Corrective methods for uneven breast shape? Questions for PD Dr Mathias Tremp

Corrective methods for uneven breast shape? Questions for PD Dr Mathias Tremp

Tremp Plastic Surgery, PD Dr. med. Mathias Tremp

An uneven breast shape is very common and can be psychologically very stressful. There are various correction options, which can often be combined. The most common methods include: Breast implants (teardrop-shaped, round or customised), own fat grafting, breast lift and shaping of the mammary gland.

Read also: Breast augmentation, breast lift, breast reduction, nipple correction

When do I need an implant and when do I need a lift?

If the breast is only slightly sagging and volume augmentation is desired, a breast implant is usually sufficient. The breast can also be lifted by means of an "internal lift" using the dual plane technique.

If the breast is very saggy and the areola is clearly below the inframammary fold, an additional lift is required.

When do I need a teardrop-shaped implant and when a round implant?

As a rule, we use round and smooth implants, also to reduce the risk of the so-called anal plastic lymphoma (ALCL) to a minimum.

Is the autologous fat treatment sufficient for volume increase?

The autologous fat treatment is only suitable for a small increase in volume. A relevant percentage also dissolves in the next 6 months, which is why a second treatment may be necessary.

What techniques are available for a breast lift?

If the breast is only slightly sagging, a tightening around the areola is sufficient. If the breast is clearly sagging, a so-called I-cut method (Lejour technique) or anchor cut/T-cut method is necessary.

Can the autologous fat treatment be combined with an implant?

This technique can be combined well. Through the autologous fat treatment, the breast can be individually modelled and adjusted.

What is a so-called "tubular breast" (tube breast or trunk breast)?

The tubular breast form is one of the most common breast malformations. It is caused by a growth disorder of the glandular tissue and the lower part of the breast grows less than the upper part. Characteristic features are the large areolae and the tubular shape of the breast.

How is a tubular breast treated?

Various surgical techniques are possible and are often combined. Basically, the lower pole of the breast must be corrected and the mammary gland unfolded. If the areola is pronounced, it is also tightened.

If a relevant increase in volume is desired, an additional implant is recommended. The implant is often inserted behind the muscle, but this varies from person to person. If only a small increase in volume is desired, then fat injections are the method of choice. If the breast is also very saggy, a skin tightening procedure must be performed.

What is the incision for the correction of a tubular breast?

The incision can be made around the areola or in the crease under the breast. Very rarely, a so-called anchor incision is necessary if a relevant breast lift is to be performed.

What are possible complications?

Infections, wound healing disorders and bruising can occur, but are rare. Temporary numbness usually disappears after 6 - 12 months.

With autologous fat treatment, cyst formation (oil cyst) is possible if too much fat is injected.

What requirements do I have to meet and what is the healing process like?

If you smoke, you must abstain from nicotine for 4 weeks before and after the operation. Immediate mobilisation is desired after the operation, physical activities with light sweating is possible after 2 weeks. After 6 weeks you can resume physical activities in the chest area.

What are the costs?

In the case of a pronounced form of tube breast, the relevant health insurance fund may cover the costs of the operation. This must be checked individually. Often the correction of an asymmetric breast is a cosmetic procedure, the costs for surgery are agreed in advance depending on the duration and severity of the operation.

Tremp Plastic Surgery, PD Dr. med. Mathias Tremp

Do you have any questions?

Arrange a consultation with PD Dr. Mathias Tremp

PD Mathias Tremp, MD

Contact us during office hours to arrange a consultation.

Dr. Tremp is ready to answer your questions and explain the benefits and risks of the operation. Find out whether your desired operation is possible.

Book your preferred date online.

If your desired appointment is not available online, please contact us by telephone.

Our offer for aesthetic medicine and plastic surgery

Our range of treatments covers the entire spectrum of aesthetic medicine and plastic-reconstructive surgery. Each treatment is an individual procedure that is precisely tailored to your wishes, needs and prerequisites.

We stand for transparent and fair prices. The costs include all measures such as preliminary consultation, operation, anaesthesia, stays and follow-up checks. The costs for cosmetic surgery treatments are only covered by health insurance in exceptional cases. Contact us for your questions about the treatments.

Topics and answers by PD Dr Mathias Tremp

PRF? PRP? Vampire Lift? Plasma treatment? Questions for PD Dr. Mathias Tremp

From PD Dr. med. Mathias Tremp | April 1, 2024

Platelet-rich fibrin (PRF) is the further development of platelet-rich plasma (PRP). The use of PRF is becoming increasingly popular and is...

Weight loss injection? Semaglutide? Weight reduction? Questions for PD Dr. Mathias Tremp

From Medbrander | February 20, 2024

Obesity can be a difficult condition to overcome. Associated with it are health-related conditions such as high blood sugar levels, high blood pressure, type 2 diabetes and...

Polynucleotides? Anti-aging? Firm and radiant skin? Biostimulation? Questions for PD Dr. Mathias Tremp

From PD Dr. med. Mathias Tremp | January 20, 2024

Polynucleotides are an emerging trend in anti-ageing injections and offer an attractive alternative for skin rejuvenation and improvement of skin quality. Through...

Tremp Plastic Surgery, PD Dr. med. Mathias Tremp

CO2 laser? Skin rejuvenation? Acne treatment? Pigment treatment? Questions for PD Dr. Mathias Tremp

From PD Dr. med. Mathias Tremp | January 1, 2024

Wrinkles around the eyes or mouth often appear at a young age - with the CO₂ fractional laser, we can bring your wrinkles...