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 (48)

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.



Boston Plastic Surgeon
4.5 out of 5 stars 31 reviews

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

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 89 reviews

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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!

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.5 out of 5 stars 36 reviews

Uneven Breasts

You should see a board-certified plastic surgeon who does aesthetic breast surgery. He/she can examine you and determine what can be done without the use of breast implants. Improving breast asymmetry without implants is possible in some patients, but not all. Your surgeon may discuss reducing the larger side. 

Surgery on the breast always carries the risk of affecting your ability to breast feed. However, an areolar reduction is skin-deep, and thus the ducts carrying the milk to the nipples should still be intact. That said, the surgery still carries some risk of lessening your ability to breastfeed. 

Heather J. Furnas, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 2 reviews

Lift without implants?

If you do not want larger breasts, it is not necessary to add implants to your lift.  Your surgeon will also have the opportunity to improve breast symmetry and areola size when he performs the breast lift.

David Stoker, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 19 reviews

Correct uneven breasts without implant.

Hard to give you advice without at least a photo, but there are several approaches. If you like your smaller breast size then you could have the larger reduced only. If the skin is similar on both sides this might could be done with just liposuction. If you want the small side a little larger, then liposuction of a non-breast area and fat grafting to the smaller breast might work. If you want both a little larger without an implant then fat graft both sides but add more to the smaller side to try to even them out. It all depends on what you want and need, so see your plastic surgeon.

Scott W. Vann, MD, FACS
Savannah Plastic Surgeon
5.0 out of 5 stars 1 review

Correcting uneven breasts

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 32 reviews

Fixing uneven breasts without implants

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

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

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.