Do I Need a Lift and Augmentation or Will Augmentation Suffice? (photo)

I have very asymmetrical breasts that are two different sizes. I also have a high fold on the left side. Two doctors recommended a lift + implants (textured) and two have said the problem can be fixed by implants alone (smooth). I am looking to even my body out and will be staying fairly small, probably a full B/small C. I'm 5'8" and 127 lbs. As the price differential is substantial with the lift, I am looking to make the best decision. I want to look as good and "natural" as possible.

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5 ft 8 in to 6 ft 0 in asymmetry 110-129 lbs

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26 Doctor Answers | Asked by agathaou

Doctor Answers (26)
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Do I Need a Lift and Augmentation or Will Augmentation Suffice

This is a tough call either way and a two to two tie is about what I would expect. By neither technique will you ever have perfect symmetry. I would favor holding off on the lift--you may choose to have one later, but that could happen even if you have a lift now. I would choose one of the surgeons who recommended no lift, so that if it comes to you wanting a lift in the future there will be no "I told you so." Thanks for your question, and for the photo.... more

Breast asymmetry: Implant Alone versus Implant and Lift

Dear agathaou- You really don't have a ptosis problem on either side. I would agree with your doctors that implants alone should solve your problem.

Lift and Augmentation or Just Augmentation

Although an exam is needed, breast augmentation alone with creative pocket dissection is probably your best alternative. Kenneth Hughes, MD breast augmentation Los Angeles, CA

Hello

From your pictures it looks like you would benefit from just augmentation. It is hard to really give you accurate advice without and exam. You should see a Certified PS to give you your options. Good Luck.

Asymmetry

All breasts have some degree of asymmetry. The percentage however will be less as the size of the breast enlarges with augmentation. You can always have a lift as a second stage procedure if you are unsure about how to proceed.

Correcting Asymmetric Breasts

Trying to correct differences in breast position when you have infra-mammary folds at different heights is extremely challenging. Unfortunately, you have to accept some degree of asymmetry but you can still have beautiful, natural results. By placing carefully selected, different sized implants below the muscle and incorporating the dual-plane technique on the right breast you can get excellent results without a lift!!!

Breast augmention with asymmetry, implant or lift

Your pictures and profile lead me to believe that smooth round implants of approriately different sizes alone will give you symmetry and avoid mastopexy scarring. I always inform patients in advance that a lift later down the line is possible, but your pictures are consistent with an issue solved with implants alone. Good Luck

Do I Need a Lift and Augmentation or Will Augmentation Suffice?

In my opinion try the implantation first to see if a larger implants can achieve the result you desire before adding incisions and scars to your breasts.

To lift or not to lift

The amount of asymmetry that you have can not be corrected with augmentation alone. Don't be confused with the smooth vrs textured implant debate. The type of the implant will not affect ultimate shape of your breasts. To create a desirable appearance after breast enhancement there must be balance between the implant and the amount of breast tissue and ideally these proportions should be the same or at least close, between the two breasts. As you have a significant discrepancy between... more

Breast Asymmetry and Implants

You have a complex case. I do not know your measurements but I would say that implants and possibly a periareolar lift on the right. Smooth implants beneath the muscle should be fine. Dr. ES