I hate having one breast larger than the other. Is there a breast surgery that can fix a full cup size difference? Do some women get only 1 breast implant to increase breast volume on one side?
One Breast Larger Than the Other
Doctor Answers 58
Correcting Breast Asymmetry
Many patients considering breast augmentation are seeking to not only enhance the volume of their breasts, but to also enhance the shape and/or improve the symmetry of their breasts. Essentially all breast shape and symmetry issues can be improved during breast augmentation, and with most of them it is possible to make significant improvements and produce an aesthetically desirable breast profile. Accurate preoperative evaluation, appropriate surgical planning and attention to detail during the surgery are all crucial elements in achieving this goal.
Breast asymmetry is extremely common, and in fact essentially all breasts have some identifiable and measurable asymmetry. So the goal of surgery is not really perfect symmetry, as that does not exist in nature, but rather to produce the closest approximation of symmetry that is possible. In some cases it is possible to improve size asymmetry by using implants of different volumes and/or profiles. To do so one must patiently evaluate a wide variety of implant sizers intra-operatively with the patient in the upright sitting position. In some cases the breasts appear to be similar in volume, but asymmetries in the projection of the chest wall may mandate the use of different size implants in order to produce the closest approximation of symmetry.
For some patients it is actually quite important to reduce the volume of the larger breast (hence the somewhat confusing term 'reduction augmentation'), which in turn allows the surgeon to use implants of the same or similar size. If there is a significant difference in breast volume, and one attempts to address that difference solely by using implants of different size, then the result may be acceptable early on but as time passes the breasts will age very differently. The smaller breast with the larger implant will tend to remain youthful and perky-appearing, while the larger breast with the smaller implant will gradually become droopy-appearing and may eventually assume the appearance of a breast hanging off of a small implant. Not a pretty picture.
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Correction of significant breast asymmetry usually requires modification of larger breast
Simply placing an implant in the smaller breast will not compensate for the asymetry. This is because the larger breast has more skin and usually rests lower on the chest.
Soft tissue expansion of the smaller breast can occaisionally compensate by stretchning the skin of the samller breast to create some sagging of the breast to match the larger side.
However more commonly, the larger breast is reduced or lifted to create a symetrical position and the smaller breast is enlarged with an implant. Both breasts may be enlarged at this operation if desired.
Thanks for the question. In short, breast asymmetry is common feature among most women. These asymmetries can be congenital or a consequence of changes that occur to the body throughout life (as a consequence of breast feeding, for example). There are various solutions to the problem of asymmetry.
Certainly, a breast reduction can be performed on the larger breast to try and achieve symmetry, while another likely scenario is to augment the smaller breast. These decision pathways are generated and are largely depent on the "starting product" or condition of your breasts.
I would recommend following up with your local Board Certified Plastic Surgeon and getting a thorough assessment so that the right management plan can be designed for your particular case.
Best of luck!
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Breast asymmetry or uneveness in size
There are many different dimensions to measure when considering treating uneven (asymmetric breasts). If everything else is even, the easiest solutions may be lipsuciton on the larger side. I have included video clips with liposuction used during breast enlargement. More often than not, there are other issues that need ot be treated such as uneven or unequal heights of the nipples, areolae, creases, or skin quantity. This may require more surgery and more icncisions/scars.
But you have alot of options depending on the degree of volume difference and the amount to ptosis ("sagging") of the opposite breast. Some patients only need implants of different sizes, while others need a lift and others need a reduction depending on what their goals are. Talk to a plastic surgeon that you trust and let him/her walk you through your options.
Breast implants can help improve asymmetry
Apples to apples NOT apples to bananas
Re: Uneven sized breasts.
It is common for some degree of breast asymmetry to be present.
In cases when it is significant, and a patient is considering a breast augmentation- using two different sized implants may help.
If a component of the asymmetry is size, as well as, shape- then it may be a more complex dynamic.
You would be best served to have a meeting with a board certified plastic surgeon to better define what is necessary.
Thank you, and best wishes,
S.P. Maggi, MD, FACS
Austin Plastic Surgery Center
Correcting Breast Asymmetry, Connecticut
Asymmetric size of breasts
It is definitely worth discussing your concerns in a formal consultation and I recommend finding a plastic surgeon to do so with.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.