Breast Augmentation for Asymmetrical Breasts?

A left crescent lift with volume compensation using different sized implants or suction assisted lipectomy (liposuction) of the larger left breast with similar sized implants are reasonable options for correction of the breast asymmetry. I have prepared a series of 4 youtube videos (linked below) discussing the management of breast asymmetry. see video

Without the benefit of photos it is difficult to give meaningful advice.  Having different sized implants to balance out the breasts is only one way of having symmetric appearing breasts.  Breast are less frequently even than one thinks.  There are many factors:  looseness of the overlying skin/breast, location of the nipples, prior pregnancy, age,etc.  

Thank you for your excellent question.  If your breasts have slightly different shapes before surgery, they may remain slightly different after surgery.  Rarely, in spite of careful attention to detail, the dissected pockets may end up slightly different in shape or height.  If this is not noted while you are in surgery, but becomes a problem after healing, you may later need a small adjustment procedure.  However, in your particular situation different implant sizes... more

Yes, you can correct different sizes by placing implants of differing sizes. We do it all the time. It seems like you're very decided on the size. Hopefully your ABPS board certified plastic surgeon and you have discussed this in detail and he's come to that conclusion with you. Sometimes the asymmetry cases can be really tough because there's always going to se somewhat of a difference, but it can be made lesser. If the patient has that expectation you'll be alright. Sometimes it comes... more

 If there is significant asymmetry of the height of the nipple areola complexes, then a simple areola lift can be performed to raise the nipple areola complex and match the size to the opposite one.

What asymmetry you have cannot be corrected with implants alone.  The one side needs a lift.  Maybe both do and you would have the same scars.  Minor lifts can be done with areolar scars without the vertical scar or one in the crease.   

The vast majority of women have Asymmetric breasts. Asymmetry is the rule not the exception. There your situation is rather common. My preferred incision is periareolar since it allows modification of the areola, visualization of the entire pocket and is re-useable in the future. I would approach your condition by measuring the base of your breasts and see how much cover they can afford the implants. I would do a breast augmentation bilaterally using sizers to give us the best approximation... more

When there is a discrepancy in size between the two breasts, then using different size implants (a larger implant is placed under the smaller breast) can help even out the sizes. However, if there is a discrepancy in the level of the nipple-areolar complex, then you may also need a breast lift at the same time. If you post pictures, we may be able to give you more specific advice. Good luck with your procedure.

Breast asymmetry is extremely common. In fact it's probably the norm rather than exception. Generally we accept is small amount of asymmetry. When the asymmetry is significant then using different implant volume can make the breasts look more evenly matched in size. Based on your description it appears that you have both size (meaning volume) and shape (meaning location of nipple and/or breast tissue) asymmetry. Using breast implant alone may only correct the volume difference but not the... more

So it's hard to say without seeing your photos. Most women have breasts that do not perfectly match, and in many cases it's because there is more skin and sagging on one side versus the other. In cases where there is a big difference in the length of the folds beneath the breast or in the height of the nipples, a lift may be needed. Sometimes there is simply more breast tissue on one side versus the other, and if your "skin envelope" is about the same on both sides, different... more

For breasts that are different sizes, I prefer silicone gel implants over saline implants because I find the silicone implants to be more forgiving. If you try to improve size asymmetry with saline implants by putting more saline on one side, that side will be firmer and rounder than the other side. As to nipple asymmetry, it is up to the patient to decide if the additional scarring that you incur when moving a nipple is worth it. In my experience, "crescent" lifts (scar only on... more