Female breast deformities are often not only an aesthetical but also a functional problem for younger women depending on the value and type of the deformity.Any kind of deformity starts to show with the beginning of puberty. For example mal-posture can be a consequence of the evolving dissymmetry. What kind of surgical technique is implied, depends on the kind of deformity and regarding younger patients only takes place in prior consultation with the parents. Sometimes only a slight amendment of the nipples and/or breast mammary gland is necessary. In first instance we always try to use own tissue to rebuild the breast. By applying the newest plastic surgical techniques it is often possible to avoid visible scars.