Mammary asymmetry is the existence of a clear difference between both breasts, with respect to the breast size, position or size of the areola, the implantation base of the breast to the chest, or a combination of several of these alterations.

This alteration of breast development very often involves a great psychological effect.

Almost always both breasts have to be treated, and with different procedures.

Among the various treatment options are breast augmentation of the smaller with a breast implant, breast reduction of the bigger breast, breast augmentation of both breasts with implants of different sizes, breast reduction of both breasts by removing different volumes, etc., including the treatment of the areola and nipple if necessary.

The tuberous breasts turn up with an alteration of the mammary gland development and usually are asymmetrical and with one of the following characteristics:

• Submammary fold constriction that may be elevated.
• Deficient development of the lower pole of the breast.
• Tubular shape of the breast.
• Cone-shaped protrusion of the areola.
• Megareola (excessive areola size).
• Mammary gland herniation through the areola.
• Ptosis (drooping of the breast).

Treatment of tuberous breasts is very variable, but these goals must be pursued: reconstruction and lowering the inframammary fold, suitable filling of the lower pole of the breast by using, if necessary, anatomical silicone gel prosthesis, improving the shape of the tube breast by radial incisions in the mammary gland, decreasing the size of the areolas and repositioning of the herniated gland through the areola.