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 60

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 97 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!

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 66 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 17 reviews

Uneven breasts without implants

Correction of breast asymmetry is a common reason we see woman for breast lift. A breast lift can provide correction of two major aspects of breast asymmetry: skin envelope and volume. A breast lift (mastopexy) allows the surgeon to correct differences in between the breasts by reshaping and repositioning the areola, tightening the skin, and correcting any other difference that may be present. At the same time breast tissue may be removed from the larger breast, or in strategic areas of the breast, to provide improved symmetry of volume.

The limitation of a mastopexy without implant is the limitation of upper breast (upper pole) fullness.

The limitations of this procedure for your particular needs must also be identified. Speak with a board certified plastic surgeon who can give you the guidance needed to obtain the results you are looking for.

Ryan Diederich, MD
Saint Louis Plastic Surgeon
5.0 out of 5 stars 3 reviews

Reduce the larger breast

Many options can help breast asymmetry without an implant. A larger excision of tissue from the larger breast can help improve your symmetry.

William C. Rigano, MD
Dayton Plastic Surgeon
4.5 out of 5 stars 5 reviews

Wait until after pregnancy

If you're planning to get pregnant in the future, your results from a breast lift and areola reduction will likely be negatively affected. For this reason you should probably wait until after you've had children. At that time, a breast lift and areola reduction can help you. No implants would be necessary.

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.