New York City | The Hamptons

Breast Deformity

Breast deformities can be very embarrassing for the women who have them. They can lower self-esteem, limit the choices in one’s wardrobe, and affect activities and interpersonal relationships. Fortunately, surgical options are available to correct a range of breast deformities.

Tracy Pfeifer, MD, New York City cosmetic surgeon, focuses her practice on all types of breast surgery, including procedures to correct deformities. In more than 18 years of practice, she has helped many women with deformities and other breast issues. Dr. Pfeifer and her medical team are committed to providing personalized, state-of-the-art care, and excellent results.

Some difference in size between the two breasts is not uncommon, but when the discrepancy is severe, it can have a negative impact on a woman’s life. A difference of one cup size or more can make it impossible to find bras that fit. Women with extremely asymmetrical breasts may feel awkward in intimate situations, wear oversized clothing to disguise the deformity, and avoid situations that require a bathing suit, low-cut evening wear, or revealing sun wear.

Even moderate asymmetry can be surgically corrected. Although the discrepancy may not be severe, if it causes the patient psychological distress, surgical correction is an option worth considering.

Breast asymmetry can be easily corrected one of two ways -- by making the smaller breast larger or the larger breast smaller. A smaller breast can be enlarged by augmentation with a saline or silicone implant. (Per FDA regulations, patients must be 22 years of age or more to receive breast implants.) A larger breast can be reduced and lifted to match the smaller breast. As larger breasts typically have larger areola, these can be reduced, as well.

SVarious surgical techniques can be used to correct tuberous breasts, depending on the severity of the condition and the nature of the deformity. When breasts are hypoplastic (insufficient glandular tissue), simple breast augmentation with implants may correct the condition.

When breast tissue is constricted, scoring, or releasing the breast tissue, is combined with breast augmentation with implants. Mastopexy (breast lift) may be performed, along with correction of the herniated (protruding) and enlarged areola.

Instead of protruding from the breast as nipples should, inverted nipples are retracted into the breast and the areola. Although they may cause difficulties with breastfeeding, inverted nipples present little health risk. For some people, however, this is an embarrassing condition that lowers self-esteem and can interfere with confidence in sexual relationships.

Inverted nipples generally result from shortening of the milk ducts and the fibrous tissue between them. There are three different grades of inverted nipple severity. In its mildest form, the nipple can be pulled out and stays out for a long time without traction. Suction or temporary nipple piercing may correct it, but if non-surgical methods fail, a simple surgical procedure involving a purse-string suture around the nipple can be performed. Surgery is us usually required to correct moderate and severe nipple inversion.

Tracy Pfeifer, MD has nearly two decades of experience performing successful breast surgeries in New York City. She has advanced training in surgical techniques to correct a range of conditions, including breast deformities. Dr. Pfeifer delivers personalized medical care in an understated, comfortable environment, and makes a pleasant patient experience a priority in her practice.