Significant breast asymmetry is corrected with a made-to-measure composite plan — combining augmentation, reduction or lift, implants of different sizes and fat transfer — treating both breasts as a pair. Dr Thomas Colson also treats the breast component of Poland syndrome.
Most women have a small natural asymmetry; when the difference is significant — in volume, shape or position, or developmental as in Poland syndrome — it is corrected with a made-to-measure composite plan.
Depending on the case, Dr Colson may augment one side and lift or reduce the other, use implants of different sizes, and add fat transfer to fine-tune each breast independently — treating the two as a pair rather than in isolation.
Dr Colson treats the breast component of Poland syndrome with the same composite, made-to-measure approach, rebuilding volume and symmetry with implant and fat.
Where asymmetry is developmental or congenital, correction may carry a reconstructive indication; a pre-authorisation request can be assessed individually with Daman or Thiqa within the SEHA network.
In line with UAE Department of Health guidelines on modesty and medical advertising, breast surgical results are not published online. Outcomes relevant to your own anatomy are reviewed privately during your consultation, alongside a Crisalix 3D simulation of your planned result.
Correcting asymmetry means operating on two breasts that start from different points, and often with different techniques on each side. The specific risk of this surgery is not a complication but an expectation: symmetry is improved, not made perfect. Dr Colson reviews the following before consent.
| Risk | What it means | How it is managed |
|---|---|---|
| Residual asymmetry | No two breasts are identical, in nature or after surgery. The aim is asymmetry that is no longer noticeable in clothing, not measured equality. | Each side planned separately with a Crisalix 3D simulation; the realistic target is agreed before surgery. |
| The two sides may age differently | This is particularly true when one breast has an implant and the other does not, or when one side has been lifted and the other reduced. | Technique chosen with long-term behaviour in mind, not only the early result. |
| A second, smaller procedure is more likely than usual | Touch-up fat grafting or a minor revision is more often needed than after a symmetrical operation. | Discussed at the outset as a possible part of the plan rather than as a failure. |
| All implant-related risks apply where an implant is used | Capsular contracture, implant rupture, malposition, the likelihood of further surgery, and rarely BIA-ALCL. | Set out in full on the breast augmentation page. |
| Scarring and sensation | Where a lift or reduction is performed on one side, that side carries the scars and the sensory risk of that operation. | The pattern used on each side is agreed before surgery. |
| Partial fat resorption | Where fat is used to balance volume, part of it is reabsorbed over the first months. | Volumes planned accordingly; final result assessed at around six months. |
Marked developmental asymmetry and Poland syndrome are congenital conditions rather than aesthetic concerns, and within the SEHA network they may be eligible for insurance pre-authorisation. Eligibility is assessed case by case on clinical grounds. The surgical risks described above are the same whether or not the procedure is covered.
Under UAE Department of Health rules on health media and advertising, patient information must be balanced. None of the above is a reason to avoid surgery — it is the material on which an informed decision is made, and each point is discussed again, applied to your own anatomy, before you consent.
Consultations and surgery with Dr Thomas Colson are performed exclusively at Sheikh Khalifa Medical City (SKMC) in Abu Dhabi, within the SEHA network. A pre-operative Crisalix 3D simulation lets patients preview the planned breast shape before deciding.