Congenital Malformations

Congenital malformations affect the number of breasts and the shape and structure of the individual breast.

Accessory gland/Breast:
In about 5% of all women a supernumerary mammary gland exists. It is located along the embryonic milk ridge. In case of a fully developed breast, the nipple is shpow already at birth. If there is no nipple, the key symptom is the swelling – most often in the axilla – at the second half of the hormonal cycle.
Treatment is resection of the accessory gland or even breast.

Tubular Breast:
In about 5% of all women tubular breast occur.
As a result of a growth disorder of the mammary glands, the lower part of the breast grows less than the upper part of the breast.

Correction needs, unfoalding and rearranging of the breast tissue alone or in combination with breast augmentation.

Too small breast (insufficient volume, hypoplasia)

Breasts that are too small represent a great psychological burden for many women.

Breast enlargement (augmentation) is the most common cosmetic surgery for women.

An enlargement can be achieved through:

breast augmentation with autologous fat injection/lipofilling for natural breast augmentation without silicone prosthesis
breast augmentation with silicone implants
combination of lipofilling and silicone implant (so-called “hybrid technique”)

Too big breast (excessive volume, hyperplasia)

Excessively large breasts can lead to:

physical (back pain, poor posture, chronic inflammation below the breasts, ..),
functional (impairments in everyday life, in sports, when choosing clothing, …)
psychological impairments (lack of self-confidence, …)

There are numerous surgical techniques available for breast reduction/mammary reduction, which enable scar-saving volume reduction.

Unequally sized breasts (asymmetry, anisomastia)

There are no two identical breasts:

A more detailed analysis of the two breasts (the bosom) shows that the right and left breast are not completely symmetrical:

Small differences between the two breasts make the breasts appear much more expressive and interesting.
Larger differences, on the other hand, disturb the basic harmony and make the breasts appear less attractive.

There are several treatment options for correcting breasts of different sizes (anisomastia), which are used depending on the extent of the asymmetry and the wishes of the patient.

Autologous fat injection/lipofilling to correct breast asymmetries is the therapy of choice today
Alternatively, breast augmentation with breast implants,
breast shaping on the smaller side or an equal reduction on the larger side can be performed

Sagging breasts (Breast Ptosis)

In the course of tissue aging, dropping breasts develop (mammary ptosis or sagging breast). Empty and/or sagging female breasts often disturb a positive body feeling”

The selection of the corrective procedure depends on the extent of the breast sagging (ptosis), the quality of the soft skin and the patient’s wishes.

When sagging (ptosis) begins, the autologous fat injection/lipofilling is the therapy of choice to correct an incipient volume loss in the breast area
Alternatively, the missing breast volume can be achieved by breast augmentation with implants.
Advanced ptosis requires breast reshaping by breast lift. If your own breast volume is not sufficient to achieve the desired size and shape, an autologous fat transplant or a breast implant is also necessary.