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What is congenital breast asymmetry surgery?

Due to unfortunate hereditary conditions, some girls have asymmetrical breast development. One may be too small while the other is too large. Unwanted sagging of one breast may also be an issue. There may be a tubular appearance and/or constriction to the breast shape, with nipple areolar deformities. Sometimes there are underlying skeletal issues as well.

Surgical correction can help teens and women improve the symmetry and shape of the breasts. Techniques include breast lift or breast reduction, and breast augmentation with implants and/or fat. Sometimes surgery needs “refreshing” within years due to recurring processes that caused the asymmetry in the first place. Surgery is individualized, and Dr. Shermak will meet with you in private to discuss all options that may benefit your appearance.

Who is a good candidate for congenital breast asymmetry surgery?

Good candidates are females of a broad spectrum of ages who desire better breast symmetry and improved breast contours. Candidates should be in good physical and mental health, with reasonable expectations for improvement rather than perfection. Scars have to be tolerated, and the scars involved will be explained and demonstrated through work on previous patients. Younger girls may not be accepting and understanding of scars. Additionally, breast development should be complete.

Is this surgery covered under insurance?

The short answer is “sometimes.” You may check with your insurance provider to see if they may cover this procedure. More often, the procedure is an out of pocket expense, and considered to be cosmetic in nature.

What is the recovery like for congenital breast asymmetry surgery?

Surgery is performed on an outpatient basis. One may experience temporary discomfort, swelling, or numbness. Most women resume light activity within a week and drive within 10 days. More vigorous activity should wait for one month. Dr. Shermak will meet with patients over time to assure optimal scarring results.

Undergoing additional cosmetic treatments

The way you look and feel directly affects your self-confidence. In addition to treating Baltimore congenital breast asymmetry patients, Dr. Shermak takes care of many Baltimore abdominoplasty, liposuction, and body lift patients. Please visit these pages to learn more.

Moving forward Schedule a Consultation

We invite you to call Dr. Shermak’s Baltimore plastic surgery office at 410-324-6592 to schedule your personal consultation today. You can also visit our online library of before and after photography to better anticipate your breast asymmetry correction outcomes.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

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