We present a case of striae distensae associated with tissue expander inserted in a 17 year old patient with developmental breast asymmetry. Case History A 17 year old female with asymmetrical breast development was referred for surgical correction. Both breasts were symmetrical in the early stages of development however from the age of 15 the discrepancy had become increasingly obvious. She had no past medical or family history of note and was a non-smoker with a BMI (Body Mass Index) of 24. For the previous two years she had been wearing a size 34 C bra which was too large for her right breast but excessively tight on the left.On examination, her left breast was significantly larger with a sterno-areolar distance of 23 cm versus 19 cm on the right (Figure 1). After discussion with the patient two options were suggested, firstly a right tissue expander with a subsequent unilateral implant or a second stage bilateral breast augmentation. A joint decision was reached, that the latter option was preferable as it was felt that this would afford closer symmetry.
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