[New view in the mammary asymmetry treatments].
OBJECTIVE
Breast asymmetry is a huge chapter of breast abnormalities. Surgical therapy is the exclusive one. The breast of women can vary in shape, volume and position, thus creating esthetic, social and psychological problems.


METHODS
We classified breast asymmetry into 6 categories and then we treated them with different surgical techniques: reduction mammaplasty according to Planas; augmentation mammaplasty with prosthesis; grafts or both; ultimately mamma-prosthesis (association of mastopexy and prosthesis). We obtained satisfactory esthetic results often with one surgery procedure. Rarely we performed 2 or more procedures of symmetry. We treated 77 patients suffering from breast asymmetry. We excluded in this study the giant-mammary asymmetry (anomaly determined by severe and asymmetric mammary hypertrophy).


RESULTS
We found a low number of complications at short and long term. These results are likely due to the ability of the surgeon in the appropriated preoperative evaluation of the patients and of their expectancy and correct surgical techniques.


CONCLUSIONS
We tried to obtain 3 results: shape and position of the sick breast as same as possible to the contralateral breast and less evident scars located in hidden regions.
Cervelli
V
V
Scuola di Specializzazione in Chirurgia Plastica e Ricostruttiva, Dipartimento di Chirurgia Generale, Università degli Studi di Roma Tor Vergata Ospedale S. Eugenio, Roma, Italy.
Araco
F
F
Araco
A
A
Grimaldi
M
M
Cervelli
G
G
D000293:Adolescent; D000328:Adult; D001940:Breast / Q000002:abnormalities* / Q000601:surgery*; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome