Congenital Breast Asymmetry
and Deformity Surgery


Congenital breast asymmetry is a common concern. In fact, although barely perceptible, most women have different size breasts. Unfortunately, when asymmetry is noticeable, it can cause both physical and emotional discomfort. Women with more prominent breast asymmetry may also have trouble finding a properly fitting bra or clothing.

In addition to asymmetry, deformities of the breast (such as the absence of a nipple) are not uncommon. This situation can be more than just an aesthetic issue; congenital breast deformities may result in physical discomfort and difficulty with breastfeeding.

Poland Syndrome Consulatation


  • Accessory Breast Tissue (Polymastia): the presence of additional glandular tissue; also referred to as supernumerary breast tissue, can be seen in almost any area, including the underarm, chest, or abdomen.
  • Extra Nipple: a third (or more) nipple occurring someplace on the body, often near the natural breast.
  • Lack of a Breast (Amastia): a breast mound that fails to form.
  • Lack of a Nipple (Athelia): a missing nipple may coincide with a lack of breast tissue, however can occur when the breast mound is present.
  • Tuberous/Constricted Breast: ranging from mild to severe, this may present as a unilateral or bilateral tight (constricted) base or severe, cone-shaped breasts with a large areola and herniated tissue.


The surgical technique required is dependent on the issue being addressed; two or more techniques may be combined to create new breast tissue.  Your correction of breast deformity or asymmetry may include:

Breast Augmentation

Dr. Schwartz can increase the size/shape of one or both breasts through the insertion of a silicone or saline implant. Fat grafting or transfers can successfully add volume and shape to the breasts, as well.

Breast Reduction

The size of a breast can be decreased and sculpted to a more organic shape through a reduction procedure; this can include liposuction and/or excision of unwanted tissue and skin.

Breast Lift

A breast that is sagging can be lifted to a higher, more natural location. The breast lift alone does not address volume or size; it may need to be combined with an implant or fat transfer for optimum results.

Nipple reduction, revision or reconstruction

The exisiting nipple can be resized and/or repositioned to be more aesthetically pleasing. If there is no viable nipple present, Dr. Schwartz can create a new structure from tissue donated from elsewhere on the body.

Excision of supernumerary breast tissue

When accessory glandular tissue is present, Dr. Schwartz may recommend surgical excision. Some situations of supernumerary tissue can be addressed through minimally invasive techniques, such as liposuction.


Dr. Schwartz understands that breast asymmetry and deformity can be stressful; correction can come with both fear and concern. If you or someone you love is struggling with these issues, Dr. Schwartz encourages a confidential consultation appointment at one of his office locations that is most convenient for you, or through a virtual consultation. Dr. Schwartz wants you to leave his office feeling educated and informed regarding all treatment options.