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How Will Lopsided Breasts Look Like Long-term After Correction?

asked 2 years ago by gypsyrose87 in PA
Latest answer by Raffy Karamanoukian, MD
Question viewed 873 times
Tags: asymmetry, lopsided, tuberous

During my breast augmentation consultation, my doctor suggested a breast lift on one side to help correct my lack of symmetry. My left breast is larger than my right breast by 200cc and my right breast has a tubular deformity. My doctor also suggested a small implant on my larger side and a large implant on my right side. I'm concerned about how my breasts will look in the future. Will my larger side still continue to sag more over time than my right side, even with a lift?

27 answers to How Will Lopsided Breasts Look Like Long-term After Correction?

+2

Long Term Effects of Breast Asymmetry Correction

Correcting a breast asymmetry requires asymmetric surgery! While the results are often a dramatic improvement, perfect symmetry is seldom (if ever!) achieved. Since the two breasts have grown differently to this point, and the right breast requires a different procedure from the left, the two breasts will likely change differently over time. Your breasts may require another procedure at a later date to restore symmetry if they are affected differently by aging. In any... more
Paul C. Zwiebel, MD

Denver Plastic Surgeon

www.pzwiebel.com

+1

Breast implant and breast lift symmetry

Breast asymmetry can be corrected with a breast lift and implant.  The long term outcome for symmetry is excellent and patients do well with treatment and cosmesis.
Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon
+1

Tuberous breast asymmetry

This is an insightful question.  Asymmetric breasts may be made more symmetric either with asymmetric breast augmentation or with an asymmetric reduction of tissue.  It is far more common to correct asymmetry of tuberous breasts with asymmetric implants.  While this is an imperfect process, the results are often satisfying.  The rate a breast develops ptosis depends on factors that are able to be controlled, and others that are not.  Breast size, age,... more
Jason R. Hess, MD

San Diego Plastic Surgeon
+1

Tubular breasts are challenging

You are correct in thinking that the larger breast will continue to sag over time.  This is common in tuberous breast corrections.  You should expect to need additional balacing procedures in the future.
Carmen Kavali, MD

Atlanta Plastic Surgeon
+1

Breasts should always look better after augmentation.

Breasts should always look better after augmentation -- after all that is why you wanted surgery.  When you have a significant asymmetry between the two breasts it is often necessary to perform a lift on one side and use different sized implants. Long term the breast which is larger right now will behave more like natural breast tissue -- it will be affected more by gravity than the breast with less breast tissue.  This should still be very acceptable because you are not... more
Richard H. Fryer, MD

Salt Lake City Plastic Surgeon
+1

Correction of assymetric breasts and tubular deformity

Unfortunately, plastic surgery does not guarantee permanent results. Factors, such as: pregnancy, weight loss/gain, as well as, aging, and gravity may affect the look of the breasts. Based on the information you provided, the planned procedure seems most beneficial for your case. A photo may have been more helpful in assessing your significant case. I would advice you to consult with a board certified plastic surgeon to discuss the best and safest possible options for you. They... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Long term results after breast asymmetry procedures

Breast asymmetry is very common, although a tubular breast deformity is less so. From your description, the surgical plan sounds correct. Tubular breast deformities can be difficult to treat depending on the severity of the deformity. After correction, the breasts will age differently. You may have more droopiness over time of the left breast, however, the improvement should be quite substantial. If the current asymmetry bothers you, I would not let the possibility of differential aging... more
David Bogue, MD

Boca Raton Plastic Surgeon

www.drbogue.com

+1

Correcting Breast Asymmetry

Many patients seek the help of plastic surgeons to correct asymmetrical breasts everyday. Without examining you, I cannot say for certain what the best course of action would be for you. Often patients with asymmetrical breasts undergo breast augmentation with a breast lift to even out the size and shape of the breast to achieve more proportionate breasts. As far as the rate at which your breasts sag, that is up to gravity and it impossible to predict.
Tarick K. Smaili, MD

Beverly Hills Plastic Surgeon
+1

Patients are very happy following breast asymmetry correction

You have a very common situation, many plastic surgeons such as myself see this situation on a weekly basis.  Correction of your asymmetry will have an excellent effect on your immediate and long term breast shape, and I would not recommend being afraid of surgical breast enhancement.  You will be able to see such results on many surgeon's websites such as my own- patients are so often thrilled at the new found ease of wearing clothes and bathing suits following such... more
Adam David Lowenstein, MD

Santa Barbara Plastic Surgeon
+1

Fixing asymmetric breasts

Your problem is not that uncommon. Perfect symmetry is not possible with breasts. No woman has perfectly symmetric breasts. When there is a big difference (as your 200cc difference) you canexpect a lot better symmetry after surgery. A one sided lift can make the symmetry better but will leave you with different scars on each side. There is nothing wrong with that but you should be aware of it before you choose to have surgery.  As for the long term effects, your breasts will... more
Adam Rubinstein, MD

Miami Plastic Surgeon
+1

Correcting uneven breasts

Patients today have many excellent options in breast surgery and in correcting uneven breasts. In our practice, we commonly performed this procedure and very often combine implant surgery with a variety of breast lifts. Keep in mind that only God creates perfect symmetry. Depending on the techniques that are used and the skill of your surgeon, your breast will become more even that will never be perfectly symmetric, just like every other woman. To learn more about breast augmentation,... more
B. Pat Pazmino, MD

Miami Plastic Surgeon
+1

Good advice for breast asymmetry.

It sound to me, based on your description, that your surgeon has given good advice.  Your breasts, however, can change over time.  This is effected by pregnancy, weight gain and loss, gravity, menopause, and othe variables.  This is true of the unaugmented breast as well.  But it seems as though your surgeon will get you off to a good start.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Long term results after treating breast asymmetry

Doing different procedures on two breasts is like doing breast surgery on two different people - they are never exactly the same.  However, with an experienced plastic surgeon, your breasts will probably look very similar.  There may some differences in shape, feel, scars, and size.  I would expect that you will look very good in clothes, and pretty good out of clothes.  Even if your result is not absolutely perfect, you will be much better off afterwards and much... more
Randy J. Buckspan, MD

Austin Plastic Surgeon
+1

Breast asymmetry

It is hard to predict how each breast will respond to your implants. It also is difficult to say without examining you.  Asymmetry will persist if the breast were very different to begin with.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Lopsided or tubular breast deformity after surgical correction looks better, just about always

Correction of the tubular breast deformity can be quite difficult but the surgical results are typically markedly improved with surgery. The initial goal is to equalize the over all shape and the second goal is to gain size symmetry.   Sometimes it is a bit diffucult to get the size exactly the same as the tissue is different on either breast and the skin will expand at different rates.  In general, the appearance is so much better.  I find that if you are willing to have the... more
Kimberley O'Sullivan, MD

Boston Plastic Surgeon

osullivanplasticsurgery.com

+1

Tubular breast deformity and asymmetry

Breast asymmetry is incredibly difficult to treat, and you should just keep in mind that your breasts will probably never be perfectly symmetric.  One or both breasts may sag at different rates over the next few years, and it's impossible to predict this.  The best thing to hope for is to have symmetric breasts in clothing, which have the same size and shape.  Good luck and best wishes, /nsn.
Nina S. Naidu, MD

New York Plastic Surgeon
+1

Breast asymmetry and Tubular Deformity

Hi there- It is impossible for me, or any other provider on a website such as this, to give you and answer to these questions.... Your best bet is to find a surgeon with a LOT of experience in breast surgery and follow their recommendation. How to best find a surgeon? Read this:
Armando Soto, MD

Orlando Plastic Surgeon

www.DrArmandoSoto.com

+1

Asymmetry correction of tubular breast and enlargement

I am only second guessing here, and will inject my philosophy. I think that if you have a tubular breast, it needs a lift to look good. This will make the smaller breast even smaller. Now this brings us to the larger, non-tubular breast, and what to do about it.  If it is perfect, leave it alone. The biggest challenge is symmetry.  if you put a small implant in, it may look fine, or it may cause other problems (the diameter will be smaller than the larger implant).  If the... more
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Asymmetrical breasts may require different sized implants for correction

Hello - Yes, you may need different sized implants as well as different types of lifts in order to make your breasts more symmetric. This can really only be determined once you are under anesthesia and the skin is "tailor-tacked" into position with the implants in to determine what is best for you. Tubular breasts may also requre a different sized implants to match the other breast.
Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon

www.BaltimorePlasticSurgery.com

+1

Breast symmetry long after correction

Long term breast symmetry is within reach for most after correction of uneven breasts with breast augmentation, or in breast reduction procedures. Perhaps the most reliable and stable results come from the correction of breast size through reduction surgery. The reason is that the surgeon is directly able to adjust the breast volume, and adjust and tailor the breast envelope to create symmetry which will hold up over time. Brest augmentation will also work out well if the breast shape and... more
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+1

Long-term results from breast asymmetry correction

In general, long-term correction of breast asymmetry holds up very well. As the other replies mention, there will never be a perfect match but it should be a lot better. The thing that might affect it the most over the long run would be weight gain, since the larger breast has more fat in it to begin with, simply because there is more breast there. So weight gain will affect that breast more than the smaller one which would be mostly implant.
Richard Baxter, MD

Seattle Plastic Surgeon
+1

Breast asymmetry

Without an exam it it difficult to tell. With breast asymmetry of a substantial amount I usually cannot correct this with different size implants. If there is little tissue usually the different size implants are easily seen and it doesn't look even. In this type of case I would augment the breast with the same size implants and then do a Mastopexy on the larger breast to help it match the other side.
Walter D. Gracia, MD

Arlington Plastic Surgeon
+1

Breast lift and breast implants work to correct breast asymmetry.

Hi. 1) Without having examined you, I would say your doctor's plan is often effective in correcting breast asymmetry, even in the long run. 2) The key steps are an internal breast lift, adequate correction of your right tubular breast, and putting the breast implants over the muscle.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Breast asymmetry correction

You sound as if you have significant asymmetry. The most symmetric result is achieved by doing similar procedures and using similar implants. My goal would be to get the breasts as symmetric as possible without the implants by reducing or lifting the larger side and doing a smaller lift or shaping procedure on the right. Once they are relative symmetric, then I'd use similar, if not identical,  implants to augment. 
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Lopsided breasts may need additional surgeries

Without photos very hard to tell you exactly what you need. I ALWAYS tell my patients with these issues they may need 2 or even 3 operations. So go discuss this with your surgeon. From MIAMI
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast Asymmetry

You seem to have significant asymmetry in terms of volume and shape. I belive that your surgeon's approach is correct in tryying to address both volume mismatch using differnet size implants and corrrect for shape mismatch though a breast lift. Once they are made more equal in volume, they should really sag more evenly.
Siamak Agha, MD, PhD

Orange County Plastic Surgeon
+1

Breast asymmetry and surgery

No one can predict the future appearance of breasts especially if it applies to the post partum shape and volume. You are correct in saying that the larger breasts tend to sag more. 
Otto Joseph Placik, MD

Chicago Plastic Surgeon

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