Transgender patient desired to have naturally looking breast augmentation. On examination it was seen that patient has no pectoral muscle on the right sight with consequent diagnosis of Poland Syndrome. Lack of soft tissue to provide cover for the implant on the right sight made the reconstruction more complex comparing to normal breast enlargement.
Plastic Surgery was done in two stages. In a first stage tissue expander was inserted to stretch the tissue gradually. Five months down the line expanders were removed and replaced by anatomical implants. Patient now is very pleased with soft and naturally looking breasts.
