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Do I Really Need Mastopexy on Top of Different Size Implants For Asymmetry? (photo)

asked 3 months ago by hannahx in london
Latest answer by Gary M. Horndeski, MD
Question viewed 400 times
Tags: asymmetry, implant size, lift, recommendation

Hello, i have been to one surgeon who has suggested me to have a breast augmentation with mastopexy on my right breast, because of the position of my nipple, She says if i don't get it done, the assymetry will still be there with two different size implants, and it won't look nice and i won't like the result. i was against the mastopexy (which she plans to do around the aerola) because i am scared of having scars...she suggested 150-200cc but i think i am going for 200-300cc would it be too big?

23 answers to Do I Really Need Mastopexy on Top of Different Size Implants For Asymmetry? (photo)

Which is MORE important Asymmetric Breast Sagging OR Asymmetric Breast Size?

You have a challenging set of breast deformities with different options. The path you choose must depend on your understanding of the options, their capabilities and limitations and your own personal preferences. You have 1. Widely disparate Breast sizes 2. Significant difference in breast location and sagging. Since even in a dress or a bra the disparate breast dimensions is the most noticeable, most Plastic surgeons would first opt for decreasing the sze asymmetry as much... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Augmentation for asymmetric breasts

From the picture it looks as though your asymmetry is due to differences in both volume and skin envelope. A periareolar mastopexy may be required. Using implants of different volume will improve volume asymmetry. Your skin will stretch to accomodate the new volumes. You could opt to wait until the skin stretches before deciding on the mastopexy.

Daniel Greenwald, MD
Tampa Plastic Surgeon

Assymetric breasts and breast lift

If you are afraid of the scars, then I would opt for the augmentation only. It has been my experience that often times, (after a couple of years) that the breasts look very symmetrical once the volume discrepancy has been corrected. You can always come back later and have a lift on the right side if you are unhappy.

Robert M. Jensen, MD
Medford Plastic Surgeon

Breast asymmetry

Thanks for your inquiry. I agree with your plastic surgeon that peri-areolar mastopxy would improve your result and symmetry. The scar generally heals well. Good luck.

Vishnu Rumalla, MD
Dallas Plastic Surgeon

tarrantplasticsurgery.com

Do I Really Need Mastopexy on Top of Different Size Implants For Asymmetry?

The volume asymmetry can be lessened by bilateral breast augmentation with, of course, a larger implant placed in your left breast. Placing implants only on one side does not, in my opinion, work very well, as the implanted breast feels different and has more upper pole fullness than the non-implanted breast. If volume symmetry by implant augmentation is performed, your right nipple will still be lower and I believe the right breast will have more overhang. The best option... more

Robert M. Grenley, MD
Seattle Plastic Surgeon

www.seattleplasticsurgery.com

One-sided circumareolar mastopexy for correction of asymmetry with implants

The circular scar around the right nipple is necessary if you want the position of the right nipple adjusted. If you don't care that one nipple points in a different direction because you really don't want the additional scar, then no, you don't have to have it done. She is recommending to you what will help you look the best for size correction and asymmetry correction. As far as the size of implant, it's up to you and depends on how big you want to be. If you... more

J. Jason Wendel, MD
Nashville Plastic Surgeon

www.mc.vanderbilt.edu

Is breast lift required with augmentation for symmetry

Your photo demonstrates a good deal of asymmetry on your breasts, with the right side being much fuller than the left side. I do feel that some degree of breast lifting on your right side might be required in order to be approximate symmetry. However, it is possible to undergo breast augmentation only and see what kind of asymmetry persists. It is not completely unrealistic to hope that matching breast size alone could provide you with enough symmetry at the moment that a mastopexy would not... more

Antonio Gayoso, MD
Saint Petersburg Plastic Surgeon

www.gayosoplasticsurgery.com

Fixing breast asymmetry

There are a number of issues in your post. The photo posted looks like your arms are pushing into your hips distorting the breasts. The asymmetry though is obvious with the right larger and a different shape than the left. The nipples diverge out to the sides away from the midline and the breasts are widely spaced apart on the breast. Clearly if you just put in implants even if they are of different sizes with the smaller one on the right the asymmetry will be magnified. You will need a... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Correction of asymmetry

Unfortunately, it seems like once you have asymmetry, you will always have some asymmetry. Now you have a big difference in size between your breasts. An implant alone can make the volume more equal (in my experience an exact match is never achieved) and I would recommend to my patients to equalize the volume first and then see what the shape is like particularly if, like you, they are concerned about the scarring. Depending on whether you like the size of your right breast, you could just... more

Margaret Skiles, MD
Sacramento Plastic Surgeon

www.featherriverplasticsurgery.com

No

Your question, Is a breast lift really needed? The answer is no. However, you will still have the nipple asymmetry which will change minimally. The breast volume can be closely matched. You could have implants only by a surgeon who in comfortable doing so and a periareolar lift only if required at a later date. Incisions are forever and i understand you situation.

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon

www.dr-delgado.com

Breast Asymmetry

A few principles first. It is better to use the same style and size implants for paired breasts because different volumes have different dimensions. It is also better to start out with symmetry in order to maintain symmetry. Finally, scars are permanent while symmetry may be temporary. That is even symmetric breasts don't stay symmetric. This means, even though you desire symmetry, you should prepare yourself to accept some asymmetry. In your case, it is your size difference rather... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast asymmetry is well corrected without implants.

Hi. it's hard to be sure just from one picture, but you can probably get good symmetry with implants without a lift. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Implant and Mastopexy to Improve Symmetry

In order to maximize your results, I would suggest an implant to increase volume and a mastopexy to improve breast shape. Wither one alone will not give you the same result as having both procedures together. Alternatively, you could have the implant placed and then at a later date do the lift, but then you are committing yourself to two surgeries. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Breast implants for asymmetry

Your breast asymmetry is caused by a volume discrepancy of at least 250cc, and by differences in the skin envelope which cannot be overcome by the implant alone. The 300cc may not be big enough on the smaller breast, and the 'number guessing' is best done by your surgeon as even 'experts' can have trouble with getting it right. Expect some asymmetry after, and your surgeon might be right in that you will not be happy without some lift. Best of luck, peterejohnsonmd.com more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Mastopexy with Augmentation?

You could consider the option of having just the augmentation first, then waiting 3 to 6 months to evaluate your breast before deciding on the lift. This way, you will get to see what your breast look like and then make a decision. The downside is that it is two surgeries if you then have the lift. I agree with others that you will probably never have exactly equal breast no matter what is done surgically.

Donald Griffin, MD
Nashville Plastic Surgeon

Mastopexy and Augmentation Needed

Hi, thanks for your photos. Based on your frontal view, you have a fair amount of asymmetry. Right breast is larger and longer than the left. You will need differential implants as well as mastopexy on the right. However, I think that a small degree of asymmetry will persist after breast augmentation with lift.

Sugene Kim, MD
Houston Plastic Surgeon

Breast Asymmetry and Mastopexy “Needed”?

Thank you for the question and picture. Obviously, it is difficult to give you good advice without direct examination. I would also like to see better quality frontal and side pictures to give you more accurate online advice. Generally speaking, you should be aware that whether mastopexy surgery is performed or not, some breast asymmetry is likely to persist after your surgery. One option to consider is to have the breast augmentation done only; ask your plastic... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Asymmetrical breasts best treated with bilateral mastopexy

If you are satisfied with the volume of the right breast then you will only need an implant on the left side. If you want volume bigger than what your right breast is already then you will need bilateral implants. The secone issue is the nipples. The right nipple is pointing laterally and is inferior to the left. However, the left has no load and it's final position will change after you put in an implant. My recommendation to you is if you are satisfied... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

Lots of options

You have significant breast asymmetry due to about a two cup volume difference, more ptosis (droop) on the right, and a smaller nipple-areolar complex diameter on the left. Of these, the volume difference is the most significant, so, correcting this is the most important. This can be done with breast augmentation with two different size implants. I don't know how things are in Britain, but this degree of asymmetry would be considered by some insurance companies in the U... more

Robert Stroup, Jr., MD, FACS
Cleveland Plastic Surgeon

advancedconcepts.net

Breast lift can help with asymmetry.

While a one-sided lift can make breasts more symmetric (with or without implants), it is not always necessary. If the discrepancy between the two sides small, implants of different volumes can improve this. With larger differences, lifting is the best way. Patient's preference is always important.

Michael Leff, MD
Bellevue Plastic Surgeon

Correcting breast asymmetry is very tricky

To correct the asymmetry alone, you would need a breast implant on the left side. On the right side you have existing volume that will develop droopiness and therefore a lift on that side may be beneficial. If you add an implant on the right side, you will have quiet a size asymmetry that you are trying to correct. It appears like your right nipple is lower than your right side. for that reason you should get a periareolar lift if nothing late.

Martin Jugenburg, MD
Toronto Plastic Surgeon

www.torontosurgery.ca

Asymmetry of breasts

Asymmetry of your breasts can be improved but will never be perfect. A lift may adjust the areola size and shape.

Steven Wallach, MD
Manhattan Plastic Surgeon

Will implants alone fix breast asymmetry?

Let's break down your concerns according to breast size and shape: 1. Breast size asymmetry: Your breast size asymmetry should be significantly improved by using a larger implant on the left and a smaller implant on the right. I would recommend the use of breast "sizers" during the course of surgery to determine what specific sizes are most appropriate. I rarely use implants less than 200 cc, as the base diameters are insufficient to provide much cleavage in... more