Fixing Uneven Breasts Without Implants

i have uneven breasts and im thinking about getting surgery to fix them however im not really keen on getting implants to correct this. Are there any other options?

i was also thinking about getting a aerola reduction because they are quite large, but if i was to get pregnant in future would this be ruined?

Doctor Answers 63

Correcting Uneven Breasts

The first point to be addressed is that asymmetry is natural and whatever you do, they are not likely to ever be completely even. With that said, your best bet is to try and make the composition of each breast similar. That is the same amount of skin and the same amount of breast tissue.

You have already taken implants off the table so depending on what your breasts look like you may or may not want a lift. Doing it on both sides will leave similar scarring and as alluded to above the larger side can have more skin and breast tissue removed.

The only way to make the smaller side larger would be through implants or fat transfer. Implants are not an option and though fat transfer to the breasts has traditionally been taboo it seems to be coming into vogue these days. There are still lingering issues of how much fat survives and will atrophic fat calcify and mislead radiologists on mammography exams.

I would think the best thing to do would be a differential mastopexy.

San Diego Plastic Surgeon

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Fixing Uneven Breasts

Uneven breasts cam be improved when they are both close to the same size and same shape.  It is not necessary to use a breast implant to make two unequal breasts look alike.  The right choice needs to be individualized for you.  A reduction of the larger breast, a lift of the smaller breast and possibly some fat transfer are options to look at closely.

Mary Lee Peters, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 98 reviews

Correct Uneven Breasts without Breast Implants-Lift or Reduce One Side

Thank you for your question. Uneven breasts or breast asymmetry is very common in most people. Slight variations in hand size, foot size, breast size and even differences in the two sides of the face are very common and normal variations in human anatomy.

However, significant differences in breast size that create noticeably uneven breasts is very frustrating for many women, especially when trying to fit clothing and bathing suits.

If the smaller breast has not developed normally or is a Tuberous Breast, some type of reconstruction using a breast implant will be necessary.

However, if you have adequate breast tissue with one breast simply larger than the other normally shaped breast, the larger breast can be surgically reduced in size to match the other smaller breast.

If one breast sags more than the other, a condition called Breast Ptosis, a Breast Lift or Dermal Mastopexy can be done to lift the breast to match the non sagging breast.

Be sure to consult a Board Certified Plastic Surgeon who is experienced in Breast Surgery.



Uneven breasts can be balanced without breast implants

Breast asymmetry can be corrected by using various techniques to reposition the nipple, reduce the areolar diameter and remove excess skin and breast tissue.

These techniques are components of a breast reduction/breast lift procedure. Volume can also be added to a breast using fat grafting techniques.

Breast anatomy is variable, and there are a myriad of solutions for breast asymmetry issues.

Seek out a board certified plastic surgeon in your area for a consultation!

Correcting uneven breasts

Thank you for your question.  Uneven breasts, or breast asymmetry, is present in almost every woman to varying degrees.  Depending on the degree of asymmetry, an implant may not be necessary for correction.  If the smaller of the two breasts is of sufficient volume, the larger breast can potentially be reduced in size to better match the smaller side with a breast lift.  A reduction of the nipple areolar complex is part of the breast lift procedure.  I recommend consultation with two or more board certified plastic surgeons to learn what is necessary to accomplish your goals.  

Correction of uneven breasts and areolar reduction- also will pregnancy affect my results?

Implants can be very useful in correcting uneven breasts, but they are not the only option available to a plastic surgeon. Performing a breast lift and fat grafting to the breasts is another way to help reshape the breasts and correct differences between the two breasts.
Depending on the amount of differences between each breast will help your plastic surgeon guide you to which procedures or combination of procedures is the right choice for you. Sometimes implants are the best way to help correct differences in the breasts. 
Finally, pregnancy can really change results.  The stretching of the skin that occurs with pregnancy can stretch the areolas.  Pregnancy can also cause deflation or decrease volume of the breasts which can affect the results of prior surgery. 

Ryan Hoffman, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 5 reviews

Breast Lift without implants

Mastopexy is a procedure to move the nipple areola to a normal position, reduce the areolar size to a youthful diameter, remove and even up sagging tissue, and create a fuller more youthful shape to the breast mound.  it can often be done without an implant as long as you understand that you will be slightly smaller after the surgery and not have as much cleavage and upper pole fullness as women that choose an implant.  Look at lots of picture of before/after of women with and without implants and decide what is right for you.  Good Luck!!

Brian Reedy, MD
Reading Plastic Surgeon
5.0 out of 5 stars 77 reviews

Breast left

A lift can be done that is asymmetric.  If the areola are large it allows a reduction of this area at the same time.

Fixing uneven breasts without implants

Photos would be helpful in order to answer your question accurately.  There are several options that do not involve implants.  A breast lift or breast reduction could be performed on the larger breast to make it the same size as the smaller one.  Unfortunately,  if the larger breast is the size you wish both breasts to be, you would need to consider an implant for the smaller breast.  

Best of luck,

Christopher J. Morea, MD
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 80 reviews

Breast Lift to correct Asymmetry

There are multiple techniques to achieve excellent symmetrical result with a breast lift without the need for implants. As long as you are willing to have a scar, you can anticipate lifted, perkier even breasts. Depending on your anatomy, the type of scar can vary. Sometimes, a circular scar around the areola will be sufficient, other times a keyhole of lollipop type or anchor scar may be needed. The areolas can also be reduced and made more symmetrical.  Future pregnancies may result in the need for revision of the breast lift.

Dr. Joshua Kreithen, M.D.
Sarasota, FL

Joshua Kreithen, MD
Sarasota Plastic Surgeon
5.0 out of 5 stars 18 reviews

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.