One Breast Larger Than the Other

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?

Doctor Answers (50)

Correction of significant breast asymmetry usually requires modification of larger breast

+4

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.


Boston Plastic Surgeon
5.0 out of 5 stars 36 reviews

Breast Asymmetry

+3

Ginger,

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!

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 20 reviews

Correcting Breast Asymmetry

+2

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.

 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 42 reviews

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Breast asymmetry or uneveness in size

+2

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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Breast Asymmetry

+1
It is not uncommon at all to have breasts which are different sizes.  There are many ways to minimize the difference and a good consultation and exam are mandatory.  Differences can be due to differences in the breast size and also other issues such as more prominent ribs on on side.  Treatments can include differing implant sizes, possible lifts if one is sagging relative to the other, adding fat grafts.  Do remember that if one is using different size implants, the dimensions and projections of the implants may be different.  In general it is not possible to make breasts perfectly equal but with a thoughtful analysis one can get good results.

George Volpe, MD
Boston Plastic Surgeon
5.0 out of 5 stars 4 reviews

Breast implant in one breast

+1
It is possible to have one implant in the smaller breast to make it even with the larger, and leave your larger one alone. Seek the advice of a board certified plastic surgeon who will examine you in person to see what would be the best treatment for you.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.5 out of 5 stars 47 reviews

Breast Asymmetry

+1
Hi. It is difficult to comment on a solution without seeing good quality images. An implant will correct the difference in volume only but not shape. This means you will fill your bra evenly on both sides.
A better solution may be to reduce the size of the larger breast as this is likely to be a far more stable solution over time without any problems associated with implant sin the long term
You should see a board certified PS and discuss

Best wishes

Gerard Lambe, MD
Manchester Plastic Surgeon
5.0 out of 5 stars 3 reviews

Breast implants to correct asymmetry

+1
It is very common amongst women to have breasts that are a different shape or size - they are more like sisters, not twins. There are certain techniques that can be performed, such as lifting, reducing and inserting different size implants that can help create as much symmetry as possible.  We take extensive beast measurements so we can document the differences and allow for incisions to be as precise as possible.  Most surgeons do not promise 100% symmetry since medicine is a science and not exact, but a qualified surgeon should have the skill that will allow for the best symmetry and results possible.  

Alan N. Larsen, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 26 reviews

Implant or Lift/Reduction

+1
Fixing the asymmetry in the breast can be achieved with either a lift/reduction operation or a breast augmentation.  It depends on the shape of the breast, the difference in size, and the goals of the patient.  It is much more common to place two different sized implants than to place only one implant.

Gary Lawton, MD
San Antonio Plastic Surgeon
5.0 out of 5 stars 14 reviews

Two Different Breasts

+1
It is very common that women have uneven breasts. There are several ways to address this and improve the symmetry between your two breasts. Without a picture it is difficult to know what would be best in your situation.

I typically do not recommend putting only one implant in as a breast that has an implant will never look like a breast that does not. If symmetry is the goal I would put an implant in both breasts, just of different sizes. Some patients don’t want implant and instead choose to have a reduction and lift to create symmetry.

All of these are options that you can discuss with you plastic surgeon.

Johnny Franco, MD
Miami Plastic Surgeon
5.0 out of 5 stars 15 reviews

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.