How do I fix my asymmetrical, sagging boobs? (Photo)

Hi lipa24, asymmetrical sagging breasts are very common! While non-surgical solutions likely will be less satisfactory, they are worth considering while you are contemplating surgery. Try wearing a well-fitting, supportive bra with underwire and adjustable straps that lift and evenly distribute breast tissue. Also, inserts can be placed to create a more symmetrical appearance. They come in various sizes and shapes to accommodate different levels of asymmetry.

As for surgery, the breast lift (mastopexy) removes excess skin to improve the overall breast shape, and symmetry. It can be performed with or without implants but given your volume discrepancy, implants or fat transfer to the breast will yield the best look. You likely just need a small scar above the areola to do a nipple lift, but the amount of skin to remove depends upon your measurements. I don't recommend placing an implant without the nipple lift-it might result in a "waterfall" deformity where the breast tissue is lower than the maximum point of implant projection.

Insurance typically doesn't cover breast augmentation or lifts for purely cosmetic reasons. However, if the asymmetry or sagging is causing pain or discomfort, insurance may offer some coverage. It's best to check with your insurance provider to understand your specific coverage details.

Following breast surgery, you'll need to restrict strenuous activity for a period of time to allow for proper healing. It will be approximately 4-6 weeks before you resume your gym routine and gradually increase the intensity of your workouts, depending upon whether you proceed with fat transfer or implants. There will be no long term impact on your pectoralis muscle function regardless of how you proceed.
Good luck!-Dr. Doolabh

It appears a breast lift would be suggested to improve the sagging. For symmetry you can either have tissue removed from the larger breast at the time of the lift, or you can add different size implants. The implants should not significantly affect your upper body exercises.

Your nipples are located below your breast fold therefore a breast lift would be recommended. This would also improve shape asymmetry. Implants can be placed if you’d like to increase size or balance out size asymmetry.