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 (56)

Correcting Uneven Breasts

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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

Fixing Uneven Breasts

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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 94 reviews

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

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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

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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!

Reduce the larger breast

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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 3 reviews

Wait until after pregnancy

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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.

Fixing uneven breast

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Without examining you or seeing photos, it is difficult to answer. Most of the time the larger breast can be reduced to match the smaller breasts but the smaller breasts can not be increased significantly in size without adding an implant. Seek a Board Certified Plastic Surgeon to examine you and answer your questions.

Donna Rich, MD
Houston Plastic Surgeon
4.5 out of 5 stars 17 reviews

Fixing Uneven Breasts Without Implants - Fat Grafting to the Breasts

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It is imposisble to know how ro address uneven breasts without photos. But, theere are many options, a reduction and or a lift is a possibility if the larger breast is larger than a woman would like. If the smaller breast is the one a woman wouild most like to change fat grafting to the breast, or both breasts could be another option. When breasts are not the same size, sometimes one breast is higher than the other. That can also be addressed. 

Areola reduction surgery is also often desired by women. be sure to look at long term scars and the shape of areolae when viewing before and after photos. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 45 reviews

Implants are not the only way to correct uneven breasts.

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Implants are not necessarily required to correct uneven breasts.  Other options include lifting one or both breasts, fat grafting, or performing a breast reduction on one or both breasts.  The best choice for you depends on your goals; whether you would like the smaller breast to be larger or vice versa.  

If you are already considering an areola reduction, the incision used to reduce the size of the areolae can also be used to reshape the breasts.

Pregnancy will affect each woman's body uniquely so it is difficult to predict how pregnancy will affect your particular result.

Breast asymmetry

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Some degree of breast asymmetry is normal. If there is a significant amount of size difference surgery may be helpful. Since you do not want implants a breast reduction and breast lift would be the best option. Your breasts may change after pregnancy but any concerns could be addressed after you have finished building your family. 

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.