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Is This Poland Syndrome or Simply Assymetry?

I am 27 and my breasts have always been different. One is easily a C cup while the other an A. I also have scoliosis and my chest wall caves in. Could this be poland syndrome? What type of DR could diagnose this? My OBGYN confidently tells me to see a surgeon and due to the extremity it should be covered by insurance, however, the surgeon's office quickly told me this is cosmetic unless caused by cancer. I desperately want this fixed and am looking for advice as to what my next step should be!

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21 Doctor Answers | Asked by hruderman

Doctor Answers (21)
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Polands syndrome

The only way to start the process is by making an appointment and seeing a board certified plastic surgeon. You can be helped

Is This Poland Syndrome or Simply Asymmetry?

If you have not same problem in your hand, it is unlikely be Poland Syndrome, if you have scoliosis you need a very qualified surgeon.

Poland's Syndrome

You most certainly need to be evaluated by a board certified plastic surgeon. Insurance companies vary in regards to coverage. It is very important to know there are options for helping with these type of issues.

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Poland Syndrome

Poland Syndrome can be mild, in the case of under-development of the breast or chest wall, to more extreme cases where the entire shoulder, arm and hand are affected as well. You did not include pictures so it is difficult to tell you much about your specific situation. I would suggest a consultation with a plastic surgeon who can examine you. It is possible that some insurance companies might cover this procedure if it is, indeed, a true Poland syndrome situation. more

Assymetry in breasts or Poland Syndrome

Without seeing your photographs , it is difficult to suggest accurate diagnosis. The most qualified surgeon to make this assessment is a board certified Plastic Surgeon. Poland syndrome usually has many components. In severe cases the chest wall is underdeveloped, chest muscles may be hypoplastic and breast is consistantly smaller in contrast to the other side. Most of the times using different size implants could address the prblem, however occasionally more reconstructive procedures... more

Poland's syndrome

Poland's syndrome is a chest wall deformity of various degrees of severity from as littles as a small areola, to absent breast, to absent chest muscles, to absent underlying ribs, and arm deformities as well. Best to be seen in person regarding your issue.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

You should see a Board Certified Plastic Surgeon

While asymmetry of the breast is very common, Poland syndrome involves the map-development of the breast, nipple, muscle, chest wall, and even the upper extremity on one side. An experienced plastic surgeon should be able to help you with an accurate diagnosis.

Poland Syndrome vs. Normal Breast Asymmetry

Hello and thank you for your question. I would suggest going to a surgeon who has experience with Poland's Syndrome. I would ask this question prior to making an appointment with the particular physician. A plastic surgeon who does quite a bit of breast reconstruction may be your best bet. A diagnosis of Poland's Syndrome is made when you have absent breast on one side with a smaller or absent nipple on that side, usually the pectoralis major muscle (the pec... more

Poland's syndrome

Thanks for your question, without a detailed physical exam I am unable to tell you. Poland's syndrome describes a series of congenital findings that represent chest wall malformation usually including abscence of a pectoral muscle. I have two important points. First, if you have been told you have Poland's syndrome-please seek the consultation of a very experienced surgeon- the condition can be challenging to correct. Secondly, physicians no longer decide what surgeries get... more

Structural changes of the chest. Is this Poland's Syndrome

Scoliosis and sternal deformities are well recognized issues in breast augmentation when it comes to symmetry issues. It is also not unusual to have on breast larger than the other by 2 or more cup sizes. Your changes are certainly congenital but not necessarily covered by insurance since insurance is coverage is only determined by medical necessity. If you have Poland's syndrome you would have an absent pectoralis major muscle or some variation of a smaller extremity on... more

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