How to Deal With Breast Asymmetry

As humans, we find symmetry to be quite attractive. Symmetry and balance symbolize both beauty and equity that we find mesmerizing, satisfying, and calming. When things that are “supposed” to be symmetrical are not, it can make you feel uneasy, uncomfortable, dissatisfied, or otherwise at odds with the subject. Breast asymmetry is a classic example. If you have breast asymmetry and it has led to anxiety and/or poor self-image, the following breast surgeries can enhance your breast appearance, restore balance, and boost your self-confidence.

Breast Augmentation

Breast Augmentation Before and After PhotosIf your breasts are different in size or volume, breast augmentation can enhance their appearance. A silicone or saline-filled implant can be inserted into your smaller breast to increase its size so that it matches the size of your other breast. Receiving breast implants in both breasts may be recommended to achieve even more balanced results in which the breasts are not only the same size but also the same shape and feel. You can get implants of different sizes so that the final result is an even bust line. Breast augmentation may be recommended for women whose breasts are naturally small or have lost volume due to pregnancy, weight loss, and/or aging.

Breast Reduction

Breast Reduction Before and After PhotosBreast reduction can also help you achieve breast symmetry. Excess breast tissue can be removed from the larger breast, or different proportions of tissue can be removed from both breasts to reduce their size. Breast reduction may be recommended for women with breast asymmetry if their breasts are overly large, cumbersome, and painful.

Breast Lift

If your breasts are different in form or position, a breast lift may be the recommended treatment. Women whose breasts are pendulous or saggy due to pregnancy, breastfeeding, weight loss, and/or aging may discover asymmetries in how their breasts have responded to these life circumstances. A breast lift can reshape and reposition the breasts so that they are both firm, perky, youthful, and balanced.

Breast Reconstruction

Some women have breast asymmetry because they needed to have breast tissue removed for cancer treatment. Breast reconstruction can correct asymmetry after a unilateral mastectomy by recreating a smooth and natural-looking breast on the affected side. This surgery can improve quality of life and confidence for women who have had surgery for breast cancer treatment.

If you have unwanted breast asymmetry, one of these procedures can help you achieve an even and balanced breast appearance. Call (703) 287-8277 or contact us online to request your consultation with Dr. Alex Mesbahi today.

shutterstock_109378883Breast reconstruction restores the appearance of the breast(s) after a mastectomy. Prepectoral breast reconstruction can be performed immediately after a mastectomy through the use of a breast implant and an acellular dermal matrix, and it can provide many benefits to women in need.

How Prepectoral Breast Reconstruction Works

Subpectoral implant placement is associated with post-operative complications such as asymmetry and animation deformity (breast distortion). To minimize these issues, prepectoral breast reconstruction places the breast implant(s) over the pectoral muscle. The procedure requires the use of an acellular dermal matrix (ADM) to adequately support the breast implant after the breast tissue has been removed. The ADM is a biocompatible tissue mesh that binds to the surrounding tissues. Prepectoral implant placement using an ADM around the implant may allow for an easier recovery with less pain and less post-operative narcotic pain medication usage. It also produces aesthetically pleasing results.

The Benefits of Immediate Prepectoral Breast Reconstruction

Immediate breast reconstruction may be preferable to delayed breast reconstruction for several reasons. For example, scarring can be minimal when mastectomy and breast reconstruction procedures are performed back to back. Perhaps most importantly, women who undergo immediate breast reconstruction may experience less emotional trauma during the adjustment process. Using prepectoral breast reconstruction with ADM for immediate breast reconstruction is a relatively new procedure and is being performed extensively by Dr. Mesbahi. Options for reconstruction still include a two-stage tissue expander placement or a one-stage silicone implant placement above the muscle.

Dr. Alex Mesbahi performs prepectoral breast reconstruction using ADM in direct-to-implant immediate breast reconstruction for women who are planning to undergo a mastectomy. If you would like to learn more about this procedure and how it could benefit you, schedule your consultation with Dr. Mesbahi today. Call (703) 287-8277 or fill out our online contact form to book your appointment today.

Breast Reconstruction Before and After PhotosBreast cancer is probably one of the scariest words for modern women. One in eight women will be diagnosed with breast cancer in her lifetime, and over 220,000 women are diagnosed every year in the United States. It is the most commonly diagnosed cancer in women. Because of these staggering facts and the widespread effects of breast cancer, it is important that women become educated about their potential risk, the process, and their survival.

Education is the most important weapon against breast cancer. About 95 percent of women will survive their battle with breast cancer, and most medical professionals attribute this to early detection. Patients who catch their cancer in the early stages have a significantly higher survival rate than those who are diagnosed in the later stages. Many people believe that cancer is being caught sooner because more women are being vigilant about their health and getting regular breast cancer screenings.

Having a Mastectomy

A mastectomy is performed for one of two reasons. The most common reason is as an effective treatment for breast cancer that has already developed. During a mastectomy, your breast tissue and glands are removed, eliminating the cancerous cells. Depending on how aggressive your cancer is, you may follow up with chemo and radiation treatment.

Other women choose to have a mastectomy as a preventative measure. Women with a high risk of developing breast cancer (a strong family history of breast cancer or a mutation in the BRCA1 gene or the BRCA2 gene) can choose to have a bilateral prophylactic mastectomy, which may involve the complete removal of both breasts.

Women who choose to have a prophylactic mastectomy often feel empowered; they are taking their fate into their hands. It gives them a sense of control over their destinies. However, many women often feel that a mastectomy for whichever reason robs them of their feminine identity. Women may struggle following a mastectomy to find confidence and satisfaction in their bodies. Some even comment that they feel less like a woman.

Reconstruction After a Mastectomy

Dr. Mesbahi believes it is important that every woman feels comfortable and confident in her body. Many women choose breast reconstruction after their mastectomy because of the psychological benefits it offers. Two types of breast reconstruction are available to you following your mastectomy.

  • Implants are used to provide a restoration of significant volume. An expander is placed after your mastectomy that stretches the existing tissue to create a breast pocket over a period of weeks. A saline or silicone implant is then inserted to shape and add volume to the breast.
  • Flap surgery uses patient-harvested tissue to create a modestly sized breast. The tissue is taken from the abdomen, back, or glutes. This technique recreates breasts that look and feel like your original breasts. DIEP flap techniques help preserve the integrity of the abdominal muscles.

Fat grafting may be combined with either technique to achieve the best, most natural-looking results possible. Fat grafting with implants can help create a better shape and smooth transitions. Fat grafting with flap surgery can help increase volume for a fuller breast.

Dr. Mesbahi works in tandem with your breast removal surgery to help ensure the least amount of scarring possible and the best cosmetic outcome. His goal is to develop a personal relationship with each of his breast reconstruction patients. Breast cancer is an emotional battle, and it is important you feel comfortable and confident with your surgeon to achieve breasts that restore the appearance of your body.

If you are undergoing a mastectomy and considering breast reconstruction to restore the look and feel of your breasts, schedule your consultation with Dr. Mesbahi today. Contact our office at (703) 287-8277 or fill out our online contact form for additional information.

Breast Cancer AwarenessIf you didn’t know that breast reconstruction surgery after a mastectomy is supposed to be covered by insurance, you aren’t alone. Many people do not know that in 1998, Congress signed The Women’s Health and Cancer Right Act (WHCRA) into law. This act requires that mastectomy benefits also cover:

  • Reconstruction of the breast that was removed by mastectomy
  • Surgery and reconstruction of the non-removed breast to create symmetry
  • Any external breast prostheses needed before or during the reconstruction

Many women diagnosed with breast cancer are unaware that these benefits are available to them. Worrying about restoring their bodies after treatment is an added stress that many women have trouble dealing with. To reduce stress on breast cancer patients, it is key to educate them about all of their options.  

In May of 2015, the Senate introduced the Breast Cancer Patient Education Act (BCPEA). This act requires the Secretary of Health and Human Services to plan and implement a campaign that informs breast cancer patients about the coverage of breast reconstruction and other post-mastectomy options. Under federal law, women must be given access to educational materials on their rights to breast reconstruction.  

Breast Cancer Education

It is extremely important that women have access to thorough and correct information on their rights. The breast cancer battle is hard enough, and women shouldn’t have to stress about how they are going reclaim their bodies once their battle is over. Women should be able to focus on fighting their cancer and healing. Making sure that every woman is informed of her rights will help reduce stress and may increase the chances of survival.

The Breast Cancer Patient Education Act (BCPEA) of 2015 has not yet passed in the House nor the Senate. Congressional support is important to see the success of this bill. Contact your Congress representative and urge them to support this bill.

Breast Reconstruction With Dr. Mesbahi

Dr. Mesbahi knows that an integral part of the healing process for a woman after her mastectomy is breast reconstruction surgery. His goal is to help restore a woman’s feminine body while treating her with the kindness and respect she deserves.


If you are looking for a surgeon to perform your breast reconstruction, schedule a consultation with Dr. Mesbahi today. Contact our office at 703-287-8277 or fill out our online contact form here form more information.