Saleh, D., Shaker, A., Saad El Din, M., Estawrow, M. (2023). A New Suggested Comprehensive Classification for Breast Asymmetry. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(2), 97-105. doi: 10.21608/ejprs.2023.291377
Dalia Saleh; Ayman A Shaker; Mohamed O Saad El Din; Mina Agaiby Estawrow. "A New Suggested Comprehensive Classification for Breast Asymmetry". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 2, 2023, 97-105. doi: 10.21608/ejprs.2023.291377
Saleh, D., Shaker, A., Saad El Din, M., Estawrow, M. (2023). 'A New Suggested Comprehensive Classification for Breast Asymmetry', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(2), pp. 97-105. doi: 10.21608/ejprs.2023.291377
Saleh, D., Shaker, A., Saad El Din, M., Estawrow, M. A New Suggested Comprehensive Classification for Breast Asymmetry. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(2): 97-105. doi: 10.21608/ejprs.2023.291377
A New Suggested Comprehensive Classification for Breast Asymmetry
The Department of Plastic, Burn & Maxillofacial Surgery, Faculty of Medicine, Ain Shams University
Abstract
Background: Minimal breast asymmetry is a normal finding in 88% of women, however considerable breast asymmetries constitute a major concern for patients. These asymmetries can be classified according to their etiology into three types, primary, secondary and tertiary. In the literature there is no definite classification that can gather all breast asymmetries and correlate them with the patients' presentation. Objective: The authors are going to present their experience in management of breast asymmetry. They are going to suggest a new classification for this deformity based on the patients' presentation and the decision making for the management protocol respecting the patient's aesthetic goals. Patients and Methods: All women who had breast asymmetry were reviewed and analyzed. The different etiological factors, the patients' presentation, and the impact of this on the decision making were studied. Results: Four groups of patients were identified: First group, included patients having evident asymmetries due to definite causes. Second group, included patients having variable degrees of asymmetry without a definite cause. Third group, included patients having minimal asymmetries that were discovered accidentally during consultation for aesthetic breast surgery. The fourth group included patients having asymmetries secondary to aesthetic breast surgery. Conclusion: A new comprehensive classification is suggested for breast asymmetry. The proposed classification is a reliable method for assessment and treatment of breast asymmetries.
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