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What is the Best Option for Poland Syndrome Breast Deformity?

asked 2 years ago by 9798anon in new york
Latest answer by Otto Joseph Placik, MD
Question viewed 1,442 times
Tags: asymmetry, Poland Syndrome

i have severe breast asymmetry. After nursing, pregnancy seems that my breast lost all shape, elasticity. one breast is C cup, the other is an A cup. Seems the smaller breast lost more tissue after last pregnancy. Best option? I dont want to reduce the larger breast to an A cup. Stay in the B cup range and symmetry, shape, contour is what I am looking for.

13 answers to What is the Best Option for Poland Syndrome Breast Deformity?

Polands syndrome or breast asymmetry?

Polands syndrome involves not only underdevelopment of the breast but also lack of the underlying musculature ( Pectoralis major) and in some cases deformities of the hand on the involved side. Assymetries in breast size are common but if they do not include loss of the chest wall musculature they are not Polands syndrome. Treatment of both of these conditions can involve assymetric implant placement and in some cases the use of a tissue expander. Sometimes Polands syndrome patients are... more

Susan E. Downey, MD
Los Angeles Plastic Surgeon

Breast Asymmetry after pregnancy is not Poland’s Syndrome

Poland’s Syndrome is congenital absence of the pectoralis muscle. What you have is a severe acquired asymmetry. There are multiple ways to treat this including reduction of the larger and augmentation of the smaller. However, to meet your desires, you will probably need a combination of procedures. To determine this you need an examination and consultation with a Plastic Surgeon experienced with breast modification.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Poland's syndrome vs breast asymmetry

Poland's syndrome refers to a loss of muscle from the chest wall with accompanying issues such as loss of development of the breast and possibly hand defects. This is not something you acquire after breastfeeding, it's something you are born with. I suggest seeing a board-certified plastic surgeon in your area who can examine you and discuss your options with you. Best wishes, Dr. Naidu

Nina S. Naidu, MD
New York Plastic Surgeon

Correcting breast asymmetry

It does not sound like you have Poland Syndrome which is a congenital absence of all or part of the pectoralis major muscle. You probably have post-partum breast asymmetry which is much more common. Typically, patients with your problem require a breast implant and/or breast lift. The only way to find out is to find a board-certified plastic surgeon and go in for a consultation. Nothing beats a physical exam and a one-on-one discussion in person with a plastic surgeon. Good luck!... more

Elan B. Singer, MD
Manhattan Plastic Surgeon

Treating breast loss after pregnancy

I agree that you probably do not have Poland's syndrome. That is something you are born with rather than something you get after having a baby. Your best bet is likely breasts implants (a larger one in the A cup side of course) and some degree of breast lifting. I am sure that type of procedure is performed many times a day in New York.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Breast asymmetry can be well corrected.

Hi. 1) Your description does not sound like Poland Syndrome, which mainly means that the pectoral muscle is not there. Did someone tell you you had this? 2) It sounds to me like you just need a breast lift of your larger breast and a breast implant in your smaller breast. How the breast lift is actually done is very important. The breast tissue itself must be lifted and shaped internally, without relying on pulling the skin. If the lift is done by skin tightening, the result does... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Asymmetry Correction

With Poland's Syndrome, the hallmark of the diagnosis is absence of the pectoralis muscle, usually in combination with a smaller or undeveloped breast, and sometimes hand deformities. If you have absence of the pectoralis muscle, then sometimes you need to replace that muscle for volume and better chest contour. This usually means using some of your latissmus muscle to replace the pectoralis muscle, as well as fill out the breast. There are some patients who can... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

What is the Best Option for Poland Syndrome Breast Deformity

What is the Best Option for Poland Syndrome Breast Deformity? There are no one best option but several alternatives dependinding on the severity. Inmost the use of a latissimus flap to recreaste the border of the pec major is used. Following that, a silcone gel implant is probably the most popular. However, saline and fat grafting has been used as well.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Poland's syndrome

Poland's syndrome can be very difficult to deal with. Often there is muscle missing and sometimes a latissimus muscle if avialable needs to be brrought in to provide coverage. Sometimes tissue expansion and implant reconstruction can resolve the issue.

Steven Wallach, MD
Manhattan Plastic Surgeon

Poland's Syndrome Correction

Poland's Syndrome typically involves a unilateral under-developed breast as well as an absence of a portion of the pectoralis muscle on the same side. I have had good results treating this deformity with a latissimus muscle flap combined with the placement of an implant. This does lead to a second scar on the back.

John Whitt, MD
Louisville Plastic Surgeon

Crrecting Poland's Syndrome Breast Asymmetry

Poland's Syndrome is not just a breast asymmetry, it is a a family of disorders that in the worst manifestation can involve chest deformities, missing chest muscle and the breast to the milder forms in which the breasts can vary in size. To tell you "the best" way of correction YOUR deformity, you would need to be examined by a Plastic surgeon who would assess your specific deformity. IF you only have a breast asymmetry without other anomalies (ie sagging of the normal breast etc)... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Be examined

It is impossible to explain all of the options, you need to be seen. Asymmetry is not polands syndrome. There is not ONE best option, different thing can be done depending on your physical exam and your wishes.

William B. Rosenblatt, MD
New York Plastic Surgeon

Poland's Syndrome

I am in full agreement with Dr. Aldea. You need an in person evaluation with a boarded plastic surgeon. There you can discuss the severity of the poland's and possible surgery plans. From MIAMI Dr. B