Breast Augmentation: Q&A

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Best Procedure to Correct my Uneven Breasts? (photo)

I'm 18 years old. My Dr. wants to do a reduction/lift on the right, with an implant on the left which isnt what I want seeing as I'm overweight and trying to lose some pounds. I'm afraid surgery would be pointless with this approach because once I lose weight, I'm just going to have the same problem. What I wanted to do was make both breasts the same size as the small one and then use the same size implants on each side, but my Dr says "this doesn't make sense". What's the best thing to do?

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15 Doctor Answers | Asked by haleyanniece in Florida

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Best Procedure to Correct my Uneven Breasts

I understand your question and the rationale. But by far the best approach is to get down to your desired weight and then have breast surgery. I agree with your surgeon that it makes little sense to reduce and then enlarge the larger breast. Imagine the situation that you have a nice result on the smaller side and a capsular contracture or infection on the larger side that really did not need an implant. How much your breasts will change with weight loss is hard to predict.... more

Best Procedure to Correct my Uneven Breasts?

I think your plan makes more sense than what the surgeon is suggesting. I do not think an implant in one breast is a good solution...the shape of an implanted breast is always different, somewhat rounder with more upper pole fullness than you see in a breast without an implant, even if that non-implanted breast has been lifted. In my opinion, the best approach would be to reduce and lift the larger right breast to match the smaller left breast. If you want the left breast lifted... more

Best procedure to correct uneven breasts

Thank you for the photos. Since you are planning to loose some weight, I would wait with any surgery. Once you reach your goal, and are able to maintain it, I would suggest a reduction/ lift on the larger side and a lift on the smaller side. This can be done via a short scar technique. This procedure will make your breasts more symmetrical and will give you much better shape than you have now. Remember, they are sisters and not twins. Some asymmetry will always persists. You might want to... more

Breast Asymmetry

Asymmetric breasts are tricky to correct. As a general rule you want implants on both sides to be very similar in size. Although it sounds right, placing a larger implant in the smaller breast and a smaller implant in the larger breast does not work. In my opinion, the breast approach is to reduce the larger breast to the size and shape of the smaller breast and then place implants if desired. If you are planning to lose weight then I recommend that you lose it before... more

Reduction and Lift for asymmetry and drooping

The best procedure to correct your breasts would be to reduce the larger breast and lift both at the same time. If you lose weight, both breasts will lose volume and then you can undergo breast augmentation. The benefit of weight loss is that your abdomen decreases which will make your breasts look larger. Best Wishes, Gary Horndeski, M.D.

Uneven Breasts

I actually think you have a great plan. I would lose as much weight as possible before any surgical procedure. Then it makes sense to me to reduce the larger side and if needed at the same time lift the left breast. Once breast mounds are where you want them regarding size and nipple position then you may or may not want implants. I see this just like a staged augmentation mastopexy case. First do the mastopexy/reduction for you, then if needed later place implants. Keep it simple. Breast... more

Uneven breasts

What your plastic surgeon says makes sense. Why would you remove breast tissue only to replace it I the form of an implant? To be sure your case does represent a challenge and can be approached in several ways. The best way to achieve symmetry would be to lift one side and reduce the other one to match it not using Implants at all. You should seek a few different opinions and see if anyone can show you a case similar to yours Good luck!

Breast Asymmetry

Your breast represent quite a challenge. I think before you do any surgery you need to lose weight as losing weight after the surgery will adversely affect your result. You will never be completely symmetrical so you have to have realistic expectations. In terms of the best procedure - the decision should be made once you have reached your target weight. Certainly an implant on both sides would make sense but reducing your large side to match your small side may... more

Robert Kearney, MD, FACS

6 reviews

La Jolla Plastic Surgeon

Breast asymmetry correction

Dear Haleyanniece I think you are quite right! The most logical and sensible thing to do is even up your breasts, so you have the same amount of breast tissue on each side, then in the future, should you want a breast augmentation it will be simple to use the same implants on both sides. A breast reduction on your larger side to even up your breasts is certainly what I would recommend!

Asymmetry of breasts

First, if you are planning to lose weight, I would wait. Once that is accomplished you have to decide first on volume. Go to the big one or reduce the large one to match the smaller? Or go bigger? Then a lift/reduction/or implant can be decided for whatever situation.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Best Procedure to Correct my Uneven Breasts? (photo)

Stage I right reduction to size of the left breast. wait 6 months for healing. Than Stage II implants for effect. Best of Luck.

Breast asymmetry

I like your plan better than your surgeons. You do not say what your current weight is or how much you plan to lose which is important information. You seem to think that weight loss will shrink your breasts but that is not always the case if the weight loss is not massive like 100 pounds or more. If you do plan on losing weight it is best to do that first then decide what surgery would be best. Patients who lose a lot of weight after breast surgery tend to not be happy and regret not... more

The safest option....

If you are not planning on losing weight first then the safest option would be to simply reduce the larger breast and then see how you like it. The more procedures which are done at the same time the higher the risk of asymmetry.

Breast Augmentation to correct Uneven Breast

Based on the information you have given, you should lose the weight first, then consult with a Board Certified Plastic Surgeon, certified by the American Society of Plastic Surgeon (ASPS) to address your concerns and expectations. Surgery could make your breast even, and give you the result you desire.

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Breast Asymmetry

Thank you for sharing your photos. You have a challenging presentation. In cases like yours I feel it is best to leave implants out of the game, for now. I would reduce and lift the large side and would also lift the smaller side. I would try to get them as close to each other as possible. I would then let 3-6 months to pass. This allows the normal changes and evolution of an operated breast to occur. At the 6 month mark I would place appropriate implants in and would also revise any... more