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Planning on Breast Aug with Lift, If I Get Silicone, How Will They Make Them the Same Size?

My right breast is slightly larger than my left. I was planning on getting saline, but I've been researching more and the silicones are safe as well. If i were to get silicone, how does it work to make both breasts the same size? What method is used for this type of case?

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16 Doctor Answers | Asked by jmommy

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Choosing Silicone over Saline shouldn't matter when a Breast Lift is involved.

When a breast lift is done, there is usually more involved than just elevating the breast gland in position, especially when an implant is involved. In order to achieve an aesthetically ideal result some tissue is removed in order to "sculpt" the breast over the implant. Although the removal is usually very minimal, different amounts can be taken away as needed. Therefore, unless the assymetry is extreme, one doesn't need to (and, in fact,... more

Complete symmetry can be elusive

It is very important that you and your plastic surgeon agree on any asymmetry before surgery. Although one advantage with saline implants is the ability to "fine tune" the volume/size at surgery by adjusting the fill volume, asymmetry can also be adjusted by choosing slightly different sized (pre-filled) silicone gel implants. Also, as you are having a lift, some adjustment can be made by removing slightly different amounts of breast tissue. Through these two techniques your surgeon... more

Asymmetric breasts in augmentation mastopexy

One major problem with augmentation and asymmetry is the inability to measure exact volumes of the breast before and after surgery. External sizers or internal sizers at the time of surgery are very inexact and potentially misleading. One of the advantages of the saline-filled breast implant is that the volume can be adjusted by up to 10% without overfilling and this can offset the volume needs from one side to the other without varying the width of the implant. Silicone gel-filled implants... more

Breast symmetry and breast surgery

Either a different sized implant could be used, or an amount of breast tissue equal to the difference in size of your breasts can be removed from the larger breast. Either option would be useful to return you to better symmetry.

Symmetry

Your surgeon can use different size implants, reduce the larger breast or a combination of the two to improve symmetry. No procedure will allow them to be perfectly symmetric but much closer in size. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS

3 reviews

Atlanta Plastic Surgeon

Silicone implants and asymmetry

Silicone implants are not adjustable and are available in 20-50cc increments depending on the size and manufacturer. You may have a small amount of post op asymmetry. There are several ways to determine how much asymmetry you have. Silicone bra inserts are available in your plastic surgeons office to help you decide on implant size. You can also use the “Rice Test” at home. These two methods may help your surgeon get you close. In surgery, your... more

Correcting asymmetry with different sized implants.

Different size implants can be used to correct asymmetry. Fat grafting is another option. A breast reduction on the smaller breast is also an option. An exam is necessary to determine which procedure can help you meet you goal. see video

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Correction of asymmetry during lift augment

The two ways to correct asymmetry in this case is to put in different size implants or to remove some breast tissue from the larger side. I have found that when performing a breast lift and augmentation at the same time the results are much better when some breast tissue is removed from the lower part of the breast. The breasts will always be different from one another, (they are sisters, not twins), so if you have the same size implants in each breast then you at least are assured that it... more

Correction of asymmetry with breast lift with breast implants

Thank you for your question. I can't give specific information about your situation without more information and photos. In general, different sized implants can be used, and/or a small increase in the amount of skin removed with a mall amount of volume removal on the larger side both can contribute to correcting any size differences that you may have. I hope this helps.

Breasts Augmentation/Lifting and Symmetry?

Thank you for the question. You should be aware that regardless of the type of breast implants used and best efforts put forward by your plastic surgeon, that absolute breast symmetry is unlikely to be achieved. Every patient in my practice hears that her breasts will be “sisters, not twins”. Maneuvers that can be used to improve the symmetry of the breasts during breast augmentation/lifting surgery include: 1. Use of different size or profiles of breasts implants.... more

Slight breast asymmetry correction

When there is significant asymmetry between the breasts there are different options that are available in order to correct the problem. If the difference is simply volume and the breasts have essentially the same shape and the nipple is in the same position on both sides, then different sized breast implants can often correct the problem. You can still use different sized implants with silicone. If there are differences in the amount of skin and nipple position on each side... more

Breast Asymmetry

Hello jmommy, In Individuals with breast asymmetry who are planning on breast augmentation with silicone gel breast implants, and are also having a breast lift , the surgeon has a few options. One is to use different sized implants. The surgeon determines the need for different sizes in the operating room by using temporary sizing implants prior to using the final implants. Alternatively, the same sized implants can be utilized if some breast tissue can be removed during the... more

Breast lift and augmentation

First without an exam it is difficult to say what technique is best for you. Second the sizes can be adjsuted to get closer in volume by either removing some tissue from the larger breast or putting different suze implants in.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Silicone breast implants work well for breast asymmetry.

Hi' Your surgeon can use sterile implant sizers during surgery to find out best size for each side. Each silicone implant is 25 cc's larger than the next smaller one, and this works for almost everybody. see video

Will my breasts be similar in size after a Breast Augmentation and Breast Lift ?

Plastic surgeons many techniques and a breast work more similar and symmetric in size and shape when combining breast augmentation and mastopexy (breast lift). For example, your surgeon can remove a small portion of the larger breast to make it the same size and shape as the smaller one.. Then, when both are enlarged with breast implants they will be more similar. Lastly a larger implant can be place under the smaller breast to help balance it. more

Breast symmetry with implants

Correcting breast asymmetry can be challenging with implants. It is also important to evaluate the degree of asymmetry to decide what efforts and maneuvers need to be made. The majority of woman do not have symmetric breasts. The difference can be minor and seen in volume difference or in the nipple position. The difference can be dramatic and require reconstructive techniques to achieve better balance.Although a saline implant has the advantage of altering the volume, a... more