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256-340-5188
1206 Somerville Rd
Decatur, AL 35603

Congenital Breast Asymmetry
All Of The "After" Pictures Are Taken At Approximately 12 Months

Many teenage girls have issues with breast development. Usually the issue is a noticeable discrepancy in breast size. The difference can be dramatic and quite troubling to the teenager because it is difficult to wear clothes and sometimes almost impossible to wear a bathing suit.
Sometimes the breast are an adequate and symmetrical size but have an unusual shape called a Tubular Breast Deformity. This breast deformity has a very large areola with prominent projection due to the breast tissue bulging through the base of the areola.
There is a syndrome called Poland's Syndrome where a breast is underdeveloped and there can also be poor development of the muscles on the same side of the chest.

Teenage Patient With Asymmetric Breasts. Slight Hypertrophy And Mild Tubular Breast Deformity
This Operation Was Done With Breast Reduction And Breast Lift Techniques

Before

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After

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After

Marks

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Enlarged Areola

Cosmetic Or Insurance Procedure

Most, but not all insurance companies cover problems that are considered "congenital", meaning the problems was there at birth or becomes apparent with development.    Breast asymmetry in teenage girls is considered a congenital development issue and I can submit it to your insurance company for coverage.  Each case presents different challenges and I need to combine different techniques to achieve symmetry.   I will use techniques of breast reduction, breast augmentation and both types of breast lifts.   Sometimes the insurance companies will only pay for the side that is small and they will not pay for the things that need to be done to the opposite side.   In those cases there will be cosmetic charges to the family to have the work done on the opposite side.   It takes 4 to 6 weeks to hear back from the insurance company about you approval.   The insurance company will usually send a letter regarding the approval to both our office and you home.  Deductibles and co-pays are not covered and are subject to the terms of the patient's insurance contract.

Teenage Patient With Severely Asymmetric Breasts. Slight Hypertrophy On The Right And Poor development On The Left
This Operation Was Done With Breast A Reduction/Lift Technique On The Right And Breast Augmentation With An Implant Technique On The Left

Before

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Marks

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After

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The Operation

The operation is done as an outpatient procedure or day-surgery at Decatur Morgan Hospital using general anesthesia.   It is done in the main operating rooms at Decatur Morgan Hospital and takes just over 3 hours to perform.   We do the operation in the morning and you will get discharged to home late in the afternoon or the early evening.   You will go home with a drainage tube in each breast to remove postoperative blood and fluid so it does not accumulate in the breast.   I discharge you from the hospital with a prescription for narcotic pain medication, an antibiotic and a nausea medication.

Postoperative Discomfort

All patients are unique and the response to post-operative discomfort is variable.  Because different techniques are used on either side the pain can be different on each side.  Generally the augmentation side will have more discomfort than a reduction/lift side.  Some patients take the narcotic medicine only for a day or two and then switch to Tylenol for pain.  Some patients take a narcotic medicine for 3 or 4 weeks after the surgery.  As I said, patients are all unique and their pain tolerance is very different.  Almost all patients feel normal by 4 weeks.

Time Off From School

You should expect to be away from school for approximately 1 to 2 weeks.  It is important not to do any heavy lifting for 4 to 6 weeks.  You will shop for your new bras in 4 to 6 weeks.

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