Procedure to Fix my Uneven Breasts Without Implants?
- Asked by SybilVane in Sacramento, CA
- 3 years ago
Hello! I'm a 21 year old girl who is pretty fed up with having uneven breasts. My left breast is about a 34D, while my right looks like it could be a B cup at best. Since I've heard breasts are pretty much done growing by age 21, I'm trying to look for an alternative. What would be a procedure I could use where I don't have to get implants, but can still keep a relatively good size, if at all possible? If implants are a must, I'll get them, but right now I guess I'm trying to keep costs low.
Correcting breast asymmetry without implants
For your breast asymmetry you would be a candidate for a breast lift. I would recommend a vertical mastopexy with a dermal pedicle autoaugmentation. You would need to have the nipple areas centralized as well. This means elevating the nipples along the median of the breast.
Your Photos Suggest That You Would Benefit From A Unilateral Left Sided Breast Reduction
Breast asymmetry occurs to some extent in every patient. Mild asymmetry of the breast is almost considered a normal finding in most patients. Occasionally breast asymmetry can be severe and surgical correction is necessary.
In your case your photos suggest that you would benefit from a unilateral left sided breast reduction. This procedure would reduce the size of your breast, reduce the size of your areola, and lift your breast into normal position. In some cases surgery on the opposite breast might be necessary to obtain symmetry and balance. Utilizing this approach an implant can be avoided. Liposuction might be used to refine the result, but would not provide a definitive solution, because it would not deal with loose skin or correct the position and size of the areola.
Its important to remember that every procedure involves trade offs and because of this expectations need to be realistic. It is safe to say that breast reduction results in permanent scarring and there is often residual asymmetry.
Despite these negatives, there are significant benefits when this type of correction is performed. Symptoms such as back pain, neck pain, and shoulder pain are likely to improve. If you are considering this type of procedure, consultation with a board certified plastic surgeon would be appropriate.
Based on your posted picture, I suggest you not expect perfect symmetry from whatever procedure you proceed with. In your case, reasonable options would include:
- a left breast reduction with a vertical technique +/- liposuction
- fat grafting the right breast + a breast reduction on the left to achieve symmetry
- implant augmentation on the right with a reduction on the left for symmetry
- do nothing
If you have any symptoms from large breasts such as back pain, neck or shoulder strain, or difficulty with maintaining hygiene under your breasts, then I would lean towards the first option. Otherwise, see a board-certified plastic surgeon in your area to go over the pros and cons of all your options so you can make an informed decision.
Asif Pirani, MD, FRCS(C)
Recent Breast Augmentation Reviews
Breast Augmentation Photos
Correcting breast asymmetry without implants
Fat injections can help correct uneven breasts.
You can reduce the larger breast with a lift and liposuction or you can enlarge your smaller breast with fat injections.
Breast assymetry in a young person
Correction of asymmetry without an implant can be achieved as long as perfect symmetry is not expected. I would recommend leaving the right breast alone and creating a tighter and smaller breast on the left . I would recommend a Vaser lipolysis to reduce volume followed by a revision of the nipple to put it in proper position.
Wishing you all the best,
Tal Raine MD
Correction of breast asymmetry with out implants
The best way to correct breast size asymmetry with out implants is to make the larger breast, smaller to be more matched to the smaller side. By your photo I would suggest liposuction breast reduction on the left side. Liposcution can be effective in most people but some ladies can have such dense breasts that the fat is not able to be removed. If liposcution does not seem to be possible after an exam then you will need to consider a surgical reduction technique that will leave scars on the breasts but is guaranteed to make you smaller.
Fix my Uneven Breasts Without Implants
Thanks for the photo. I recommend by your guidelines a left reduction/lift ONLY. This keeps fees lower and only operating on one breastt to try to achieve symmetry.
without an exam, and given your goals, my sugestion is to consider a unilateral left sided lift/small reduction. This should not only even up the size and shape, lighten your chest, it will even the position of the nipples. To my eye, your right breast is at least a C cup, but this will vary with brand of Bra.
It all depends upon what you are looking for. If you want the smaller one to match the larger one, you will need an implant. If you want the larger one to match the smaller one in size, you will need some sort of a reduction on the larger one.
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.