Breast Augmentation: Q&A

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Size Difference in Breasts?

My left breast is slightly smaller than my right. I am getting a breast augmentation in two weeks and tried the rice test. With the rice inserts the size difference in my breasts seems exaggerated and a lot more noticeable. My doctors assist. said they do not do different sizes unless the patient has at least 1/2 cup size difference in breasts, looking at mine clothed, she said I didn't. I'm still unsure. The assistant also said he does not do in-operation sizers. currently 32a/b want 32D

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uneven B to D cup

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15 Doctor Answers | Asked by Jaz.mn

Doctor Answers (15)
Community Comments (0)

Size Difference in Breasts?

Hard to respond without photos or at least measurements. If you have uncertainty, consider a second opinion. All the best.

Doctor refuses to consider what you, the patient desires?

Doctors have their own way of doing things but the bottom line is you are the patient and you can choose who you what to be your surgeon. Your surgeon should work with you and EDUCATE you as to why the have their preferences. Regardless, this is your choice to make and only yours. BTW, I don't use sizers because the patient also picks their size before surgery. And 95% of the time, they are delighted with the result they have. Find doctors the work WITH you. more

Curtis Wong, MD

7 reviews

Redding Plastic Surgeon

Size Difference in Breasts?

Every surgeon has their preferences; I do intra-operative sizers during surgery if there is a size discrepency, but it sounds like your doctor doesnt, so I am not sure what you can do about that! Good luck!

Breast Augmentation with asymmetry

All women have something different from one breast to the other. That's why your a woman and not a robot :). Three dimensional imaging can help determine the differences in size. I also find it helpful to have patients try the implant sizes in a bra in the office to fine tune the symmetry of size implant choices.

Breast Asymmetry

To some degree everyone has some breast asymmetry. When planning a breast augmentation, it is important to determine if the degree of asymetry merits using two different sized implants. Over the past several years, we have used 3D breast simulation systems to help with the surgical planning. These are very precise in determining volume differences between the breasts- much more so than rice or implant sizers alone. Since incorporating them into our practice, it has become more... more

Breast Asymmetry Prior to Breast Augmentation?

Thank you for the question. As you know, some degree of breast asymmetry is more common than not for most patients. I tell all of my patients that, although we will try to improve the breast asymmetry as much is possible ( using pocket dissection techniques and/or different sizes/profiles of breast implants), that they should expect some breast asymmetry postoperatively. In other words, absolute symmetry of the breasts after breast augmentation is rarely achieved;... more

Choosing Implant Size For Uneven Breasts

Thank you for the question. It is difficult to give an accurate opinion without the aid of pictures. Having said that no woman is perfectly even. Some are more uneven than others. It is therefore not unusual that one would use differing size implants to give the best post operative symmetry possible. If the difference between the breasts is 100 cc or more one can expect a difference in the appearance of the breasts post-op. If unsure, talk to your plastic surgeon again not his assistant.... more

Breast augmentation, breast asymmetry

Your surgeon should have the expertise to evaluate how to adjust for any breast asymmetry you have. This is purely a clinical diagnosis based on your physical examination by your plastic surgeon. If you are having saline implants, breast asymmetries can be adjusted for by filling one implant more that the other. Silicone implants come pre-filled, so the surgeon must decided if two different sized implants will help adjust for any existing breast asymmetry, or make it worse.... more

Use different size implants if needed

I frequently see patients with different sized breasts and frequently use different size implants. Trying on sizers pre-op is useful. I routinely sit the patient up in surgery and try in the different temporary sizers and see if different size implants give better symmetry. This has been very successful and my patients appreciate the extra time spent to get them the best results possible. If you are not comfortable with your surgeon's assessment, now is the time to get another opinion. more

Breast size difference

First, if are questioning the decision made, do not proceed until you are comfortable. Second, without photos describing breasts using 'cup' size has little meaning. There is no standard regarding what a cup 'is'. Visually, if your breast have a noticeable difference, then different size implants may be better. Remember, no one has perfect symmetry. Even if you use different implant sizes you will not. You must be comfortable with the decisions prior to... more

Breast asymmetry

I think the best person to ask is your surgeon. All breasts are asymmetric, and unless there is a significant volume difference, then I would agree stick with the same size and shape implant.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Size Difference

Good question and thanks for asking. Breast asymmetry exists for every female, some cases more pronounced than others. Because implants come in a wide variety of sizes, your surgeon can often use differing size implants to help alleviate this difference. Best wishes.

Preop breast asymmetry before augmentation

Hello 'Jaz.mn', thanks for your question. Although I am not sure what a 'rice test' is, if you have breasts with size asymmetry preop, I would recommend using a slightly larger implant on the smaller side to even out the difference postop. Once you undergo breast augmentation, any asymmetry in the breasts is usually exaggerated and more noticeable. These days, implants come in different sizes with increments around 25cc. For my preop patients, I do a sizing exercise with various... more

Breast augmentation in an asymmetrical patient

First, I don't like hearing that your surgeon's assistant is communicating this to you, it should be done directly with the doctor in my opinion. Also, if 1/2 cup size is roughly 100ccs, that's allowing a pretty big difference to exist between the breasts before using different implants. Since the implants come in 20-25 cc increments, you can easily use ones that close to eachother to improve an asymmetry but not ping-pong it to where the smaller side is now too big. Intraop... more

Size Discrepancy and Breast Augmentation

In general, size should be matched by the plastic surgeon to the extent possible. However, for larger size difference, greater than 100 cc or so, the patient should be aware that implants with that much difference will produce breasts that look different. Sometimes it is better to bring the size difference close together but not match them. Kenneth Hughes, MD Los Angeles, CA