There are many reasons that patients can have breast asymmetry. Breast feeding can make one breast grow significantly larger than the other, radiation can make one breast contract, previous infections can shrink the breast volume, and surgery of the breast can affect development if surgery is performed at young age. Previous surgery, infection, and radiation can all cause the nipple areola complex to contract or become indented. Using a mastopexy pattern on this breast can help establish the round appearance to the nipple areola complex and the mastopexy can help tighten the skin envelope to help the nipple areola complex protrude. A mastopexy/reduction can be performed on the contralateral breast to reduce the size/volume of the breast to match the smaller one.
The photograph demonstrates right mastopexy reduction and left mastopexy with nipple areola complex revision to help improve breast symmetry.

