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Updated: Jun 1, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Developmental breast asymmetry.

WoanYi Chan1, Bhagwat Mathur, Diana Slade-Sharman

  • 1St Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Chelmsford, Essex, UK. drchanwy@gmail.com

The Breast Journal
|June 8, 2011
PubMed
Summary
This summary is machine-generated.

Developmental breast asymmetry (DBA) significantly impacts young women

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Reconstructive Surgery

Background:

  • Developmental breast asymmetry (DBA) is a common condition affecting young women.
  • DBA can negatively impact psychosocial well-being.
  • Tuberous breasts present unique reconstructive challenges for DBA.

Purpose of the Study:

  • To review surgical treatment modalities for DBA.
  • To evaluate aesthetic outcomes and patient satisfaction.
  • To emphasize a conceptual approach to DBA assessment and treatment.

Main Methods:

  • Retrospective review of 52 DBA cases (2002-2006).
  • Analysis of preoperative assessment, surgical techniques, and outcomes.
  • Surgical modalities included augmentation mammaplasty, tissue expansion, parenchymal scoring, and mastopexy.

Main Results:

  • Mean age of presentation was 21 years.
  • 69% of patients had tuberous breasts, often presenting before age 25.
  • Good aesthetic outcome (75%) and symmetry (58%) were reported by professional evaluation.

Conclusions:

  • Surgical correction of DBA can improve psychosocial well-being.
  • Achieving symmetry is challenging, especially in tuberous breasts.
  • Tailored surgical treatment based on individual breast deformities is crucial.