Surgical treatment of breast asymmetry

Since the original description of the most severe from of breast asymmetry by Poland [1], this matter has been revised from time to time. Not all breast asymmetries can be classified as pathologic. Indeed, most women have slightly different breasts. The therapeutic arsenal of modern Plastic Surgery includes techniques of reduction mammaplasty, augmentation mammaplasty and mastopexy, that should be used in accordance with the specific need of each case [2]. In the present study four cases of breast asymmetry are reported, analyzing esthetic aspects and surgical procedures employed in each case.

Modified treatment of the alar cartilages in primary rhinoplasty

Traditionally, the treatment of the alar cartilages in primary rhinoplasty consists of resection of the cranial portions of the lateral crura, leaving about 5 mm wide caudal remnants untouched. This approach is very effective and time proven, but in selected patients, in whom tip of the nose needs little (if any) cranial rotation, but must be narrowed, agressive resection of superomedial portions of the lateral crura seems unnecessary. In order to optimize the procedure, the authors suggest a modified treatment of the alar cartilages with conservation of greater portions of the superomedial lateral crura.