Breast Augmentation: Q&A
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About my Breast Asymmetry. Also, What About Different Profiles in Each Breast? (photo)
I know all of you always say that it is hard to give advice without seeing me in a consultation, but just by looking at my pics I am hoping to get once last bit of suggestion.While I know they will never be perfectly even, I know they can get close. Q: I would need a LOLLIPOP lift on the large side before implants, not just a DONUT lift, correct? Doing just a donut lift to the larger side, my smaller breasts nipple (even with a much larger implant) would still be much higher wouldn't it?
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18 Doctor Answers |
Asked by
C90Idaho
in Boise, Idaho
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Breast asymmetry correction procedures - sometimes the simplest solution is the best
You have differences in breast volume, shape and nipple position. This is a challenging situation to make 'perfect'. I would start with augmentation of your left breast, perhaps with an adjustable Spectrum implant and see how much volume symmetry can be achieved. When that issue is satisfactory to you, I would then approach your nipple asymmetry correction. A vertical mastopexy on right side would be my first choice as a second stage procedure.
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Breast Asymmetry
Yes, I would likely suggest the lollipop or traditional mastopexy lift with different size implants. A great way to decide on implant sizes, especially with asymmetric breasts with the VECTRA XT 3D imaging to analyze your breasts and also visualize potential post op results with various size implants.
Good Luck.
see video
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Correction of breast asymmetry with a breast lift or by using breast implants with different profiles may not be enough.
The key as you know is to work with a board certified plastic surgeon with a lot of experience with correcting breast asymmetry. Your situation is complicated because not only do you have breasts with significant breast skin and volume asymmetry but your left nipple is very high. My This will need to be addressed so that you do not end up having the left breast looking bottomed out. You and your surgeon should discuss all your option whichay include changes in the nipple areola poistion of...
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Breast Asymmetry
Although all women have some breast asymmetry, you clearly fall in the category that warrants intervention. In my opinion, you would benefit from a vertical lift on the right along with the use of different implants. Using a higher profile implant on your left may not be a bad idea. Also keep in mind that fat transfer to your left breast and /or liposuction of your right breast may be useful tools. A donut lift has minimal utility and would not be helpful here...
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Correcting Breast Asymmetry with Regard to Shape to Volume
The volume needs to be balanced with a larger implant in the smaller breast. I would do this through the IMF and take out skin at the same time to bring the nipple areola complex down. For the larger breast a lift (either circumvertical or full) would be needed to make the skin envelope tight enough, medialize the breast, and reshape the breast to match the other side.
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Breast Asymmetry.
Two problems with a donut lift.
too much distance to travel, and the closure would therefore be on too much tension and likely cause unfavorable scarring.
your surgeon will not be able to equalize the amount of skin with just a donut incision mastopexy.
It may be useful to use different profiles on the two breasts. The left side will need more projection and more volume. Better symmetry will occur if both implants have simillar width, and that is only going to be...
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Correcting breast asymmetry with breast augmentation, breast lift, or both
Thanks for your question!
I am glad you understand the importance of a thorough physical exam from a board certified plastic surgeon, but having said that, based only on your photos, it looks like you would need two things to correct the asymmetry.
The right breast nipple areola complex or NAC is lower then the left. This would have to be elevated to match the left because this is far easier to accomplish then lowering the left side to match the right. ...
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Pasadena Plastic Surgeon
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Asymmetry
I will go against the consensus. I think your right breast is actually beautiful and has a very nice and natural shape. We are surgeons and not god. I dont think adding more scars on your right side will do anything to improve it. Maybe a small amount of lipo just to reduce the volume, which has significantly less scarring. The left side can be addressed with either a tissue expander for a two stage procedure or with a one stage implant enlargement. Your two breasts will...
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Breast Asymmetry #breastimplants
We all try to compensate breast asymmetry but the fact of the matter is most women are not symmetric to begin with. If there are big differences then I will use different volumes in implants to compensate. If a patient needs a lift I can often even things out by taking some tissue on the bigger side. When it comes to sizing a breast for implants it is pretty simple and straight forward. In my opinion these situations that we find ourselves in with patients can be simplified. Sizing is...
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Lift on Right, Implants Bilaterally
Thank you for your question and photos. You will need a lollipop or anchor lift on the right and implants on both sides. Specifics regarding implant selection will require an in person consultation and measurements. Best wishes!
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About my Breast Asymmetry. Also, What About Different Profiles in Each Breast?
Note that over 14 experts responded to your issues. Easch of us would approach your specific situation differently. In my personal opinion based only on the posted photos I would offer staged reconstruction. Stage I liposuction with fat grafts to the left breast + l-shaped lift slight reduction to the right. Than after 3 to 6 months Stage II either UHP silicone implants, more fat grafting, or both for symmetry. Fee range from $10,000 up.
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Improving breast asymmetry
Thank you for your question. Improving significant breast asymmetry requires a great deal of planning to achieve the best possible outcome. In our practice, we use 3D simulators to measure the volume difference between the breasts which has greatly increased the accuracy compared to using breast implant sizers.
With regard to the asymmetry in nipple position, when one nipple is too high (your left), it may be best to accept some degree of asymmetry rather than place both nipples too high...
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Breast Asymmetry
Without seeing your shoulders in the photos it is hard to tell if the minor difference in nipple position is postural or anatomic. You don't state your goals so also hard to give advice. BUT..just based on photos your larger breast is well proportioned and shaped and I would suggest no surgery on that side. A Mentor smooth adjustable Spectrum saline subpectoral implant in the small side can then have the volume adjusted to give very close volume symmetry. I see this problem...
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I really depends on how big you want to go with the implants
You've already diagnosed the problem with making recommendations without an examination - - - it is has to give the "best" answer.
It may be possible to avoid a lifting procedure on the left side if you don't have much excess skin on that side and are using implants that are on the full side.
If you are going with smaller implants and the skin is looser on the right, a mastopexy may help: either a doughnut mastopexy or lollipop depending upon your...
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Correction of breast asymmetry
Thanks for your questions and photos. When discussing reconstructive procedures to improve the symmetry between the breasts it is important to determine the realistic goals for each procedure and for the reconstructive process itself. In regards to your breasts, volume symmetry, NAC symmetry, and projection/breast width all need to be considered, and whether it is wise to try and do all of these at once. I would recommend discussing with your board certified plastic...
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Correction for significant breast asymmetry?
Hello and thank you for your question.
You have a complicated problem, and with complicated problems, there are a lot of different answers. I would say the answer to this problem would depend on what your goals are. If you would like to have an augmentation that is greater than the size of your larger breast, and want to avoid scarring as much as possible, then expanding the smaller breast to match the larger breast as a first operation, with weekly filling of the tissue...
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Nipple position will be the hardest to correct perfectly in one stage
Hello,
Thank you for the question and the excellent photos. I think breast size and shape will be relatively easy to improve if not essentially correct. The nipple/areola position difference may require a little more work to get just right. There are several options available. Honestly, if done properly much of the difference in height can be reduced by doing bilateral purse-string areolaplasty (donut lift). When this is done properly a large area of the...
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Breast asymmetry
Your left nipple looks very high and I think too high. Just based on the photos, I would not raise the right to match that. I probably would try to match the volume.
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