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Different Breast Implant Sizes for Slightly Asymmetrical Breasts?

asked 2 years ago by AnnaT in UK
Latest answer by Otto Joseph Placik, MD
Question viewed 1,648 times
Tags: breasts, female, asymmetry, breast size

One of my breasts is A cup and the other is AA. When I breastfed, my A cup breast was a lot bigger than my AA cup breast (the larger one was probably a DD and the smaller was medium C). I am considering getting breast implants and although you can't tell the difference much (because they are now both so small), I am worried that the difference will be much more noticeable after augmentation, just like when I was breastfeeding. If one size only makes a slight difference, then shouldn't I get a slightly larger size in my AA breast?

14 answers to Different Breast Implant Sizes for Slightly Asymmetrical Breasts?

Correction of Breast Asymmetry.

Hi! Breast asymmetry is of special interest to me, and I have written about it. Three points: 1) The reason your breasts became more different when you were breast feeding is that your smaller breast responds less to hormones. That's why it is smaller in the first place! That certainly will not happen with breast implants. 2) You sound like an ideal candidate for correction of breast asymmetry with implants. It is important to understand that the difference in size between one breast... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Implant choice for asymmetrical breasts

Most women have some degree of asymmetry if you look closely enough. The decision of whether or not to correct this with different implant sizes can be very tricky however. One reason is that you want to match the base diameter and projection of the breasts in addition to the volume, and this could require having a nearly infinite number of options available which of course we don't. There are however a much larger number of choices now, and so with some dimensional planning you should be... more

Richard Baxter, MD
Seattle Plastic Surgeon

Management of Breast Asymmetry

SEE VIDEO BELOW: There are many different methods to manage breast asymmetry including: different implants or fill, lifts, reductions, etc. The approach you suggest is reasonable. Be prepared that it may take more than one operation to achieve the best possible result. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Maybe

Depending on the size discrepency, a same size implant may be all that is needed with more saline in the smaller breast. On the other hand, if the difference is significant, two different size implants will be required. Only exam can tell.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Asymmetric Breast Size in Breast Augmentation

First understand that symmetry does not exist in nature. All women are asymmetric in terms of all body parts especially breasts. So this is the norm that plastic surgeons deal with for each augmentation. During a consultation for augmentation the surgeon must estimate the size difference and plan accordingly. The use of sizers in the office helps. The use of saline implants allows for very small changes in implant size. Silicone implants have fixed sizes at a minimum of 25cc's. But... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Correction of breast asymmetry

Volume is only one factor to consider when trying to determine the optimal correction for breast asymmetry. The anatomy of your breasts, as well as implant dimensions, specifically height, width and projection also play a major role in bringing about symmetry. For example, a low profile implant, for a given volume, may be more than 2 cm wider than the same volume in a high profile implant. To compensate for that, the high profile implant ends up proving more projection and more upper pole... more

Sam Jejurikar, MD
Dallas Plastic Surgeon

Different breast implant sizes can be placed

In cases of breast reconstruction after a mastectomy we often place different sized implants to improve assymetry. However, please understand that more than 1/2 of all cosmetic surgery patients I see have some degree of breast assymetry. In the majority of cases we use the same size implant as the percentage difference becomes smaller as the breasts become larger. For example: If one breast was 100cc to begin with and the other was 110cc and you placed two 300cc implants. The final size... more

Darrick E. Antell, MD
Manhattan Plastic Surgeon

Asymmetry can be corrected

It is not a problem to treat women with breast asymmetry. In fact, many women have different size breast. For smaller volume differences, it often is corrected just by the breast augmentation procedure with equal size implants. For example, if you have one breast that is 200 grams and the other is only 100 grams, if you add 300 gram implants to both you end up with 500 grams on one side and 400 grams on the other. So in this example, without using different implants, we are reducing the... more

Steven L. Ringler, MD
Grand Rapids Plastic Surgeon

www.stevenringlermd.com

Asymmetry of breasts

If the breasts are not that different in size, I usually use the same size implant for both sides. If they are silicone gel , then the volume is the same. If I use saline implants, I can overfill one to compensate a bit. The difference between the two breasts will also appear less so as you go larger with implants. In other words if a 200 cc implant is placed and say you have a 25 gm difference between the 2 breasts, then it would be more noticeable than if a 300 cc implant was used. The... more

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Asymmetry

Breast asymmetry is very common and you are not alone. In general the surgeon will discuss these things with you in a consultation and explain to you what can be done. The implants that I use give us a range to fill them, so you can adjust for this difference in the operating room when the patient is sitting up. You can do this for saline but not silicone. Silicone comes prefilled, so your surgeon will have to determine ahead of time how much in cc is the difference. Good luck more

Farbod Esmailian, MD
Orange County Plastic Surgeon

Use of asymmetric implants in breast augementation

Generally all patients have some asymmetry if you look closely. If this is subtle, it is usually better to use the same size implants in gel or the same size in saline and differentially fill them. Occasionally, you need different implants but the base dimensions are different and this can sometimes contribute a new asymmetry into the situation. An experienced plastic surgeon can help you through these choices.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

You should be able to equalize breasts with slight volume difference

Implants won't accentuate the difference in breast sizes the way breast-feeding does. Slightly different implants sizes will help to equalize the breasts. Remember that the current difference in volume will be a smaller percent of the final volume after implants and, therefore, less noticeable.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Implants not only volume-specific

Your surgeon needs to analyze your breasts and the goals you have. The dimensions of the beasts, and the degree of laxity may play a role as well as the absolute volume differences. Simply increasing the volume may not help since the dimension also change (i.e. width). You might need a different style. Putting in different implants may make the asymmetry worse in certain situations. If you put large enough implants in, these might "override"the asymmetry of your natural breast.... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Different size implants to correct breast asymmetry

We do occasionally use different size implants to correct breast asymmetry. Although only going up one size in the implant is a relatively small change, there are occasions when we need to go up or down more than one size. I would recommend that you consult with a board certified plastic surgeon and discuss your concerns. They can help you achieve the desired result.