Tuberous breast and breast asymmetry correction in London

Breast asymmetry

Some difference between the two breasts is normal. Asymmetry becomes a concern when there is a noticeable difference in size, shape or nipple position. It may be present from development or follow pregnancy, weight change or previous surgery.

Tuberous (constricted) breasts develop differently during puberty. The base of the breast may be narrow, the breast fold may sit high, the breast may look tubular or pointed, and the areola may be enlarged or puffy. One or both breasts can be affected, and the severity varies widely.

Tuberous breasts

How they can be corrected

Correcting tuberous breasts

• releasing the constriction at the base of the breast and lowering the breast fold

• reshaping and redistributing the breast tissue

• adding volume with fat transfer, breast implants, or both

• reducing the size and correcting the shape of the areola and nipple

The incision is usually placed around the edge of the areola, which helps to hide the scar.

Milder to moderate tuberous breasts can usually be corrected in one operation. A staged approach, sometimes using a tissue expander first, may be recommended when the constriction is severe, there is significant tissue shortage, or the difference between the breasts is large.

Treatment is planned around your anatomy and what you would like to change. Several techniques are often combined.

Correcting breast asymmetry

The approach depends on which breast differs and how. Options include:

• Making the larger breast smaller: a reduction or uplift on one side, using the same incisions as a breast reduction or uplift

• Making the smaller breast larger: an implant or fat transfer on one side

• Treating both breasts: for example, an implant on one side and an uplift or reduction on the other, or implants of different sizes

• Fine adjustments: fat transfer to refine shape or contour, and correction of nipple position or areola size

The scars depend on the technique used. They may be around the areola, in the breast fold, or in the anchor or vertical pattern used for reductions and uplifts. Mr Oezdogan will explain where your scars will be before you decide.

The operation usually takes 2–3 hours under general anaesthetic, as a day case or with an overnight stay.

Your consultation

At your consultation Mr Oezdogan will:

• discuss what you would like to change and why

• examine you and explain which options are suitable, including non-surgical alternatives or not having surgery

• explain the benefits, risks, recovery and the possibility of further surgery in the future

• give you written information to take away

If you are 40 or over and have not had a mammogram in the past 12 months, a mammogram is recommended before surgery, in line with UK guidance on breast imaging before aesthetic breast surgery. Younger patients need imaging only if they have symptoms, a strong family history or other risk factors.

Private consultations and surgery are offered to adults aged 18 and over. You will be given time to reflect before deciding, and a second consultation is offered before surgery is booked.

Risks and recovery

These are discussed in detail at your consultation and in writing. They include:

• bleeding, infection and scarring

• changes in nipple or breast sensation

• some remaining asymmetry, as breasts are never identical

• the need for further corrective surgery, which is common after tuberous breast and asymmetry correction

• for fat transfer: partial reabsorption of fat, so more than one session may be needed

• for implants or expanders: the implant risks listed on the Breast augmentation page

Because tuberous breasts and asymmetry vary so much, a second, smaller procedure to refine the result is not unusual. This is discussed with you before surgery.

Most people return to desk work after 1–2 weeks and to strenuous exercise after about six weeks.

Surgery aims to improve shape and symmetry, but individual results vary and no particular outcome can be guaranteed.

Where surgery takes place

Consultations and aesthetic breast surgery take place at Highgate Hospital (Nuffield Health) and The London Welbeck Hospital. Day-case procedures take place at Chase Lodge Hospital, Mill Hill.

Frequently asked questions

Can tuberous breasts be corrected in one operation?

Often, yes. More severe cases may need two stages. This is discussed at your consultation.

Will my breasts be perfectly symmetrical?

No two breasts are identical. The aim is a closer match in size and shape.

How do I arrange a consultation?

Send an enquiry through the Contact page.

Can I correct asymmetry with fat transfer alone?

For small differences, sometimes. Larger differences usually need an implant, a reduction or an uplift.

I noticed this as a teenager. When can I have surgery?

Private consultations and surgery are offered to adults aged 18 and over, once breast development is complete. Younger patients should speak to their GP.

Do I need a mammogram before surgery?

If you are 40 or over and have not had a mammogram in the past 12 months, a mammogram is recommended before surgery, in line with UK guidance on breast imaging before aesthetic breast surgery. Younger patients need imaging only if they have symptoms, a strong family history or other risk factors.

Will I be able to breastfeed after surgery?

The breast tissue often needs to be reshaped during correction, which can significantly reduce the ability to breastfeed. If you plan to breastfeed in the future, please discuss this at your consultation.

To discuss tuberous breast or asymmetry correction, book a consultation with Mr Oezdogan.

Discuss your options