All women experience a certain breast asymmetry. However, if this asymmetry is beyond a certain limit it becomes unaesthetic and requires correction. The course of action is decided following a detailed evaluation of both breasts, chest and age. We may either augment the small breast using an implant or reduce the size of the larger breast. Quite often both these procedures are necessary, i.e. simultaneous reduction or lifting of one breast and augmentation or lifting of the other breast.
There is also a congenital abnormality (i.e. a malformation during the embryo’s development) called Poland’s syndrome which is characterized by underdevelopment of the pectoralis major muscle, the cognate breast and a possibility of underdeveloped hand or fingers on the same side.
Reconstruction requires the use of the latissimus dorsi muscle as a rotating flap to replace the pectoralis major and reconstruct the anterior wall of the armpit. The use of silicon implant is also necessary to give the necessary volume to the breast.