Best Way to Make my Breasts More Symmetrical? (photo)

I have been contemplating correcting my breast asymmetry and am inquiring on the various options. If I wanted the size of the smaller breast, would it be possible to have a reduction on the larger breast and a breast lift on both? I am unsure if a breast lift would make the smaller breast even smaller. I currently wear a 34C which seems to be in the middle of both breasts. If I were to correct this using an implant I am concerned it would not look natural due to the size of the implant needed.

Doctor Answers (21)

Correction of breast asymmetry

+2
Treating developmental asymmetry is one of the most challenging breast procedures. It can be addressed by reduction of the larger brast and lift, with or without augment, on the smaller side. It is important for you to define your goals. Reduction/lift will leave you very small as the smaller breast will lose volume in the procedure. If your chest is uneven, then the breasts may not appear as symmetrical as you might hope. Insurance companies do not pay for this surgery which, in my opinion, is terribly unfair. You could have a procedure without implant(s) first and then elect to augment at a later date, subject to your needs. Augmenting the smaller breast will not produce an aesthetically pleasing result when performed as a stand alone procedure. Best of luck!


New York Plastic Surgeon
5.0 out of 5 stars 8 reviews

You might also like...

Breast Asymmetry Treated With Breast Augmentation & Lift

+1

Hi,

 

Thank you for sharing your photos.

You have two main options that could be implemented in your case:

1. You can have a lift on the right breast and a lift/reduction on the left one with a reduction of the areola on each breast.

2. You can have an implant and a lift for the right breast and a lift with a much smaller implant for the left breast.

 

Depending on what your goal is that a surgeon could help you correct the developmental asymmetry you have.

I encourage you to seek a consultation with a board certified surgeon of extensive experience who will guide you to make a well informed decision.

Your surgery will be of a delicate nature, so choosing the right surgeon is a key element for you to obtain commendable results with a natural look.

 

Thank you for your inquiry and the best of wishes to you.

Dr. Sajjadian

 

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 108 reviews

How to make my breasts more symmetrical...

+1

Large breast asymmetries are rarely corrected with an implant alone. You are correct to be concerned that placing a breast implant in the small breast will cause it to look very different from the natural, larger breast.

 

Typically the conversation with your surgeon needs to address what your goal is for the final outcome. Today many patients coming to my practice for breast augmentation ask for a “natural breast.”  They then show me a picture of someone who clearly has had a breast augmentation with very full upper pulls. This of course never happens naturally and requires an implant to achieve the shape and appearance. After the final goal is established, then an operative plan can be formulated.

 

It is true that a reduction of a larger breast can achieve reasonable symmetry with the opposite breast and even better so when the opposite breast has a lift and added shape. However the size often appears smaller even if the volume stays the same because the shape of the breast is different.  I recommend that you have a clear idea of exactly how you want to look after your surgery before worrying about the specifics of your breast procedure.

 

 

William Franckle, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 16 reviews

Correction of Asymmetric Tuburous Breasts With Different Lifts and Implants

+1

If you were my patient, I would recommend a Benelli Mastopexy on the right breast with simultaneous breast augmentation.  There are four basic problems with both of your breasts. 1. The breasts are hanging on the chest wall.  2. The areola are too large.  3. The areola are too low on the breast mounds.  4. There is no fullness in the upper quadrant.  Your right breast can be corrected with a circumareola mastopexy (Benelli).  Your left breast needs a standard breast reduction, lift, with subpectoral implant.  Technically, I would do the right breast, then match the left breast to it.

 

Silicone implants in the subpectoral position will not give you unnatural looking breasts, if done by a board-certified plastic surgeon experienced in breast lifts and augmentations.  Probably, you would use a slightly larger implant on the right and a smaller on the left, but neither one should look unnatural.  I am excited for you embarking on this body changing procedure, congratulations on being courageous.  I'm sure you'll love the outcome.

S. Larry Schlesinger, MD, FACS
Honolulu Plastic Surgeon
5.0 out of 5 stars 186 reviews

Breast asymmetry can be corrected without implants.

+1

Hi.

1)  I would definitely recommend surgical correction with a right breast lift and a left breast reduction (which of course includes a lift).

2)  The lift will not make your right breast significantly smaller.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast Lift. Either approach, if done well, should give you an excellent, natural-looking result.

+1

Thank you for your question.

Either approach, if done well, should give you an excellent, natural-looking result. It depends if you want to be larger or smaller.

It does look like you would need a lift on both sides with a reduction of the larger breast or an implant on the smaller breast....or both...meaning a small implant on the small side and a small reduction on the bigger side, meeting in the middle with two breasts that are larger than your smaller one and smaller than your larger one.

To be sure, see two or more board-certified plastic surgeons in your area for a full evaluation.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 32 reviews

Asymmetry correction

+1

  Dear Newyorker,

    Based on your pictures and the information that you provided, your right breast looks like a small A cup with a level 2 ptosis ( droopiness )  and your left breast looks like a full B cup with a level 3 ptosis.  To improve your appearance and correct your assymetry, you have 2 options : 1. A right breast mini-lift ( peri areolar ) and left breast reduction . This is not a very good option because your breasts will be too small for your body size. 2. A right breast augmentation with mini lift and left breast full lift ( key hole ). This is a much better option because it will give a much more balanced and attractive look. Both options can be done as a one stage surgery. Be sure to select an experienced board certified plastic surgeon and check their before and after pictures.

               Best of luck,

                                         Dr Widder 

Shlomo Widder, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 50 reviews

Best Way to Make my Breasts More Symmetrical?

+1

Great posted photos and 14 now 15 responses. Best thing I can offer is seek ONLY in person evaluations from experienced boarded Plastic Surgeons in your area. My surgery plan for you ONLY based upon the posted photos is a 2 or 3 staged operations. First stage lifting left/ right release tuberous partial deformity with minor lift to gain so symmetry and Arielar reduction. Wait 3 months for healing, than Stage II an implant with or without fat grafting. Finally after 3 to 6 months healing any touch up if needed.  

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 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.