Breast Augmentation for Patient with Asymmetrical Chest Wall and Nipples?

asked 2 years ago by oliviabear2009 in UK
Latest answer by Rod J. Rohrich, MD
Question viewed 1,217 times
Tags: breasts, nipples, female, asymmetry, placement

Hi. I am booked in for a Breast Augmentation, however, when I had my consultation, I was told I have one breast bigger than the other, one nipple higher than the other and also a difference in my chest wall. My left is more prominent than my right.

My surgeon told me that he wouldn't be able to give me the perfect breasts I would like and the Breast Augmentation will exaggerate my asymmetry, making it look worse and due to the difference in my chest wall, it will cause the implant to sit differently. I don't know what to do?

10 answers to Breast Augmentation for Patient with Asymmetrical Chest Wall and Nipples?

Breast augmentation and chest wall asymmetry

It is true that if your chest wall is asymmetrical and the nipples are at different heights, an augmentation potentially will magnify these issues rather than hiding them. However, a very experienced plastic surgeon can get around this somewhat and lift the lower nipple and use different size implants to accomodate the chest wall issues. Don't expect perfection but an experienced surgeon should be able to give you a nice improvement.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast Augmentation with Asymmetry of Chest Wall and Nipples

In general, every female has at least 5 types of minor asymmetries of the breast, chest wall, or nipples. That is a normal variation. These will not be resolved entirely by breast augmentation alone. Not infrequently, it may require different type of asymmetrical breast tissue release or even different size implants. These all require that you have a procedure done by a board certified plastic surgeon that has expertise in breast augmentation and has assessed your chest wall asymmetries... more

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Obtaining symmetry after Breast Augmentation

Please look at your face and body carefully. You will notice your face and body is not perfectly symmetrical. No one has perfect symmetry. If God and or 5 billion years of evolution could not achieve perfection in our bodies, it is impossible to expect such a result from your plastic surgeon. Having said that, I have operated on several patients with chest asymmetry. Did I obtain perfect symmetry? No. However, they look much better than before surgery, and are much happier. I commend your... more

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Management of breast asymmetry

There are many different options and th correction depends on the problem encountered. I have prepared a video presentation on this you may want to review. I am attaching the link below. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast Asymmetry

Most breasts have some asymmetries. And most are not identical to the other. We generally point out these issues because most patients done realize the differences they have between each breasts. And what happens afterwards is that the mirror and your breasts become very familiar with each other and you may notice some of the asymmetries. So we point these things out so that the patient is aware before the surgery. Breast implants if done correctly can greatly help improve in the... more

Farbod Esmailian, MD
Orange County Plastic Surgeon

Breast Augmentation for asymmetrical chest wall and nipples

My initial impression from your posting is, you have a very honest and careful surgeon. But if this honesty concerns you than by all means obtain additional evaluations. Yes, most of us, plastic surgeons, will attempt to "adjust" the asymmetry via differing implant sizes, or a implants, or areolar highering. My point is make sure you understand what is being done, informed consent. Regards.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breasts worse after augmentation

Hello, I think your surgeon is right in pointing out the asymmetry of your breasts before surgery, to caution you that your postoperative result may accentuate what he already pointed out to you. This is giving you an honest asessement of pre- and postoperative appearance of your breasts, Having said that an experienced surgeon can correct some of those "imperfections" with the choice of implants, implant size, alteration of nipple/areola etc. It is rare to find a woman with... more

Guido P. Gutter MD
Evansville Plastic Surgeon

Pictures and examination needed

Without examination and seeing pictures, it is hard to give any recommendations. Correction of the breast, chest wall and size aymmetry with implant is hard and some times impossible. If your plastic surgeon does not feel comfortable to do your surgery, he is an honest surgeon and he knows his and your body's limitation.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast implants should make breast asymmetry better.

Hi. Get another opinion. Breast implants should make you look better! Different sized implants can be used in each breast. Sometimes a little breast lift on one side can also imptove symmetry. The folds under the breasts can be adjusted.

George J. Beraka, MD
Manhattan Plastic Surgeon

Improving asymmetry with breast implants

There is a surprising amount of debate about the best way to deal with breast asymmetry. One camp is that the breast and chest are asymmetrical to begin with, and they won't be perfectly symmetrical after surgery, so it should just be accepted. I am in the opposite camp, in that I believe we should do what we can to improve the situation, even though perfect symmetry in not acheivable. One technique that I have found very useful in these cases is the use of expander implants (Mentor... more