry, Aesthetic Surgery. J., 216: 552-562, 2001. 9- Mallucci P. and Branford O.A.: Asymmetric implants for breast asymmetry. J. Plast. Reconst. Aesthet. Sur., 65: 1580-1583, 2012. 10- Baker J.L.: Choosing breast implant size: A matter of aesthetics. Aesthetic Surg. J., 24: 565-566, 2013. 11- Berry M.G.: Commentary to ''Asymmetric implants for breast asymmetry''. J. Plast. Reconst. Aesthet. Sur., 65: 1584-1585, 2012. 12- Becker H.: Breast Augmentation Using the Spectrum Implant with Exteriorized Injection Domes. Plast. Reconstr. Surg., 46: 1617-1620, 2004. 13- Becker H.: Adjustable breast implants for asymmetry and ptosis. In Hall- Findley E., ed. Aesthetic and Reconstructive Surgery of the breast, Edinburgh: Saunders/Elsevier, 533-546, 2010. 14- Spear S., Wilson H.B. and Lockwood M.D.: Fat injection to contour deformities in the reconstructed breast, Plast. Reconstr. Surg., 5: 1300-1305, 2005. 15- Somogyi R., Stavrou D. and Southwick G.: Correction of Small Volume Breast Asymmetry Using Deep Parenchymal Resection and Identical Silicone Implants: An Early Experience. Aesthetic Surgery Journal, 35: 394-401, 2015. 16- Patlazhan G., Shkolnaya O., Torubaroy I. and Gomes M.: Our 10 Years' Experience in Breast Asymmetry Correction. Aesthetic Plastic Surgery, 44: 706-715, 2020 | ||||
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