Success Stories
Case 1
In the case of female breast underdevelopment to the right, it was necessary to insert a breast tissue expander beneath the smaller left breast and inflate it over several months in order to stretch the overlying skin so that a suitably sized implant could be inserted. At the time the expander was removed and the breast implant inserted, the enlarged right breast was reduced in size (see breast reduction). The implant on the left must be centered beneath the nipple (as noted above) which may limit the absolute symmetry between the two sides (i.e. left breast fold still higher than right).
Case 2
In a similar but more advanced case (to the left) there was not only failure of the left breast to develop and the right breast to become enlarged, but also there was failure of nipple areolar development on the left with only a small nipple vestige that was positioned much to high. Treatment necessitated the use of a breast tissue expander on the left positioned high above the nipplet vestige so as to stretch the upper breast skin and allow the nipple vestige to be lowered so that it would be covered with normal bra and swimsuit wear. The expansion procedure took approximately six months (not shown) and was followed by insertion of a "permanent" silicone breast implant on the left and a breast reduction on the right. Areolar reconstruction will be done at a third operation.
Case 3
In this case not only was the breast and nipple involved but also the underlying muscle and chest wall. A gortex sheeting was used to bridge the chest wall defect and to create a level foundation for the breast expander (seen to the right over-filled with saline). As growth and development continues on the left, additional saline will be added on the right and a slight over-fill maintained. When breast development stops, the expander will be removed and replaced with a "permanent" implant.
