Breast Implants: Q&A

Ask a Question

Which Insicion Type is Best for Asymmetric Breasts?

My right breast i slightly bigger than the left and left nipple faces down. One surgeon advised me to do a BA with mastopexy thorugh aerola for 12000. Another surgeon told me she'll fix it through the brest crease for 7500. The assymetry is not severe. What should I do??

Tags:

uneven costs mastopexy options second opinion

Comment on this

17 Doctor Answers | Asked by Marissa155 in New York City, New York

Doctor Answers (17)
Community Comments (0)

Which Insicion Type is Best for Asymmetric Breasts?

Which Insicion Type is Best for Asymmetric Breasts? Incisions around the areola (periareolar, circumareolar, circumvertical and/or horizontal) will allow the greatest versatility for correctiing breast asymmetry

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Incision for breasts

You may need a third opinion to figure out why the two are so different in thought process. I could not say without seeing photos or performing an exam. Good luck.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Incisions for repair of breast asymmetry

Always hard to make an appropriate recommendation without seeing you in person. It sounds by your description that it may be difficult to address the difference in areolar size and other issues with just an IMF incision. Good idea to go to a few Board Certified Plastic Surgeons and clearly state your goals, (bringing in photos helps as well). He will be able to tell you if these goals are realistic depending on your individual body type. See before and after photos... more

Treatment of breast asymmetry

Breast asymmetry is a complex problem, not just for the immediate future, but for the long term future. Great experience is necessary in deciding a game plan for you. I would advise consulting with several experienced board certified plastic surgeons and get their imput. Often, because of the complexity of the problem of asymmetric breasts, doctors have different solutions to the problem. Remember always to ask for the best solution, and try not to "tie your... more

Breast asymmetry and breast incisions

First of all, it is important to remember that some breast asymmetry is normal- everyone has at least a little bit.. You will find that different surgeons are comfortable with different approaches- it does not necessarily mean one is right and one is wrong. I tend to utilize an incision in the inframammary crease when placing implants, as this has a lower rate of problematic capsular contracture than the incision around the nipple. The crease incision also has less... more

Augmentation in the asymmetric breast can shift incision placement

Breast augmentation incisions, around the nipple, under the breast, under the arm, all involve personal preferences, lifestyle, breast shape, clothing choice, implant choices, etc. All of us have individual ideas of what may be best or what might 'show'. When there is asymmetry however there may be compromise. For example one fold may be higher and need to be pushed lower. The nipple also may be uneven and lower on one side and not be corrected by the implant alone. In this... more

Breast asymetry

Pictures are needed to determine what procedure that you need. With your description of the left breast a Mastopexy is needed, that the other side needs a lesser procedure based on what your first doctor said does not mean that you would use the same incision. The goal is to try and achieve relative breast symmetry and if one breast needed a smaller incision that is a good thing.

Improving breast asymmetry involves more than decision about incision placement

Most breasts are a little bit asymmetrical but when it is noticeable enough to require surgical correction, the best operation will depend entirely on what the nature of the problem is. There are volume differences, differences in the location of the inframammary fold (bottom edge of the breast), nipple location (too high, too low, too far to the side or too close to the middle), differences in the shape of the rib cage, and so on. If it is purely a size difference, then it won't... more

The incision ddoesn't matter!

Now, why do I start of by saying that? Well, if you don't make the right diagnosis the incision won't matter because the incision alone will not fix the problem. If the nipple appears to point down because the crease is very high and tight compared to the other side you may have a form of tuberous breast deformity. In that case releasing the crease and doing ssome internal work may improve the problem significantly. This is especially true if the nipples are... more

Insicion type is best for asymmetric breasts

What should you do - POST photos!!! We really can not answer you expertly. But my guess is you need a staged operation or at least 2 operations. Best of luck from MIAMI DR. B

Lift and augmentation breast surgery

Without a photo I can't say entirely what is best for you but please understand that you cannot raise a low nipple with just an incision in the crease. Simply impossible.

Breast asymmetry surgical options

The "best" incision really based on your particular deformity. The things to consider is the degree of asymmetry, how much larger the one breast is and the degree of sagging or ptosis of the nipple. Photos can help me make a more specific recommendation. Perhaps a thrd opinion is in order. sek

Breast augmentation and breast lift together best for breast asymmetry.

Hi. 1) Just from your description, you need a breast lift on the left, at least. Cannot correct different shapes just with breast implants. 2) Cannot tell you which incision is best for breast lift without examining you. Probably just circular incision around nipple. For more sagging, you need lollipop scar. 3) Bad to compromise. Women accept scars with no problem, but only if they love their new perky shape and symmetry. more

Combined breast lift and augmentation surgery

If you need a breast lift- you are at least going to end up with a scar around your areola- no matter which approach is chosen to place your implant. We cannot lift the breast without that areolar scar. It sounds like you are getting differing opinions on if you need a lift- based on the price qoutes that you mentioned. Look in the mirror- of your nipple is at or below the fold beneath your breast- you need a lift. An implant is not going to give you a substantial lift.

Not all surgeons see the problem in the same way.....

.........and therefore may have different opinions as to how to fix it. Unfortunately, I can't give you an opinion as to what is right for you (in my opinion) without seeing you. If one nipple is actually lower than the other, then you will likely need the scar around your areola. If however they are at the same level, but one is pointing downwards, it may be that your crease on that side is higher than the other side. This can be corrected through the breast crease incision. more

Which Incision is BEST for Correcting Asymmetric Breasts

Anytime a patient requires both an augmentation and a lift, the around the areola (PERIAREOLAR) incision is superior to all other incisions. You CANNOT physically lift a breast through any other (armpit, under the breast or belly button) incisions. A Periareolar incision allows the surgeon a precise view and correction of the breast implant pocket making implant placement more accurate as well as the ability of lifting the breasts. If the breasts are grossly asymmetric, in most cases... more

Please send picture

Without examination or at least viewing your pictures, it is impossible to give you a good answer. In general if you have two very different opinions about the surgical plan, get another consultation and when you are going for the consultation, do not discuss the previous surgeon opinion.