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 (45)

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

+3

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.

 

 


Boston Plastic Surgeon
5.0 out of 5 stars 26 reviews

Correcting Uneven Breasts

+3

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.

Barry Stuart Handler, MD
San Diego Plastic Surgeon

Fixing Uneven Breasts

+2

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 82 reviews

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Uneven breasts can be balanced without breast implants

+2

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!

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 33 reviews

Correcting uneven breasts

+1
So Uneven depends on what element of your breast is uneven.  Is it the size or the shape (Sag).  If its the size you only have 2 options.  Either add or subtract.  Add means an implant and you said you are not interested in that.  Ulternatively you need to reduce one breast to match the other.   As for shape/sag the approach is via a lift.  Various kinds like the lollipop/vertical and anchor.  It just depends on what you need.  Generally though implants are very helpful for correcting asymmetry. 

Good luck

Rady Rahban, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 21 reviews

Fixing uneven breasts without implants

+1
Thank you for your question.Small amounts of breast asymmetry are normal, but can be frustrating for lots of women.Small variations of asymmetry can be corrected without an implant by performing a lift.This can also give the breasts a better shape and make the areolas a more appropriate size.If the asymmetry is too great or you have a tuberous breast deformity, many times an implant and a lift is required to fix this.The best thing to do is to consult with a board certified plastic surgeon who can examine you and determine what your options are for your degree of asymmetry.

Christopher T. Maloney Jr., MD
Tucson Plastic Surgeon
5.0 out of 5 stars 9 reviews

Correcting breast asymmetry

+1
There are many options to treat existing breast asymmetry without implants. However, implants may facilitate  some of the options that we do have. Affording your surgeon at least the option of utilizing an implant may simplify the solution.
With regard to areola reduction, this is usually, performed at the time of a breast lift.

Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 7 reviews

Uneven Breasts

+1
Thank you for allowing me to answer your question. You certainly can have surgery to correct breast asymmetry without implants as long as you have enough breast volume to allow removal of the excess skin/breast tissue from the larger breast to shape the breast to achieve symmetry. Areolar diameter reduction yields a nice result but yes this could enlarge after another pregnancy. Good luck with your surgery.

Mark Deutsch, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 11 reviews

Fixing Uneven Breasts Without Implants

+1
It really depends on what the exam.  If it is a skin envelope difference versus a size difference then there would be different approaches to the solution.  Any option including areolar reduction will add scars on the breasts so you will need to weigh the pros and cons of scars versus symmetry.  

Susan D. Vasko, MD, FACS
Columbus Plastic Surgeon
4.5 out of 5 stars 3 reviews

Fixing Uneven Breasts Without Implants

+1
There are many variations of "uneven" breasts and therefore many approaches to fixing them.  If a patient has one breast that is much larger and would be satisfied with both breasts being the size of the smaller one, then the simplest procedure would be to reduce and lift the larger breast to match the smaller one.  Sometimes fat grafting can mildly enlarge the smaller breast, and perhaps a breast lift performed if there are shape problems such as a low nipple or a large areola.  Using an implant on only one side to enlarge the smaller breast usually creates additional problems with asymmetry. Each patient and each approach to treatment is unique.

Robert M. Grenley, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 70 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.