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Chapter 7

The Opposite Breast

Even though the breast mound is now restored, the reconstruction is not complete until it resembles the opposite breast. In well-endowed women who have a large or pendulous (droopy) opposite breast, obtaining breast symmetry is more difficult. To achieve a better match with the newly reconstructed breast, the surgeon may reduce the size of the opposite breast, elevate and reshape it (mastopexy), or in some cases insert a prosthesis to enlarge it (augmentation)

Frequently, these operations can be performed in conjunction with either the nipple/areola reconstruction or during further refinements of the breast mound. After these procedures most women have a breast mound of appropriate size and shape and one which matches the opposite breast.

Finally, the breast mound is transformed into a breast with the addition of a nipple and surrounding areola (darkened skin).

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