My Breast Are Unequal?
- Asked by Veronica250 in Boston
- 2 years ago
I am a 20 year old girl and my left boob is about a C36 and my right is about half the size.I have constant back and chest pain.I wish to have them fixed to a B cup and was wondering what is the process I must go through and how much I would have to save?
Fix Unequal Breasts with Lift and Reduction on Left Side Only
Thank you for your question. Your right breast looks very normal and my own view is to avoid scarring on the normal breast unless you simply want the right breast smaller.
A well done mastopexy-reduction on the left breast should give you symmetry.
Reduction and lift of the left side
If you are happy with the right breast ,I would recommend left reduction and lift. The other option is to do lift on the right side and lift/reduction left side.
Breast asymmetry is corrected with lollipop scars.
1) You look like a pretty easy case. You need a lift of your right breast and a reduction of your left breast. You could leave the right breast alone, but symmetry is better when both breasts are operated on.
2) All the surgery is done through lollipop scars. You do not need the old fashioned "anchor" scar.
3) The most important point is to use the right technique (either Lejour or Hall-Findlay). You want to reduce and lift and shape the breasts INTERNALLY, without relying on pulling the skin to create shape. Skin stretches, and any operation that relies on skin will not give you a good long term result.
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Treating unequal breasts
Your breasts are obviously asymmetrical and you have 2 choices for surgery. One would be to lift and reduce the larger one to better match the smaller one. The other is to reduce and lift both. I would't think they are heavy enough to cause all your symptoms so I would caution you about going too small because I have recently had to augment 2 patients whom other doctors had over reduced at age 20, maybe 15-20 years earlier.
Treatment of breast asymmetry
Based on your request you would achieve your goal with breast reduction (which includes a lift) of your larger breast to match the smaller breast. Don't choose based on price, but rather quality of work and this you can tell by looking at the the before/after photos of breast reduction and also cases similar to yours.
Your left breast is larger and lower than your right, which is true for 80% of women. At the least, you will need a reduction of the left breast. Depending what a B cup means to you, you might need to have breast reduction for both breasts. You need to establish this with your surgeon. This will dictate the fee, depending on whether you do one breast of both. I doubt that your insurance will cover this for you. This is an outpatient procedure. There will be scars. The result may not be perfect. Please consult a board certified plastic surgeon to get all the information.
Options for Unequal Breasts
Well first of all most women's breast are asymmetrical. The differences you have would create difficulties when fitting bras and bathing suits. Others have mentioned reductions and lifts. These are great options that come with scars. Consider another option such as liposuction to both breasts (because you wanted to be a B), with more volume being taken from the bigger breast. Allow the the skin to recover and readjust, if the left breast still hangs significantly lower, a smaller lift such as a periareoloar lift can be be done.
My Breast Are Unequal?
From reviewing your photo posted I recommend based upon you only wishing to equalize your breasts - a left reduction/lift.
How to correct breast asymmetry with breast lifting (mastopexy).
With due respect to some of my colleagues, I disagree with any recommendation for surgery on your right breast. It is perfectly attractive, shaped nicely, and neither too large nor sagging. It has a normal, full, teardrop shape, and requires nothing, especially if you like it as it is!
Frankly, your left breast could be described in almost the exact same terms, although it is indeed larger with somewhat more of a mature teardrop shape due to its increased size. Both look great individually, but don't match each other!
So, the problem is symmetry (or the lack thereof), and operating on both only increases the likelihood that you will still not match after different operations are done on already-different breasts. I believe you would be best served by a slight reduction and breast lift on your larger right breast to match (as closely as possible) your left breast, as the left is the size you prefer. This approach will still not yield perfect symmetry either, as you will have scars on your right breast and none on your left. However, no surgery on your left breast ensures no chance of sensation loss, bad scars, or any other (minimal-but-still-possible) complication. And, by the way, it preserves the option for later breast lift on the left side if ever necessary or desirable!
I absolutely understand why some of my colleagues might advise a lift on the left side--symmetrical scarring with the right side, but in my humble opinion, this is unnecessary and perhaps foolish (not to mention more costly).
Go for the full Wise-pattern (anchor) lift on your left breast (only) with removal of as much tissue as needed for matching breast size. An experienced breast surgeon will be able to best anticipate pretty closely just how much your operated breast will settle and soften as your scars mature over several months, as this needs to be taken into account when measuring and designing the lift incisions. Best wishes!
Web reference: http://www.mpsmn.com/html/breast-lift.html
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.