Godfrey & Godfrey

A woman of 32 years with a developmental breast asymmetry best described as unilateral (right) hypermastia. The patient was pleased with her smaller breast.

This is the result after unilateral breast reduction for symmetry. The scars are young and prominent at this stage.

The patient was pleased with her visual symmetry and improved comfort. Clothing choices had become much easier as well.

A 17 year old with full, normal breast development on her left and right hypomastia.

Tissue expansion of the right breast followed by implant replacement produced symmetry that the patient found acceptable. The rapid expansion also produced some growth of areolar diameter.

This Photo clearly shows the lack of development in the lower pole of the patient's right breast.

A gratifying natural ptosis was achieved. However, note the striae ("stretch marks") in the lower breast caused by the rapid expansion.

A 21 year old with something more than the usual (and normal) amount of breast asymmetry.

The patient preferred her smaller breast. This is the early result after unilateral right reduction.

The patient was pleased with her outcome.

A complex case in a 17 year old. This patient had a developmental problem known as "tuberous breast syndrome."

Breast reshaping (lift) on the patient's right and left breast release and implantation on the left yielded this outcome.

Note the constricted lower pole with overhanging nipple/areolar complex on the left.

Although some flatness can still be seen in the left lower pole, the shapes are now close to normal.

A 26 year old with nearly equal breasts was, nonetheless, distressed by both volume and shape differences.

Mastopexy on the right (with minimal glandular resection) yielded this result.

The midline shows marking ink on the skin (used to direct discussion with the patient).

This 17 year old experienced rapid, unilateral growth of the left breast. When this image was taken, the breast asymmetry had been stable for nearly a year.

The left breast excess was nearly all inferior and lateral, allowing for limited incision reduction.

The "question mark" shaped scar would go on to fade in time. (It is well to note that young people tend to make more exuberant early scars than their elders.)

This left-sided hypomastia very much distressed this 20 year old. She wanted her left breast made significantly larger and reshaped.

Along with volume, implants add a certain character to the breast. Therefore, a small implant was also used on the right (together with lift) to achieve the result shown here.

After 12 months the scars show reasonable maturity.

This 26 year old had breasts of essentially identical volume. She was greatly distressed by the pendulousness on her right... something that she felt made her look "old. "

Here the patient is seen nearly 1 year after unilateral, right mastopexy.

The patient was satisfied with the degree of shape symmetry. However, it is very important for prospective patients to understand that true symmetry is rarely achieved in breast surgery.

Years earlier, while a teenager, this patient had undergone placement of a solid silicone prosthesis on her right and a breast reduction on her left.

When a scan revealed no underlying chest wall anomaly, the implant was removed and the right breast slightly reduced.

The post-op symmetry proved acceptable to the patient who was also pleased to not need the firm, solid prosthesis.

This fifteen year old was very distraught over a unilateral right micromastia. Her adolescent breast development on the left was ongoing.

A tissue expander was placed on the patient's right and expanded rapidly at first to achieve areolar expansion. Thereafter, it was slowly expanded to mimic growth on the opposite side.

When the patient reached the age of 17 left breast growth appeared to plateau. Therefore, the expander was replaced by an implant.

This 20 year old was not happy with her asymmetry or with the shape or size of either breast.

Both breasts were reshaped and asymmetric implants placed to achieve better shape symmetry.

The early scars stand out clearly on this very fair girl's skin. They will go on to fade as well.

This 38 year old's primary complaint was breast asymmetry. However, when interviewed it became clear that she would prefer both breasts to be smaller.

An asymmetric bilateral breast reduction led to this outcome. Note that the symmetry is much improved, but is not perfect.

The breasts have been lifted by the reduction, making them "shorter," and more comfortable for the patient.

Another macromastic patient whose chief complaint was asymmetry. She was particularly bothered by the greater pendulousness and outward turning of the right breast.

Asymmetric reduction was accomplished. Note that the nipple location on each breast has been improved but not made precisely symmetrical.

Some hyperpigmentation within the scars of African and Asian Americans is common.