Concierge plastic surgery · London
Correction of breast asymmetry and underdevelopment, by a consultant plastic surgeon.
Hypoplasia, tuberous breast, Poland syndrome, post-radiation and post-mastectomy asymmetry — assessed with photographs and, where useful, 3D imaging, then corrected with the right operation for your anatomy.
Why patients choose us
- 01
A consultant plastic surgeon, dual-trained
A named plastic surgeon with both reconstructive and aesthetic training — not a cosmetic operator taking on reconstruction, or the other way round.
- 02
The full menu, honestly explained
Bra and prosthesis, fat grafting, asymmetric implants, reduction of the larger side, mastopexy, tissue expander or DIEP flap — each considered against your anatomy and goals.
- 03
Insurance and NHS routes checked first
Congenital deformity — Poland syndrome, tuberous breast — is often fundable through NHS or private insurance. We check before assuming self-pay.
Indicative pricing
What correction of breast asymmetry costs in London.
Indicative ranges across our partner clinics. Where the diagnosis is congenital — Poland, tuberous — we check the NHS and insurance route before quoting a self-pay figure.
In short
A combined augment-and-mastopexy in our network: £9,500–£14,000, home after one night.
| Procedure | Indicative range | Typical duration | Recovery |
|---|---|---|---|
| Consultation with plastic surgeon | £250–£450 | 45–60 min | Same visit |
| Vectra 3D imaging and simulation | £150–£350 | 20 min | Same visit |
| Lipofilling (single session) | £4,500–£8,500 | 90–180 min | Day case |
| Asymmetric implant augmentation | £6,500–£9,500 | 90–120 min | Day case / 1 night |
| Reduction of larger side (symmetrisation) | £6,500–£10,000 | 2–3 hours | 1 night |
| Combined augment + mastopexy or reduction | £9,500–£14,000 | 3–4 hours | 1 night |
| Tissue expander then implant (two stages) | £10,000–£16,000 | 2 stages | 3–6 months |
| DIEP flap (post-mastectomy) | NHS / insurance route | 6–8 hours | 4–7 nights |
Prices vary by clinic, by the surgeon, by the implant used, and by whether the plan is single-side or combined. Where the diagnosis is congenital, insurance or NHS funding is often possible and we help you pursue that first.
The problem
The right surgeon, the right operation, the right funding route.
Breast asymmetry is often booked in as a cosmetic augmentation when it is really reconstruction — a diagnostic and funding mistake that costs the patient time, money and the right operation.
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Cosmetic or reconstructive?
Poland, tuberous, marked developmental asymmetry — often reconstructive, often fundable. We check before assuming self-pay.
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One operation or two?
Sometimes the right plan is a single combined operation; sometimes it is staged lipofilling. We show you both.
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What is realistic?
3D imaging simulates the likely result before you commit — no surprises after surgery.
The journey
From consultation to aftercare — what happens, in order.
Consultation, imaging, a written surgical plan, surgery, and staged reviews — one plastic surgeon, from start to finish.
Phase 1 · Before your procedure
Assessment and planning
Phase 2 · On the day
Surgery and immediate recovery
Phase 3 · After
Aftercare and staged reviews
- 01
Before
You tell us what is going on
A short, confidential form. What you notice, how long, whether it is congenital, post-radiation or post-mastectomy, and what you want to change.
- 02
Before
Consultation with a plastic surgeon
A full assessment — history, examination, photographs, and a discussion of what is realistic and what is not.
- 03
Before
3D imaging with Vectra
Where useful, 3D surface imaging (Vectra) simulates implant sizes and lipofilling volumes so you can see the likely result before committing.
- 04
Before
A written surgical plan
One plan, or a shortlist of two, with the trade-offs written down — scarring, recovery, likely need for a second stage, and cost or insurance route.
- 05
On the day
The procedure itself
From 45 minutes for a limited lipofilling to several hours for a combined augment-and-reduction or flap reconstruction — always in a licensed theatre with a consultant anaesthetist.
- 06
On the day
Recovery on the ward
Most cases go home the same day or after one night. Flap reconstruction stays in longer for microsurgical monitoring.
- 07
After
Aftercare and review
Dressings, support bra, wound checks, and staged reviews at one week, six weeks and three months. A second stage is planned if the surgical plan included one.
Typical end-to-end: 4–8 weeks from enquiry to surgery. Full healing: 3–6 months.
When it helps
When correction is the right step.
The situations we see most, plus the red flag that means a breast clinic first — not a plastic surgeon.
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Breast hypoplasia (underdevelopment)
One or both breasts that failed to develop fully at puberty — a common, correctable cause of asymmetry.
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Tuberous / tubular breast deformity
A constricted breast base with a narrow footprint and herniated areola — often correctable with lipofilling and implant.
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Poland syndrome
Congenital absence of the pectoralis muscle and variable breast underdevelopment. Often fundable through the NHS or insurance.
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Post-radiation asymmetry
Contracture and volume loss after breast radiotherapy — usually corrected with lipofilling, sometimes flap surgery.
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Post-mastectomy asymmetry
Absent or partial breast after cancer surgery. Reconstruction options range from implant to DIEP flap.
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Developmental asymmetry (adult)
A visible size or shape difference noticed since puberty — corrected by augmenting the smaller side, reducing the larger, or both.
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Nipple-areolar asymmetry
A difference in nipple position, projection or areolar size — often addressed alongside the volume plan.
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Red flag: new adult asymmetry
A new size or shape difference in an adult breast, a lump, skin change or bloody nipple discharge is not cosmetic — it needs a breast clinic assessment first.
Treatment options
An implant is not the only option.
What each option on the table actually involves — and which fits which anatomy.
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Bra, prosthesis, adhesive nipple
The non-surgical route. A well-fitted bra, an external silicone prosthesis and, where useful, an adhesive nipple prosthesis — dignified, immediate, reversible.
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Fat grafting (lipofilling)
Fat harvested from the abdomen or thighs is refined and injected to add gentle volume and improve contour. Excellent for tuberous breast and post-radiation contour.
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Asymmetric implant augmentation
Different implant sizes or shapes used on each side to match volume. The workhorse for pure hypoplasia.
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Reduction of the larger side
Reducing the larger breast to match the smaller — the right answer when the smaller side is already an acceptable size and shape.
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Combined augment + mastopexy or reduction
Augment the smaller side, lift or reduce the larger, in a single stage. The most common plan for real-world adult asymmetry.
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Lipofilling for tuberous breast
Staged fat grafting expands the constricted lower pole, softens the base and reduces the need for a large implant.
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Tissue expander then implant
Two-stage reconstruction for larger volume deficits — an expander stretches the skin envelope, replaced later with a permanent implant.
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DIEP flap (post-mastectomy)
Autologous reconstruction using abdominal skin and fat, with microsurgical blood supply — the gold standard after mastectomy where suitable.
Our vetted London network
A small panel of plastic surgeons, we picked them.
Consultant plastic surgeons across central and west London with dual reconstructive and aesthetic training. Introductions are made privately, once we understand your case.
Selection criteria
How we choose every plastic surgeon in our network.
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Consultant plastic surgeons on the GMC Specialist Register
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Dual training in reconstructive and aesthetic breast surgery
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Full BAAPS or BAPRAS membership, RCS Cosmetic Practice Standards compliant
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Microsurgical flap capability where DIEP reconstruction is discussed
Safety and recovery
The red flags — honestly.
Breast surgery for asymmetry is safe in the right hands. These are the complications worth understanding before you consent, and the ones we watch for after.
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Haematoma
A collection of blood in the operative pocket, usually in the first 24–48 hours. Rare, but occasionally needs a return to theatre.
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Seroma
A fluid collection under the wound, more common after reduction or flap. Often settles, sometimes drained in clinic.
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Infection
Uncommon with sterile technique and prophylactic antibiotics. Higher risk with implants — treated early and aggressively.
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Capsular contracture (implants)
Scar tissue around the implant hardens or distorts the breast. Can require capsulectomy and implant exchange.
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Lipofilling — fat necrosis / oil cyst
A minority of grafted fat is reabsorbed, and a small proportion may form firm nodules or oil cysts. Often settle, occasionally need aspiration.
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Nipple sensation change
Any breast operation can alter nipple sensation — usually temporary, occasionally permanent. Discussed by side and by procedure before you consent.
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BIA-ALCL and BIA-SCC (textured implants)
A rare lymphoma (BIA-ALCL) and, more recently, squamous cell carcinoma (BIA-SCC) have been linked to textured implants. We favour smooth implants and flag late swelling for prompt review.
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Scarring — hypertrophic or keloid
All breast surgery leaves scars; most fade well. Hypertrophic or keloid scarring is more common in certain skin types and is planned for.
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Dissatisfaction and revision
Even a technically good result can feel wrong to the patient. Realistic pre-op discussion, 3D simulation and staged planning reduce — but do not remove — the chance of a revision.
Reading your operation note
Your operation note in four parts. Read the last one first.
Whichever operation was performed, the note the plastic surgeon sends you keeps to the same shape.
A quiet reminder
Surgical language is precise and can read coldly — we translate it for you.
If you would like us to talk you through the note before your review, just ask.
- 01 Header
Diagnosis and side
What the asymmetry is — hypoplasia, tuberous, Poland, post-radiation, post-mastectomy — and which side is affected.
- 02 Technique
Procedure performed and implants used
Which operation was done, incision, plane, implant details (make, size, texture) and volume of fat grafted where applicable.
- 03 Findings
Intra-operative findings
Notes on the pocket, muscle, skin envelope, any capsulectomy performed and specimen weights for a reduction.
- 04 Impression
Recovery plan and staged surgery
Read this first: dressings, bra, when to return to work and exercise, whether a second stage is planned and when.
Recognised by major UK insurers
Insurance cover for correction of breast asymmetry varies by insurer and by diagnosis — congenital deformity such as Poland syndrome or marked tuberous breast is often fundable. We confirm cover before booking.
Frequently asked
Everything we get asked about correcting breast asymmetry.
Quick answers on funding, options, recovery and what is realistic.
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Is correction of breast asymmetry funded on the NHS or by insurance?
Sometimes. Congenital deformity — Poland syndrome, marked tuberous breast, significant developmental asymmetry — can meet NHS criteria, and some private insurers will fund correction when it is coded as reconstructive rather than cosmetic. Post-mastectomy reconstruction is normally NHS-funded. We check the route before assuming self-pay.
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What is tuberous or tubular breast deformity?
A congenital variation where the breast base is constricted, the lower pole is underdeveloped and the areola can appear herniated. It is not caused by anything you did. Correction usually combines lipofilling to expand the base with a small implant or areolar reduction, sometimes staged.
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What is Poland syndrome?
A congenital condition where the pectoralis major muscle is partly or completely absent on one side, often with breast underdevelopment. Correction can involve lipofilling, implant, custom chest-wall implant or flap reconstruction — many cases are fundable through the NHS or insurance.
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Will fat grafting last?
A proportion of grafted fat — commonly 40–70 per cent — takes and stays permanently; the rest is reabsorbed in the first three months. That is why lipofilling for larger volumes is planned as two or three stages rather than one heroic session.
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Can you augment the smaller breast and lift the larger in one operation?
Yes — a combined augment plus mastopexy or reduction is one of the most common plans for real-world adult asymmetry. It takes longer and leaves more scars than a single-side operation, and is often the fastest way to a balanced result.
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How much time off work do I need?
One to two weeks for lipofilling or a single-side implant, two to three weeks for a combined augment-and-reduction, and four to six weeks for a flap reconstruction. No heavy lifting or high-impact exercise for six weeks in most cases.
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Do textured implants still get used?
Less often. Because of the rare association with BIA-ALCL and BIA-SCC, most UK plastic surgeons — ours included — prefer smooth implants unless there is a specific reason. We discuss the implant choice with you before booking.
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What is a DIEP flap and when is it used?
A DIEP flap takes skin and fat from your lower abdomen and moves it to the chest with its own blood supply, plumbed in under a microscope. It is the gold-standard autologous option after mastectomy, and sometimes offered for large post-radiation defects.
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Will my nipple sensation change?
Any breast surgery can alter nipple sensation — usually temporarily, occasionally permanently. The risk depends on the operation and is discussed by side and by procedure before you consent.
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When should I see a breast clinic first, not a plastic surgeon?
A new size or shape difference in an adult breast, a lump, skin dimpling, nipple pull-in or bloody nipple discharge is not a cosmetic problem. See a breast clinic — with ultrasound or MRI — before considering any cosmetic correction.
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Breast MRI
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All tests & procedures
Every test and procedure we arrange.
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Endometriosis
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Menopause
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Vaginal Ultrasound
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Pelvic Ultrasound
Related diagnostic test.
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In practice, in London
Why private correction of breast asymmetry underdevelopment moves differently in London
For correction of breast asymmetry underdevelopment, the private London route is mostly about consultant fit and hospital choice rather than raw waiting time. On the NHS, correction of breast asymmetry underdevelopment typically sits behind a triage step and a wait that can stretch from a few weeks into months. In London’s private sector, the same appointment often lands within days. That speed matters when symptoms are disrupting work, sleep, or a plan you’d already committed to — and it’s the single most common reason people call us in the first place.
A typical private booking for correction of breast asymmetry underdevelopment in London starts with a consultant conversation — sometimes in person on Harley Street or Marylebone, sometimes on video if that suits better. Any imaging or diagnostics happen at a nearby CQC-registered facility, and reports usually land within 24 to 72 hours. The whole loop, from first call to written report, is often done inside a fortnight. For correction of breast asymmetry underdevelopment in particular, we bias towards consultants who do this every week rather than every month.
Honesty about expectations is part of the job. A private correction of breast asymmetry underdevelopment appointment in London won’t change the underlying medicine — the guidelines, the consultants, and the equipment are largely the same as on the NHS. What it changes is speed, continuity, and the amount of time you get to actually talk through the findings. Everyone we route to is GMC-registered and works within CQC-regulated facilities.