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Khan. Plast Aesthet Res 2017;4:108-15 Plastic and
DOI: 10.20517/2347-9264.2017.36
Aesthetic Research

www.parjournal.net
Original Article Open Access

Preoperative planning and breast
implant selection for volume difference

management in asymmetrical breasts

Umar Daraz Khan
Reshape Clinic, Reshape House, West Malling ME19 6QR, UK.
Correspondence to: Dr. Umar Daraz Khan, Plastic Aesthetic Surgeon, Reshape Clinic, Reshape House, West Malling ME19 6QR, Kent, UK.
E-mail: Mrumarkhan@aol.com
How to cite this article: Khan UD. Preoperative planning and breast implant selection for volume difference management in asymmetrical breasts. Plast
Aesthet Res 2017;4:108-15.

Dr. Umar Daraz Khan is working as an aesthetic plastic surgeon. He went to Dow University of Health Sciences
in Pakistan for his medical degree and obtained post graduate degree from Royal College of Surgeons in Ireland.
After getting training in plastic surgery in Ireland and UK, he started working in private setup and founded his own
clinic in Kent, UK. In this private setup, called Reshape, he has performed over 6,000 procedures. His special
interest and pioneered techniques involves abdomino plasties and breast aesthetic surgeries. He has published
well over 60 articles in peer-reviewed journals, contributed his work on aesthetic breast surgery in books and has
given well over 250 presentations in international conferences and congresses.

ABSTRACT
Article history: Aim: To assess volume management in patients presenting with breast asymmetry and
Received: 18-05-2017 ptosis. Methods: Retrospectively collected data was analysed. The patients were divided
Accepted: 06-07-2017 into 3 groups. Group A included patients who had volumetric difference alone and had
Published: 19-07-2017 different size implants alone. Group B included patients who had volumetric difference with
breast ptosis requiring mastopexy with different size implants. Group C included patients
Key words: who presented with breast asymmetry with ptosis and had same size implants on both sides
Breast ptosis, with different volume breast reduction. Results: Subgroup A1 included 145 patients who
breast asymmetries, had larger implants placed on right side. Subgroup A2 included 95 patients who had larger
muscle splitting biplane breast implants on the left side. Subgroup B1 included 7 patients who had larger implants on the
augmentation, right. Subgroup B2 included 13 patients who had larger implant on the left side. Subgroup C1
muscle splitting mastopexy, included 7 patients who had larger reduction on right side. Subgroup C2 included 11 patients
multiplane internal mastopexy who had larger reduction on left. Conclusion: When different volume implants are used, the
vast majority of the patients do not require a volume difference of more than 60 mL. When
the breast is larger on the right then larger mean volumes are used on left side to offset the
larger right breast.

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