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Congenital Breast Asymmetry Treatment

in Palm Beach Gardens & Jupiter, FL

Medically Reviewed by: David A. Lickstein, MD, FACS
Board Certified Plastic Surgeon
Last Updated: August 12, 2025

If you were born with uneven breast development, you’re not alone. Congenital breast asymmetry affects many women and can significantly impact self-confidence and quality of life. Correction often includes a breast reduction or lift, sometimes combined with implants, to create balanced, natural-looking results.

At Lickstein Plastic Surgery, serving Palm Beach Gardens, Jupiter, and surrounding South Florida communities, Dr. David Lickstein and Dr. Craig Forleiter specialize in correcting congenital breast irregularities with personalized surgical solutions that restore balance and symmetry.

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Understanding Congenital Breast Asymmetry

Congenital breast asymmetry refers to naturally occurring differences in breast size, shape, or position that develop during puberty. Unlike asymmetry that occurs later in life due to pregnancy, weight changes, or medical treatments, congenital asymmetry is present from the time of breast development and typically becomes more noticeable as the breasts mature.

According to research published in the Plastic and Reconstructive Surgery journal, some degree of breast asymmetry occurs in approximately 88% of women, though significant asymmetry requiring surgical intervention affects a smaller percentage of the Trusetd Source Checkbox Trusted Source Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients Rohrich RJ, Hartley W, Brown S Go to Source population.

Common Types of Congenital Breast Asymmetry

Tuberous Breast Deformity

This condition involves constricted breast development, creating a tubular or elongated appearance. The breast base is narrow, and the areola may appear enlarged or herniated.

Poland Syndrome

A rare condition affecting chest wall development, Poland syndrome can result in absent or underdeveloped breast tissue on one side, often accompanied by chest muscle abnormalities.

Amastia and Amazia

Complete absence of breast tissue (amastia) or nipple/areola complex (amazia) represents the most severe form of congenital breast asymmetry.

Significant Size Discrepancy

When one breast develops substantially larger or smaller than the other, creating noticeable imbalance in clothing and affecting posture and comfort.

Treatment Options for Congenital Breast Asymmetry

Breast Augmentation for Asymmetry Correction

For patients with one smaller breast, augmentation can create balance through:

  • Unilateral augmentation: Placing an implant in the smaller breast only
  • Bilateral augmentation with different sizes: Using different implant sizes to achieve symmetry
  • Fat transfer: Using the patient’s own fat to add volume to the smaller breast
  • Contralateral mastopexy, with or without augmentation: Lifting and reshaping the larger breast—and adding an implant if desired—to achieve better symmetry

Breast Reduction and Lift Combination

When one breast is significantly larger, reduction surgery combined with a breast lift can:

  • Remove excess tissue from the larger breast
  • Reshape and lift both breasts for improved symmetry
  • Resize and reposition the nipple-areola complex

Complex Reconstruction Techniques

For severe congenital conditions like Poland syndrome, advanced reconstruction may involve:

  • Tissue expansion to create adequate breast pocket
  • Flap reconstruction using muscle or tissue from other body areas
  • Staged procedures to achieve optimal results

“Every patient with congenital breast asymmetry has a unique anatomy and specific goals,” notes Dr. Lickstein. “Our approach focuses on creating natural-looking results that restore confidence while maintaining breast function and sensation.”

Dr. Lickstein

The Consultation Process

Initial Assessment

During your consultation at our Palm Beach Gardens office, your doctor will:

  • Evaluate the degree and type of asymmetry
  • Discuss your aesthetic goals and concerns
  • Review your medical history and family history
  • Explain treatment options specific to your condition
  • Provide realistic expectations for outcomes

Imaging and Planning

Advanced imaging techniques help plan your procedure:

  • 3D breast imaging for precise measurements
  • Computer modeling to preview potential results
  • Detailed surgical planning to optimize symmetry

Insurance Considerations

Unlike purely cosmetic procedures, congenital breast asymmetry correction may qualify for insurance coverage when:

  • The condition causes physical symptoms (back pain, posture problems)
  • There’s significant psychological impact documented by healthcare providers
  • The asymmetry meets specific medical criteria for reconstruction

The Surgical Procedure

Anesthesia and Setting

Congenital breast asymmetry correction is typically performed under general anesthesia in our accredited surgical facility. The procedure duration varies based on complexity, ranging from 2-4 hours for most cases.

Surgical Techniques

For Augmentation-Based Correction:

  • Incisions are strategically placed to minimize visible scarring
  • Implant pockets are created with precise measurements for optimal positioning
  • Different implant sizes or types may be used to achieve symmetry

For Reduction-Based Correction:

  • Excess tissue is removed from the larger breast
  • The breast is reshaped and lifted to match the smaller side
  • Nipple-areola complex is repositioned as needed

For Complex Reconstruction:

  • Multiple techniques may be combined in staged procedures
  • Tissue expansion may be used to create adequate breast volume
  • Microsurgical techniques ensure optimal blood supply and healing

Recovery and Healing

According to data from the Trusetd Source Checkbox Trusted Source What should I expect during my breast reconstruction recovery? American Society of Plastic Surgeons Go to Source American Society of Plastic Surgeons, most patients experience the following recovery timeline:

First Week:

  • Rest and limited arm movement
  • Pain management with prescribed medications
  • Follow-up appointments to monitor healing

2-4 Weeks:

  • Gradual return to normal activities
  • Continued wearing of surgical bras
  • Avoidance of heavy lifting or strenuous exercise

6-8 Weeks:

  • Full activity clearance for most patients
  • Final results becoming more apparent
  • Long-term follow-up care begins
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Expected Results and Long-Term Outcomes

Immediate Improvements

Patients typically notice immediate improvement in:

  • Breast symmetry and balance
  • Clothing fit and appearance
  • Overall body proportions

Long-Term Benefits

Research published in the Journal of Plastic and Reconstructive Surgery indicates high patient satisfaction rates for congenital breast asymmetry correction, with benefits including:

  • Improved self-confidence and body image
  • Enhanced quality of life
  • Better physical comfort and posture
  • Natural-looking, long-lasting Trusetd Source Checkbox Trusted Source The Effect of Surgical Treatment on the Quality of Life of Young Women with Breast Asymmetry: A Longitudinal, Cohort Study Nuzzi LC, Firriolo JM, Pike CM, Cerrato FE, DiVasta AD, Labow BI Go to Source results

“The transformation I see in my patients goes far beyond the physical changes. Correcting congenital breast asymmetry often provides profound psychological benefits that impact every aspect of a woman’s life.”

Dr. Lickstein

Risks and Considerations

As with any surgical procedure, congenital breast asymmetry correction carries potential risks:

General Surgical Risks

  • Infection
  • Bleeding or hematoma
  • Adverse reaction to anesthesia
  • Scarring

Procedure-Specific Considerations

  • Changes in nipple or breast sensation
  • Asymmetry requiring revision surgery
  • Implant-related complications (if applicable)
  • Need for future procedures

According to FDA safety data, serious complications are rare when procedures are performed by board-certified plastic surgeons in Trusetd Source Checkbox Trusted Source Risks and Complications of Breast Implants S Food and Drug Administration Go to Source accredited facilities.

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Why Choose Lickstein Plastic Surgery

Specialized Experience

Dr. Lickstein’s extensive training in microsurgery and complex breast reconstruction makes him uniquely qualified to address congenital breast asymmetry. His fellowship training at Harvard Medical School in Hand and Microsurgery provides advanced skills essential for complex reconstruction cases.

Dr. Craig Forleiter, Board Certified by the American Board of Plastic Surgery, adds complementary expertise in both cosmetic and reconstructive breast surgery. With a patient-focused approach and attention to detail, he brings skill and compassion to treating complex breast concerns, helping patients achieve natural, balanced results.

Comprehensive Care

Our practice offers:

  • Thorough pre-operative planning and consultation
  • State-of-the-art surgical techniques
  • Personalized post-operative care and follow-up
  • Coordination with insurance providers when applicable

Patient-Centered Approach

We understand that congenital breast asymmetry affects each patient differently. Our treatment plans are customized to address your specific anatomy, goals, and lifestyle needs.

Frequently Asked Questions

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Where can I find congenital breast asymmetry treatment near me?

Lickstein Plastic Surgery, located in Palm Beach Gardens, serves patients throughout South Florida, including Jupiter, Port St. Lucie, and surrounding communities. Drs. Lickstein and Forleiter’s specialized training in complex breast reconstruction and microsurgery makes our practice a premier destination for congenital breast asymmetry correction.

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Can I combine other treatments with congenital breast asymmetry correction?

Yes, many patients benefit from combining procedures such as:

Combining procedures can optimize results while minimizing overall recovery time.

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At what age can congenital breast asymmetry be corrected?

Surgery is typically recommended after breast development is complete, usually around age 18 or older. However, severe cases causing significant psychological distress may be considered earlier with appropriate counseling and family support.

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Will insurance cover my congenital breast asymmetry correction?

Coverage varies by insurance provider and the specific nature of your condition. Congenital conditions that cause functional problems or significant asymmetry may qualify for coverage. Our team can help verify your benefits and work with your insurance provider.

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How long do results last?

Results from congenital breast asymmetry correction are generally long-lasting. However, natural aging, weight changes, and pregnancy can affect breast appearance over time. If implants are used, they may need replacement after 10-15 years, according to [tooltip title="U.S. Food & Drug Administration" text="Things to Consider Before Getting Breast Implants" source="#sources"]FDA guidelines.[/tooltip]

Schedule Your Consultation

Contact us today to schedule your private consultation and discover how Congenital Breast Asymmetry treatment can help you achieve the balanced, natural appearance you’ve always wanted.

Schedule A Consultation For Congenital Breast Asymmetry Treatment

If you're ready to address congenital breast asymmetry and restore balance to your figure, contact Lickstein Plastic Surgery today. Dr. Lickstein, Dr. Forleiter, and our experienced team are committed to helping you achieve natural-looking results that enhance your confidence and quality of life.

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Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. Individual results may vary, and not all patients are candidates for every procedure. Dr. Lickstein will provide personalized recommendations based on your specific condition and goals during consultation.

Editorial Review Process: This content has been medically reviewed by Dr. David A. Lickstein, MD, FACS, and is updated regularly to reflect current medical standards and practices.

Trused Source Icon - Checkbox Sources

1 Rohrich RJ, Hartley W, Brown S. Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg. 2006 Dec;118(7 Suppl):7S-13S; discussion 14S, 15S-17S. PMID: 17366695. Available: https://pubmed.ncbi.nlm.nih.gov/17366695/. Accessed August 12, 2025.

2 American Society of Plastic Surgeons. What should I expect during my breast reconstruction recovery? Available: https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/recovery. Accessed August 12, 2025.

3 Nuzzi LC, Firriolo JM, Pike CM, Cerrato FE, DiVasta AD, Labow BI. The Effect of Surgical Treatment on the Quality of Life of Young Women with Breast Asymmetry: A Longitudinal, Cohort Study. Plast Reconstr Surg. 2020 Oct;146(4):400e-408e. doi: 10.1097/PRS.0000000000007149. PMID: 32969994. Available: https://pubmed.ncbi.nlm.nih.gov/32969994/. Accessed August 12, 2025.

4 U.S Food and Drug Administration. Risks and Complications of Breast Implants. Available: https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants. Accessed August 12, 2025.

5 U.S. Food & Drug Administration. Things to Consider Before Getting Breast Implants. Available: https://www.fda.gov/medical-devices/breast-implants/things-consider-getting-breast-implants#. Accessed August 12, 2025.

The Doctors at Lickstein Plastic Surgery have either authored or reviewed and approved this content.
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