Breast Symmetrization Surgery
Breast symmetrization surgery is an aesthetic surgical intervention designed to correct significant differences in size or shape between the two breasts. This procedure is frequently requested by women who face visible breast asymmetry, which can affect not only physical appearance but also self-confidence, comfort in clothing, and difficulty finding suitable lingerie or swimwear. Through specific techniques, such as augmenting the smaller breast, reducing the larger one, or a combination of both, the aesthetic surgeon can create a more balanced and harmonious appearance of the bust. The desired result is not only aesthetic but also functional, offering patients an improved body image and added comfort in daily life.
It is not uncommon for a woman to have one breast that is considerably smaller than the other. Asymmetric breasts can make you feel self-conscious. It can also be difficult to find a bra or swimsuit that fits properly. Corrective breast surgeries performed by Dr. Olimpiu Harceaga can provide you with more balanced and uniform breasts for a harmonious shape and renewed self-confidence.
How can I help make breast symmetrization surgery a success?
Maintaining a state of health as good as possible and a weight appropriate to your age and height will help with a quick recovery, without complications. If you smoke, quit smoking six weeks before the operation; this will help with healing and reduce the chances of complications.
You should not remove/shave hair from the vicinity of the areas where the cuts will be placed on the skin. Maintaining strict hygiene will help reduce the risk of infection.
How is breast symmetrization surgery performed?
Small incisions are made in the area around the areola and the nipple. In many cases, we use a breast implant, as in breast augmentation, to fill the smaller chest and help it match the appearance of the normally formed breast. In other cases, an implant may not be necessary to achieve the desired results.
When an implant is used, the size and shape of the asymmetric chest can be determined by your plastic surgeon before the surgical intervention. They will explain the different types of implants and which are most suitable for your particular case. The nipple and areola of the asymmetric breast can also be repositioned to better match the other breast. Note that no two breasts are naturally identical; there will always be small differences between them. However, your plastic surgeon will make every effort to make your asymmetric breast look natural and symmetric with the other.
Asymmetric breast correction surgery is usually performed under general anesthesia. This outpatient procedure can last several hours. Your plastic surgeon will discuss this during your personal consultation.
What should I expect after surgery?
Initially after breast surgery, you will feel tired. Some pain may occur and the breast may be sensitive to touch. The plastic surgeon can help you feel more comfortable with prescribed medications. You will wear a supportive surgical bra to provide support to the breast.
In most cases, you will return home on the day of surgery. Chances are you will feel the need to sleep, and this is the best thing to do on the first and second day after surgery. You may have an altered state for a few days after that. This is not unusual as your body begins to heal. You may also notice swelling around the breast and bruising may appear. This is also normal and will decrease, eventually disappearing within a week. Most often, patients feel comfortable enough to resume normal activity at one week or 10 days after surgery. Plan to take time off work for at least one week.
As the newly formed breast heals, it will gradually descend, reaching its natural position. Within 3 to 4 weeks, you will look in the mirror and enjoy the results you discussed and planned together with your plastic surgeon – a more attractive chest contour and increased self-confidence!
General complications associated with surgery
Healing
Certain diseases, nutritional supplements or medications can delay normal wound healing. Patients who have suffered massive weight loss may have delayed wound healing or dehiscence, infection, requiring prolonged hospitalization and additional surgical procedures. Patients who suffer from diabetes or are under long-term steroid treatments may have delayed healing. Smoking can cause delayed healing and the need for additional surgical procedures. Healing can also be delayed by inflammation or bleeding or by a surgical procedure with long-term general anesthesia. There are nerve endings that can be trapped in the scar associated with healing and can produce pain or hypersensitivity even if larger nerve trunks are not injured. Massage and other non-surgical procedures applied at the beginning of the healing process can relieve these pains. It is important to discuss aspects related to postoperative pain with the surgeon.
Bleeding and hematomas
There may be episodes of bleeding during the operation or post-operative. In most cases these are an exception. If postoperative bleeding occurs, emergency treatment may be needed to drain the accumulated blood or blood transfusion may be necessary, these complications are truly rare in this operation. It is important to follow the postoperative instructions exactly and not to perform physical activities during the specified period of time. The administration of aspirin or nonsteroidal anti-inflammatory drugs (nurofen) is prohibited for 10 days before and after the operation because they can increase the risk of bleeding. Nutritional supplements or herbal medicines can increase the risk of bleeding. A hematoma may appear in the first 2 weeks after surgery, usually after physical trauma to the operated site. Bruising is to be expected after surgery, which should disappear within 2 weeks of surgery.
Infection
It is an unusual complication after surgery. If the infection occurs, antibiotics will be administered and hospitalization and additional surgical procedures may be necessary. It is important that patients specify if they have suffered an infection in the period prior to the operation. Infections in other parts of the body can lead to infection of the operated site.
Vicious, hypertrophic scars
All types of operations leave scars, some more visible than others. After surgical procedures, good healing is expected, although abnormal scarring can occur both at the level of the skin and in the deep tissues. Although attempts are made to place the scars in inconspicuous places, there is a small chance that they will be visible, being different in color from the skin in the vicinity. The appearance of the scar may vary on its surface, it may be asymmetrical (the left side may look different from the right). There is the possibility of visible scars left by the sutures. Scars of the deep tissues can become hardened sometimes requiring revision or additional procedures to improve their quality.
Altered skin sensitivity
A decrease (loss) of skin sensitivity in the operated area is frequently encountered. The decrease in sensitivity may not resolve completely. Itching, sensitivity, or exaggerated response to heat or cold may appear after surgery. These symptoms resolve after a variable period of time post-surgery, but in rare cases may become chronic.
Sutures
In addition to the sutures on the skin that are visible, deep sutures are also used. These deep sutures can be felt under the skin and can be exteriorized through the skin, becoming visible and producing inflammation, requiring their removal.
Pain
Pain will be one of the symptoms present after the operation. Pain of different variety and intensity may persist after surgery. After surgery, chronic pain occurs very rarely and is due to nerve endings trapped in the scar or due to tissue stretching.
Complications due to general anesthesia
General anesthesia
Local but especially general anesthesia associates risks for the patient. The possibility of injury to the respiratory tract, cardiorespiratory problems, allergies, anaphylactic shock or even death are very rare in all forms of anesthesia associated with surgery.
Shock
In very rare circumstances, the surgical procedure may cause trauma, especially when multiple extensive procedures are performed. Even if serious complications are rare, infections, excessive fluid loss can lead to serious illnesses. If surgical shock occurs, hospitalization and additional treatment are required.
Allergic reactions
In rare cases, allergy to dressings, suture material, glue, blood products, intravenously administered agents, local creams have been reported. Serious systemic reactions such as anaphylactic shock may occur in response to medications administered during surgery or prescribed post-operative. Allergic reactions may require additional treatments.
Cardiac and pulmonary complications
Pulmonary complications may occur secondary to blood clots (pulmonary emboli) fat (fat emboli) or partial collapse of the lungs (atelectasis) after general anesthesia. Pulmonary emboli can endanger the patient’s life in certain circumstances. Inactivity, sedentary lifestyle, smoking, birth control pills and other conditions can increase the incidence of blood clots that reach the lungs and can cause death. It is important to discuss with the surgeon any symptoms such as leg swelling or blood clots in other parts of the body as they can contribute to the formation of pulmonary emboli. Cardiac complications are a risk associated with any general anesthesia and surgery even for patients without symptoms and healthy. If you suffer from fatigue or difficulty breathing when you exert yourself, chest pain, arrhythmic heartbeats, you should be consulted immediately by a doctor. If any of these complications occur, you will require hospitalization and additional treatment. In the case of healthy patients without associated diseases, these complications are very rare.
Recovery and some tips for good recovery.
- Exposure to direct sunlight or in tanning salons. Exposure to the sun causes skin damage. Exposure of operated areas and suture lines can lead to poor healing and hypo or hyperpigmentation color changes. Patients who want to expose themselves to the sun to tan should inform their doctor and postpone this activity until it is risk-free. The harmful effects of sun exposure also occur when using sunscreens.
- Travel. Any surgical procedure involves possible risks and complications that can delay healing and return to normal life. Please notify the surgeon of travel plans, important meetings planned so that the planning of the operation can be done efficiently. However, there are no guarantees that you will be able to return to planned activities on time.
- Long-term results. Changes in the results of the surgical procedure may occur over time due to aging. sun exposure, weight loss or gain, pregnancy, menopause or other circumstances unrelated to the procedure itself.
Information for female patients. It is important to inform the surgeon if you are using contraceptives or if you have the slightest suspicion that you may be pregnant. Many antibiotics can decrease the effectiveness of birth control pills. - Intimate relations after the surgical procedure. Surgery involves the coagulation of blood vessels to stop bleeding and physical activity of any kind can cause the opening of vessels and bleeding and/or hematoma formation. Activities that increase pulse and heart rate can cause additional bruising and bruising, inflammation and the need to open the operation to control bleeding.
Risks and side effects associated with breast symmetrization surgery?
All surgical interventions involve some risks, including the development of an infection around the surgical area or an adverse reaction to anesthesia. If these rare situations occur, they can be treated with medications prescribed by your plastic surgeon. An unusual complication after breast reconstruction surgery is the development of capsular contracture, which causes the scar tissue around the implant to tighten and press the implant. The risk has decreased due to new implantation technology and stretching exercises.
If reconstruction was performed with a flap, there is a risk that this own tissue may not survive following surgery and then the new breast may be lost. If this happens, then another reconstruction method will need to be applied.
What is the price of breast symmetrization surgery?
€2,000 - €4,500
Mastopexy without implant
The costs mentioned are estimates, and they may vary depending on the surgical technique chosen, the complexity of the case, as well as any additional procedures or investigations required.
A detailed final cost can only be established following a medical consultation, in which the patient’s clinical situation will be assessed and the individualized therapeutic plan will be established. These costs include: the surgeon’s and anesthesiologist’s fees, the hospitalization period, all the medicines and materials needed during the surgery and during hospitalization. For a personalized estimate, we recommend scheduling a consultation.