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Possible to Have Only One Surgery for Uneven Breasts?

I have uneven breasts. I have seen a plastic surgeon but he said I need to get breast reduction, then have the breast implants placed. I remember watching Dr. 90210 on TV, and there was a girl who had the same problem. She had only one surgery to correct this. I thought maybe she only had one implant placed, but I remember seeing her have two placed. Is this a different procedure? If so, what is it called?

Asked 29 months ago by hellokittys333 in pittsburgh

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breasts female uneven

Single or Two Staged Breast Reduction/Augmentation?

Thank you for the question. There are reasons related to blood supply and will healing as well as the need for revisionary surgery that your surgeon recommended a two-stage procedure. When a patient requires a significant breast reduction and breast implants ( for example for upper pole fullness) I tend to recommend the two-staged approach as well. In person consultation with a few well experienced board-certified plastic surgeons may give you peace of mind. Best wishes. more

Tom J. Pousti, MD

San Diego Plastic Surgeon

ASAPS ASPS

Uneven Breasts Often Get Best Results When Both Sides Are Treated

First, it's difficult to give you specific recommendations without seeing a photo of your breasts. Obviously, when you consult with a plastic surgeon, he/she will have the benefit of a thorough exam. The response is based on HOW uneven your breasts are, including their shape and the position of the nipples. For example, some women have very large, drooping breasts, one just bigger than the other: a bilateral breast reduction will serve... more

Jana K. Rasmussen, MD

West Palm Beach Plastic Surgeon

ASAPS ASPS

Surgery for uneven breasts

Today, patients have many great options to contour the breasts and establish symmetry between the breasts. In our practice, we work closely with the patient to understand what they would like their breasts to ultimately look like. With this in mind, we can create surgical procedures that will enlarge or reduce one or both breasts to help them become more symmetric. Depending on the difference between your breasts, this can be a complicated procedure. Your best bet is to work with a... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Uneven breasts

Uneven breasts are routine. However, the larger the asymmetry the more difficult it is to get them to look close to the same. They will NEVER look exactly alike. Without a formal examination it is impossible to even suggest what could be done for you. Making one smaller or bigger to match the other...

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Possible to have one surgery for uneven breasts

Hello, Doing things all at once is possible but the chances of getting a good match is less than if you plan it in two operations. Trying to predict the final result of a breast reduction is tricky. I would see a few good doctors and go from there.

John P. Di Saia, MD

Orange Plastic Surgeon

Breast Asymmetry

This is a very difficult problem and I would recommend seeing a plastic surgeon that feels comfortable with this procedure. I have dealt with this issue many times and it is possible to perform the surgery in one shot. But I do always tell my patients the chances of revision surgery is a lot higher in breast asymmetry surgery than other breast surgeries. I would encourage you to look at my website and the link before and take note of the patient that I have posted. I would doubt that... more

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

One operation is possible for uneven breasts

Hellokitty333: Since most women have some differences, a single operation is the most common method, but there are women in whom two procedures can give a more even result. If you have found an experienced surgeon, and had an in-person consultation / evaluation, I suspect you would benefit from the two-stage approach. I would not however expect that reduction of both and then augmentation of both would be the most common answer for the average woman with asymmetry.

Sutton Graham II, MD

Greenville Plastic Surgeon

ASAPS ASPS

Uneven breasts are very common and correctable

Most feel that the breast is even and symmetric on most individuals because of our experience with fashion media. The truth is that most women have a subtle unevenness to the breast, one being slightly larger than the other, or being of a slightly different shape. As a cosmetic surgeon I encounter this daily in our patients seeking breast augmentation, and very many patients do not appreciate these differences until pointed out. During breast augmentation we frequently will adjust the size,... more

Peter E. Johnson, MD

Des Plaines Plastic Surgeon

ASAPS ASPS

How can I treat asymmetric breasts?

Asymmetric breasts have many reasons for the asymmetry. Some of the reasons include: size of the breast tissue, location of the nipple, location of the inframammary fold (crease under the breast), congenital deformities (Poland syndrome), previous biopsies that have reduced the size of the breast, etc. There is not really one general answer that can be given to this question. This really does require a thorough consultation. It is likely that you need a breast lift and then maybe an... more

Sirish Maddali, MD

Portland Plastic Surgeon

Breast asymmetry can be corrected in one operation.

Hi! Uneven breasts can be corrected in one surgery. Most often, something different is done to each breast, but at the same time. Of course, without seeing your anatomy, I cannot say what each breast needs. But I would encourage you, because most women are very happy after correction of breast asymmetry. See link below.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Surgery to correct uneven breasts

If you have uneven breasts there are many surgical options to improve them. Usually they can be done in one stage but sometimes more than one surgery is needed to get the best result. If you are in Pittsburgh, you might consider seeing Dr. Ken Shestak who is a superb breast surgeon.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Bilateral breast surgery

In general, since the breasts are paired structures, it is better to do similar procedures to each breast to achieve symmetry. You generally do not want to end up with an implant on one side but none on the other. It might be better to reduce each breast to symmetry and then augment symmetrically ,but each case if different and each patient's level of concern and tolerance for risks and scars is different.

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Uneven breasts

You clearly need another opinion. Reduction followed by an implant would be unusual to say the least. Very few breast procedures which don't involve cancer need to be done in stages. If you have significant differences between the two breasts you may require a second smaller touch up procedure but this wouldn't be planned until the primary surgery has had a chance to settle down.

Donald Kress, MD

Frederick Plastic Surgeon

ASAPS ASPS

Options for uneven breasts

Without knowing more I can only offer general advice. Uneven breasts, or asymmetry, can involve several factors: shape, level of the nipples, level of the bottom edge of the breast (what we call the inframammary fold), breast size, and chest wall. So there are a lot of variables that have to be accounted for if it is to be done all at once. But having said that, I think the most common appraoch is to do it that way. It could involve a lift or reduction on one side and an implant on the other... more

Richard Baxter, MD

Seattle Plastic Surgeon

ASAPS ASPS

A Single Surgery for Breasts

It would be unusual to undergo a reduction followed by an augmentation. You may have misunderstood and the surgeon may have recommended a breast lift followed by an augmentation which is not unusual. If you have concerns, you could consider a second opinion.