BackgroundThe problem of breast asymmetry is an important issue that is worth studying. The breastrepresents one of the most important entities for the female. Females worry about theircosmetic look a lot and breast asymmetry. Breast asymmetry presents a problem insurgical management as regards the discrepancy in size, volumes, shapes and contour andeven the sites of differences or excess in these breasts. In addition to some associateddiscrepancies of breast bases on which the breasts are seated as thoracic cageabnormalities and unevenness, hence, the difficult differentiation of the breast problemwhich root to the origin of their etiologies that has to be understood in order to deal withthe associated pathologies that cause this abnormalities. Breast asymmetry’s only hopefor treatment is the surgical treatment. This study was done between April 2005 andMarch 2009 with the intention of choosing a specific method of correction for eachsubtype of breast asymmetry.MethodologyThe study was held in Kasr Al Ainy hospital and other private hospitals on 20 femalepatients having different types of breast asymmetry. The patients were examined andevaluated preoperatively and according to the type of breast asymmetry, a specificsurgical plan was devised. The patients were then followed up in the early postoperativeperiod for possible complications and for at least one year after surgery to check forpatient satisfaction and second look surgeries. The methods used were mastopexy,reduction and augmentation whether alone or in combination in order to correct breastresults.ConclusionCategorizing the patients and conducting a tailored plan for each patient was the key tosuccessful outcome. The study concluded that no technique is superior over the other andthat there are guidelines to be followed to achieve patient satisfaction.