Breast Implants: Q&A

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Breast Lift on One Breast then Silicone Implant for the Other?

I had another consultation with another surgeon today they said they can fix my uneven breasts by doing a breast lift on my larger breast, and placing a silicon breast implant on the smaller of the two. Then they would make the nipples the same size. I'm just concerned that the might look different because one has an implant and the other does not. I asked this but my doctor said they should look similar. From seeing the result of this, what do other doctorss think about the look of the breasts from this procedure?

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breasts uneven female

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16 Doctor Answers | Asked by hellokittys333 in pittsburgh

Doctor Answers (16)
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Breast lift and breast implant works to correct breast asymmetry.

Hi. In New York City, we commonly correct breast asymmetry with a breast lift on one side and a breast implant on the other. You breasts will not look or feel exactly the same, but most patients are ecstatic, because there is such dramatic improvement and now you feel normal.

Breast asymmetry surgery must address size and shape

If your breasts are significantly different before surgery, they will remain somewhat different after surgery. This is normal. Do not expect perfect symmetry. The decision to have implants on one side or both is simple. Do you want your larger side to be even larger? If you do, then you should have implants on both sides with the smaller side having a bigger implant obviously. If you don't want your larger side to be even larger, then do not put an implant on this side. Either way, the... more

Breast Augmentation, breast lifting, breast asymmetry

Dear Hellokitty! Correction of breast asymmetry with different prcedures on each breast does introduce variables that are more difficult to control. This however is a good approach and you should be very satisfied with the results. The key is that you may need an adjustment with another surgery at some point in the future to achieve the best results. With Warm Regards, Trevor M Born MD

Breast asymmetry

Yes, when putting an implant in one breast and not in the other, the breasts will definitely feel a bit differently and then may even look differently.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Asymmetry

You have a difficult problem and there are many ways to address it. Sometimes it does require placing an implant on one side and not the other. This is not ideal but at times it is the best and only way to go about getting the breast looking similar. The key word I use here is similar. They will by no means be identical, but rather close. Other methods include reducing the larger side and placing the same size implant on both sides. But this depends on how big the difference is... more

Asymmetry is usual

Truth be told, no one has perfectly symmetrical breasts. You have a common situation, but it is a bit tricky technically. I would predict that you can get a significant improvement, and the breasts should look similiar, but they will not be perfect. What you need to get clear on is how much asymmetry you will accept and be happy with. A thorough discussion with your surgeon is in order so that you can get a realistic expectation of your final result. sek

Hello, Hello...

It sounds like you are afraid of your very asymmetric breasts remaining asymmetric after corrective surgery. As you may have already heard from one of your surgeons or read here on realself.com, breast asymmetries are very common. Their correction can sometimes involve complex interventions, including the use of lifts, implants, or both. It would not be unusual to recommend an implant for one breast and a lift for the other. To expect perfect symmetry after any breast surgery is an... more

Can I get a breast lift on one side and an implant on another?

As you can see from many of the answers, there is no real concensus on how to approach asymmetric breasts. It might be possible for you to have a lift on one side and a silicone implant on the other, but they will still look somewhat asymmetric. The goal of the surgery is to make them look more symmetric, but it is nearly impossible to get them symmetric... just closer. Without looking at pictures, it is hard to say exactly what you should do. Trust your surgeon and if you need a second opinion more

Breast Asymmetry: techniques to correct uneven breasts when undergoing augmentation with implants

Please keep in mind that what you do today to make yourself less uneven will not last long. Depending on the degree of asymmetry present and the amount of breast tissue on the larger side as well as interval changes such as weight gain/loss, pregnancy, menopause, etc, your breasts WILL CHANGE with time. Even if you achieve perfect symmetry (impossible) in the short term, it is not permanent. Changes will occur over time. It is very important to have realistic expectations. I have a four... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Corrrection of uneven breasts may involve compromise

We answered a very similar question about uneven breasts this month which you may find on my profile with RealSelf. Significant asymmetry of the breast will always require a compromise of some degree. Any of the techniques we have available to shape the breast may come into play, such as augmentation, breast lift, or breast reduction, depending on the unique differences in your breast. Augmentation of the smaller breast with a lift of the larger breast may be an acceptable solution to... more

Treating breast asymmetry

Breast asymmetry is very common. I often tell my patients that breasts can be more like "cousins" than "sisters". It sounds as if you have signifcant differences between your two breasts in terms of size and shape. This is a challenging problem that can be corrected and often requires two different operations on each breast. You can have a breast reduction on your larger breast so that it is smaller and matches your other breast. If you want the size of your breasts to... more

Fixing breast asymmetry

There are three ways to make breasts more symmetric. 1. Make the left breast look like the right breast 2. Make the right breast look like the left breast 3. Change both breasts to look different form the way ech looks but similar to one another. The techniques are: 1. Breast reduction 2. Breast lift, including chnages in nippple position 3. Breast augmentation Your plastic surgeon should go over each of these options with you and show you pictures of examples and make suggestions regarding... more

Surgery for asymmetric breasts

There is no magical formula for asymmetric breasts. Breasts are asymmetric for many rwasonand in many different ways. Your surgeon has to lookat you breasts critically and analytically to see where the differences lie. Most paired breasts are slightly asymmetric. Usually the asymmetry is not a simple matter of volume, but also dimension, position, nipple position, chest wall anatomy, etc. etc. First you will need to accept some post-op asymmetry. You will need to determine what symmtries... more

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Breast asymmetry surgery

Hi, it's very challenging to make breasts completely symmetric when they start out very different. Ideally, you will obtain good symmetry of size with your breasts in a bra when you are done with your procedure. Without seeing pictures, it's hard to give specifics, but I would recommend asking your surgeon for photos of other women with the same problem so that you can get an idea of how similar or different your breasts may look. Good luck, /nsn.

Different surgery for different breasts

Hello, Before having surgery, you need to frame this properly. Right now you have two really different looking breasts, so of course different things will likely need to be done to make them more similar. This surgery is harder than cases in which the breasts look pretty much the same before surgery. As you are also finding, opinions differ regarding how this should best be done.

Asymmetrical breasts and different procedures on each side

If you expect your breasts to be perfectly symmetrical and to have exactly the same size and shape then don't go through with the procedure. If your goal is to get as close as possible in symmetry, size and shape then this is more realistic. Since a lift causes certain changes in the breast size and shape, these changes are different than those you will see with an augmentation. The breasts will not feel exactly the same either. Having said this, most patients are quite happy with the... more