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 67

Fixing uneven breasts without implants

This is absolutely possible! And the surgical incisions we often use allow to mathematically achieve better symmetry, so this is a great approach to treating breast size/dimension mismatch. Areolar reduction is a positive thing that occurs with this surgery and it is routinely done. If you get pregnant in the future, it is uncertain if you will get larger, smaller or sag. The nipple areolar complex may also change. If you need revision after pregnancy there would be no additional scars - your plastic surgeon would likely use the existing scars. So it's not so bad. You should enjoy your breasts sooner, particularly if childbirth is not planned at the current time.

Baltimore Plastic Surgeon
4.5 out of 5 stars 32 reviews

Lift is a great choice!

The breast lift operation allows for correction of asymmetry from left to right.  In fact it is a much more powerful operation in this regard than breast implants. The areolar reduction is an integral part of the lift operation, so that would be accomplished at the same time.  You probably should be fine after lift with pregnancy, although it is impossible to guarantee 

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 102 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.



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.

Barry Stuart Handler, MD
San Diego Plastic Surgeon

Many Options for Uneven Breasts.

Implants are not a must to correct uneven breasts.  

If you have large areola, then some sort of lift/mastopexy is required.  

Enlarging the smaller breast with fat grafts, or reducing the large breast, or a combination of both might be options to achieve better symmetry without implants.  

Breast asymmetry/unevenness

Uneven breasts are very common, and one might go so far as to say that no two breasts are identical.  Each patient is unique, so the exact solution can include procedures that may or may not include an implant.  Areola size can also be addressed during these operations.  Talking with your Plastic Surgeon is the best way to discuss your goals and formulate the best plan to address your concerns.

Breast asymmetry options

Thank you for your question. Breast asymmetry is very common, particularly size asymmetry. If you are looking to decrease the asymmetry from one breast to another, then you have several options.
1) You can reduce the larger breast with liposuction or a traditional breast reduction technique
2) You can enlarge the smaller one with fat grafting or an implant
3) You can enlarge both but use different size implants
4) A lift procedure may also be needed to help address differences in shape, nipple position and areolar size. There is a good chance that a breast lift or areolar reduction does not hurt your chances of breast feeding.  
I would visit with a board certified plastic surgeon to discuss your options in more detail.

Correcting Uneven Breasts Can Be Done Without Implants

There are many techniques that can be used to make breasts more even without breast implants.
We call these techniques mastopexy or breast lift, even though the procedure may be more about re-shaping than truly lifting.

In plastic surgery, as in nature, we never achieve mirror-image perfect symmetry, but can certainly improve symmetry.

Your personal consultation with a plastic surgeon certified by the American Board of Plastic Surgery is the best way to find out what technique is best for you.

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.5 out of 5 stars 19 reviews

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.  

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.