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Asymmetry

Breast Asymmetry

Breast asymmetry refers to differences in breast size, shape, volume, contour, or nipple position between the two breasts. Mild asymmetry is extremely common and normal; however, for some women, more noticeable differences may affect comfort, clothing fit, confidence, or overall body balance.

Breast asymmetry may occur naturally or develop over time due to hormonal changes, pregnancy, ageing, weight fluctuation, previous surgery, or breast cancer treatment.

Associate Professor Farid Meybodi provides personalised assessment and surgical planning for breast asymmetry, including post-cancer revision and symmetrisation procedures, with a focus on achieving balanced, natural-looking outcomes tailored to each patient’s anatomy and goals.

Causes of Breast Asymmetry

Breast asymmetry may develop due to:

  • Natural differences in breast development
  • Pregnancy and breastfeeding changes
  • Weight fluctuations
  • Hormonal changes
  • Previous breast surgery
  • Congenital breast differences
  • Breast cancer surgery or radiation therapy
  • Ageing and changes in skin elasticity

In some patients, asymmetry may involve differences in:

  • Breast size or volume
  • Breast shape and contour
  • Nipple or areola position
  • Breast projection or fullness
  • Skin quality and drooping (ptosis)

Breast Assessment & Imaging

Careful clinical assessment is important to determine the underlying cause of asymmetry and guide the most appropriate treatment plan.

During consultation, Associate Professor Farid Meybodi will assess:

  • Breast size and proportion
  • Symmetry and contour
  • Skin quality and elasticity
  • Previous surgery or treatment history
  • Functional symptoms or discomfort
  • Patient goals and expectations

Breast imaging may sometimes be recommended as part of overall breast health assessment or post-cancer evaluation and may include:

  • Breast ultrasound
  • Mammography
  • Breast MRI in selected cases

Post-Cancer Breast Asymmetry

Breast asymmetry commonly occurs following breast cancer treatment, particularly after:

  • Lumpectomy or breast-conserving surgery
  • Radiation therapy
  • Mastectomy and reconstruction
  • Implant reconstruction
  • Oncoplastic surgery

Changes may develop gradually over time as breast tissues heal or respond to radiation therapy. Some patients may experience:

  • Volume loss or contour irregularity
  • Breast distortion
  • Implant asymmetry
  • Scar-related changes
  • Differences in breast shape or nipple position

Revision and symmetrisation procedures may help restore balance, improve contour, and support long-term confidence and comfort following breast cancer treatment.

Symmetrisation Procedures

Symmetrisation surgery involves adjusting one or both breasts to improve overall balance and breast proportion.

Depending on the patient’s anatomy and treatment goals, procedures may include:

  • Breast reduction
  • Mastopexy (breast lift)
  • Volume adjustment procedures
  • Implant revision surgery
  • Reshaping procedures
  • Contralateral balancing surgery

Treatment planning is highly individualised and carefully tailored to each patient’s breast anatomy, cancer treatment history, and desired outcome.

Fat Grafting (Lipofilling)

Fat grafting, also known as lipofilling, may be used to improve contour irregularities, volume deficiencies, or asymmetry following breast surgery or reconstruction.

The procedure involves transferring the patient’s own fat from another area of the body into targeted areas of the breast to:

  • Improve contour and symmetry
  • Restore volume loss
  • Soften irregularities or implant edges
  • Improve tissue quality following radiation therapy
  • Refine reconstructive outcomes

Fat grafting is commonly used as part of post-cancer revision surgery and may occasionally require staged treatment for optimal results.

Personalised Surgical Planning

Management of breast asymmetry requires thoughtful planning to balance:

  • Breast symmetry and proportion
  • Functional comfort
  • Long-term breast shape
  • Scarring considerations
  • Reconstructive goals
  • Overall breast health and safety

A/Prof Farid Meybodi takes a personalised approach to treatment planning, with recommendations tailored to the individual patient’s anatomy, symptoms, previous treatments, and aesthetic goals.

Recovery & Ongoing Care

Recovery varies depending on the type and extent of surgery performed. Patients receive detailed guidance regarding:

  • Post-operative recovery
  • Activity restrictions
  • Support garments
  • Scar care
  • Follow-up appointments

Long-term follow-up may also be important for patients undergoing post-cancer revision or reconstructive procedures.

Compassionate, Patient-Centred Care

A/Prof Farid Meybodi provides compassionate and evidence-based care for patients seeking treatment for breast asymmetry, including complex post-cancer revision and reconstructive concerns.

Our goal is to support patients with thoughtful surgical care focused on restoring balance, comfort, confidence, and long-term wellbeing through personalised treatment planning and modern reconstructive techniques.

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