Dr. Paulo MichelsPlastic Surgeon

Conditions

Start from your concern.

Each guide explains what causes the problem, what can and cannot help, and which operation corrects it — written and medically reviewed by Dr. Paulo Michels. For the full picture of breast surgery, see the breast surgery overview.

Breast

Breast AsymmetryBreast asymmetry means the two breasts differ in size, shape, height or nipple position.→Small Breasts (Micromastia)Small breasts, called micromastia or breast hypoplasia when underdeveloped, are a normal variation rather than a disease.→Heavy, Large Breasts (Macromastia)Macromastia means breasts that are large and heavy in proportion to the body, often causing neck, back and shoulder pain, bra-strap grooves, rashes beneath the breast and difficulty exercising.→Sagging Breasts (Breast Ptosis)Sagging breasts, or breast ptosis, is when the breast tissue and nipple descend towards or below the crease under the breast as skin and internal support stretch with time, gravity, pregnancy and weight change.→Deflated Breasts After Pregnancy & BreastfeedingAfter pregnancy and breastfeeding, the milk glands shrink back while the stretched skin does not, so many women find their breasts emptier at the top, softer and lower.→"Ozempic Breasts" — Breast Changes After GLP-1 Weight Loss"Ozempic breasts" is an informal term, not a diagnosis, for breasts that lose volume and sag after significant weight loss with GLP-1 medicines such as semaglutide (Ozempic, Wegovy) or tirzepatide (Mounjaro).→Capsular ContractureCapsular contracture is when the natural scar-tissue capsule around a breast implant tightens and squeezes it, making the breast feel firm or hard, sit higher, look rounder and sometimes hurt.→Breast Implant RipplingBreast implant rippling is visible or palpable folding of the implant beneath the skin, usually at the sides or lower breast and most noticeable when leaning forward.→Breast Implant RuptureBreast implant rupture is a tear or hole in the implant shell.→Bottoming Out & Implant MalpositionImplant malposition means a breast implant has settled in the wrong place: too low below the breast fold (bottoming out), drifted towards the armpit (lateral displacement), sitting too high, or showing a second crease (double bubble).→Symmastia ("Uniboob")Symmastia, often called uniboob, is when the two breast implant pockets have joined across the breastbone, so the implants touch in the middle and the skin of the cleavage lifts off the chest.→Breast Implant Size RegretBreast implant size regret is dissatisfaction with implant volume after augmentation — most often implants that feel too small in the first months, or too large years later.→Large or Stretched AreolasLarge or stretched areolas are common and usually harmless: pregnancy, breastfeeding, weight change, heavy breasts and sagging all widen the pigmented skin around the nipple.→Wide Gap Between the BreastsThe width of the gap between your breasts is largely set by anatomy: where your breast tissue and chest muscle attach on the breastbone, and the shape of your ribcage.→Inverted NipplesAn inverted nipple points inwards instead of outwards, usually because short milk ducts and fibrous bands tether it.→Tuberous (Constricted) BreastsTuberous, or constricted, breasts are a developmental shape in which the breast base is narrow, the fold beneath the breast sits high and tight, the lower breast is short and the areola often looks puffy or wide.→

Consultation

Begin with an honest conversation

Every plan starts with a private consultation at Elyzee Hospital — open expectations, honest guidance, and a result tailored to your anatomy.