Breast Implants: Q&A

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Breast Implant Size for Uneven Breasts?

I have one breast almost a full cup size bigger. I am getting gel breast implants, under the muscle. The surgeon suggested up to 100 cc difference in size. The lady fitting me went 50 cc even though she did not have that implant size to try out, and the one she had was the next size up and looked fine. What do you reccomend?

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uneven asymmetry

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22 Doctor Answers | Asked by jmb9494 in canada bc

Doctor Answers (22)
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Uneven breasts are very common

For fixing and evening out the size difference there is a limitation. If you place bigger implant n the smaller breast ,since there is less skin ,you will get more lift . This will cause even size but uneven shape. The other issue is the dimensions of the breast implant and implants get wider as you get bigger and this will cause more uneven shape. In general there is a compromise between the fixing the size and shape and I try to place implants that are not more than 50 c.c different more

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Breast asymmetry

Breast asymmetry is very common. Whent he breasts are significantly different, I will put in different size implants. But this is carefully evaluated in the office. I couldn't possibly suggest anything to you without the exam.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Symmetry or Asymmetry with Augmentation or Enlargement with implants.

This is not as precise as we would like it due to several factors including under or over the muscle as well as tissue and breast compliance. When managing breast asymmetry, use of preoperative sizers as well as intraoperative sizers are employed to help in the proper implant selection. External sizers such as the one your bra lady used underestimate the size due to the muscle compression factor. Furthermore Breasts are normally asymmetric. So to have a little uneveness after surgery is... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Breast implant sizing

It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired... more

Breast implant size has to be worked out in person

Asymmetrical breasts are very common and a sizing session is not always able to determine exactly what size needs to be used. The surgeon may make an estimate based on experience, but the actual choice comes during surgery when the sizers are placed and the result is examined. You have to be able to trust your surgeon, and sometimes seeing more than one person can give you a better feeling of what to expect. Good luck. Dr. Cuber

Breast Implant size decision should be made in person

It is impossible for anyone who has not seen you to give you any specific information about size of implants or the type of procedure that you will need. Generally, it is important to evaluate size and shape. The implant size can be determined most closely by using sizers in the operating room. The preoperative sessions give you an idea but the final size is selected in the operating room. It is also important to understand that there will be shape differences too. Sometimes, nothing needs... more

Corecting breast assymetry

There is more to correcting breast asymmetry than the size of the implants. Things to consider and discus are: Dimensions of breasts. The nipple positions. The quality and quantity of soft tissues. The implant size can be finalized during surgery by using a sizer.

Breast Asymmetry

What I generally do on breast asymmetry cases like your self is have the patient use the rice test (description posted on my journal) and try to even out the breast as best as possible. At that point I find out what the difference was. This is just an estimate and in the operating room I use sizers to help determine the difference between the 2 breasts and choose the right implant sizes. Hope that helps.

Best approach for choosing implant size for uneven breasts

Dear Jmb9494, All of us have our own preferred ways to pick implants. Based on your question, I would ask to see the surgeon and get his opinion on which implant he would prefer. That behind you, I would ALSO ask that he use sizers (temporary breast implants) DURING the surgery to a get a more accurate idea of what the implants look like IN YOU. The implants chosen based on sizer placement will NOT be perfect since it is very hard to get perfect breast symmetry, BUT the breasts will be much... more

Sizing is critical

I suggest that you have a one on one with the plasatic surgeon himself and discuss the discrepency. There are many ways to do things, my preference is to do the sizing myself, as I am accountable.

Choosing the right breast implants

It sound as though you have the size that you need if 50cc looks good. However, 50cc is a very small difference in size and I would leave the final choice up to your surgeon. The reason for this is that he/she will be in the operating room and can place "sizers" to determine what looks good on you. Just go into the procedure with a small range of implants that you would like. Good luck!

On the money

jmb, It sounds like your surgeon and his/her "lady" sizer are pretty close to each other. One cup size difference will generally be between 50 and 100cc, depending on your chest circumference and your present breast size. So, the 50cc difference that you are fretting about is really nothing to fret about. I personally use breast sizers during surgery to correct volume asymmetries and your surgeon may do the same. Good luck!

How to fix breast asymmetry?

As others have mentioned, in some patients simply changing the size of the implants on both sides is the answer. In others, there is more of a difference, requiring that something else be done to the skin. In those patients, a breast augmentation along with a breast lift is the answer. A different amount of lift on one side compared to the other is often needed. Seek out a well-qualified plastic surgeon and trust their opinion. The difference between the 50 cc and the 100cc you mentioned... more

Uneven breast correction

I think the key in these situations is for you and your surgeon to have a good discussion about what the goals of the procedure are, and in cases of asymmetry, the goal is improved symmetry, not to create two identical breasts, since this is virtually impossible. With that in mind, obtaining a more balanced look is certainly reasonable, and it involves different sized implants, and perhaps some component of a lift on one or both sides. It really depends on your starting point and what your... more

Breast augmentation in asymmetric breasts

I will assume you are seeing a board certified plastic surgeon. In your consultation your surgeon assessed your asymmetry by physical examination and likely took measurements of your breast and chest as well as photos. Based on this information as well as her/his experience made a recommendation regarding the size, shape and style of the implants. All of this information is likely to be more reliable than the use of the external devices by the lady "fitting" you. Another... more

Asymmetry Correction

If I understand you correctly you want to know how to best determine what size implants are needed with breast asymmetry. I have found that once you get down to a general idea of the size differences it may be best to have sizers available at the time of surgery as well as different size implants. This way you can get very close to symmetry at the time of surgery. You should also be aware that any patient who has asymmetry preoperatively will have asymmetry postoperatively.

Breast asymmetry

Everyone woman has some amount of asymmetry - in nature, nothing is perfectly symmetric. However, with surgery we can usually make improvements. Estimating breast implant size before surgery is just that, an estimation. However, in the operating room, we have sizers and many different size implants to try and achieve the best look and symmetry for you while you are on the table. That is why it is important for you to have good communication with your surgeon so that you both understand... more

Breast Implants May Help Correct Asymmetry

Almost every woman has some size difference in their breasts, but you indicate that your case will need some correction. Implants of different sizes can help correct size differences, but remember that you also have a difference In the amount of skin on each side. So simply adjusting the implant size may not result in 100% perfect symmetry. Some more extreme cases of asymmnetry and its correction at:: http://www.drlomonaco.com/lift.htm

Breast asymmetry will still remain after implants

Trust your surgeon in the judgment of size differential. You should know that no matter what implants are placed and how much your surgeon tries to correct the difference, there will always remain some difference. Think of your smaller breast as a size 7 shoe and your larger breast as a size 8 shoe. No matter how much you stuff into the size 7 shoe, there will still be the differences in appearance with the size 8 shoe. Your skin envelope is very different and adding more volume does not... more

Breast implants for asymmetry

Hi, you should be in good hands if your surgeon is a board-certified plastic surgeon and has experience with implant surgery. I would trust his or her opinion. At surgery for cases of asymmetry, we often use sizers, which are temporary implants, to determine the best size prior to placing the final implant. If you have concerns about the recommendation the fitter made,speak to your doctor directly. It's best to be comfortable with the decisions made prior to surgery. Good luck! /nsn more

Breast augmentation in patients with asymmetry

In all likelihood, if you are seeing an experienced, board certified plastic surgeon, he is making recommendations based on differences in the width and height of your breasts, differences in the width, height and projection of the implants, and visualization and feel of the relative amount of breast tissue you have on each side. The lady sizing you almost certainly isn't taking all of those factors into account. If you truly have a full cup size difference between breasts, a one hundred cc... more

Asymmetrical breast augmentation

Your plastic surgeon certainly has examined you and knows your anatomy and has a good idea what changes to expect when an implant is placed beneath the muscle and how much difference 100cc will make in your particular circumstance. Unless the lady fitting you has performed surgery, trust your surgeon or get a second opinion!