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 (47)

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 34 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 41 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
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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
4.5 out of 5 stars 11 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.

One breast larger than the other

+1
Very common problem

Truth is that most women have asymmetrical breasts.  This can be size as well as shape related.  The treatment depends on several things.  If its an issue of shape than usually this is corrected with Lifts and Reductions.  If the shape is fine but its purely a size issue than you have several options.

You can put one implant in the side that is small but I do not usually recommend that.  Once a breast has an implant in, while is may look natural, it just has a different look and fullness.  You really want to enhance ideally both even if small.  Sometimes a single implant works but often you need both.

Another option that is discussed more today is Fat transfer into the breast.  Basically removing fat from the body via Lipo and injecting into the breast.  Like an implant you can do this to one or both breasts.  While this sounds AMAZING to most women, lipo and a breast augmentation!, it has its own limitations so read up.  I am not a huge fan

Finally if the breast you like is the smaller one you can always reduce the larger one to match the smaller on.

Remember it is totally normal

Hope that helps

Dr Rahban

Rady Rahban, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 36 reviews

Asymmetry in size

+1
It can occur that one breast is larger than the other. Most women have some degree of asymmetry or unevenness side to side. The use of implant sizers during surgery can effectively be used to apply implants that will make you more even.

Frank J. Ferraro, MD
Paramus Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast asymmetry

+1
Breast asymmetry correction can be accomplished by a variety of solutions depending on whether it is simply a size differential with the overall shape being relatively close or whether there is a component of shape differential as well ( one side is lower than the other as well as a different size). Yes you could just put an implant on one side but keep in mind there is a good chance you might need to change the implant in the future depending on future weight fluctuations, pregnancies, etc. Commonly you might consider implants on both sides but different size  implants to improve the volume difference. If you do have shape differences then you will want to explore lifting one or both breasts as well as adding an implant to one or both sides... Sometimes there is more than one option to consider so for breast asymmetry best to consult an experienced Plastic Surgeon..

G. Wesley Price, MD
Bethesda Plastic Surgeon
4.5 out of 5 stars 3 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.