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Would This Type of Asymmetry Be Fixable Without an Implant? if So What Procedure? (photo)

asked 6 months ago by Theresa from akron in Ohio
Latest answer by Barry L. Eppley, MD, DMD
Question viewed 499 times
Tags: asymmetry, candidate

ideally i would like them to both be round rather than diagonally oriented. I would like my nipples to have a significant amount of tissue below them so they can be in the middle of the breast. is there any way to achieve this result without an implant? the difference is about one cup size between them. 32D and C respectively. so at this size, i'm really not looking for more volume.

13 answers to Would This Type of Asymmetry Be Fixable Without an Implant? if So What Procedure? (photo)

Breast Asymmetry

Hello Theresa, There are two issues being bantered around here: shape and volume. Both are asymmetric in your case. You were very specific about the desired appearance of your breast with regards to nipple position, and your request could only be achieved with a breast lift (breast reduction for the left side). This will give you much better symmetry in mound shape and nipple position than anything else, especially a one sided breast implant. Subsequent to this... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

drminniti.com

Correction Of Breast Asymmetry

Your breast shape and symmetry can be improved (I am not sure fixed is the right word) without the use of implants. And implants in your case are not that helpful unless you are after a big change in size increase. Some form of breast lifts are needed that may have some differences in them between the two sides. The nipples can be lifted and the breast mounds reshaped. But there will be a trade-off of scars for this change so be aware you are trading off one aesthetic problem for another.... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Breast asymmetry

If the nipple areola position is not moving up alot, it is very difficult to swing them into the center of the breast. Sometimes with a circumareola appraoch like breasts similar to yours, they can be cheated over a bit. Impalnts may help with the overall shape.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast asymmetry can be corrected without implants

Breast shape and size difference can be corrected without breast implants by using a combination of fat transfer, scar release and breast reshaping. The results can be extremely pleasing and actually require less surgery than would be needed if implants were used. To improve the overall breast shape in reference to nipple position a breast lift should be considered at the same time as the fat transfer. A surgeon experienced in treating complex breast shape problems should be... more

Mario Diana, MD
San Antonio Plastic Surgeon

Improving Breast Symmetry?

Thank you for the question and picture. Without the use of breast implants your best option may be breast reduction/lifting on the left side in order to match the right side as much as possible. I'm sure you understand the absolute symmetry cannot be achieved. On the other hand, in order to achieve a “round” look pressing plants may be necessary. I would suggest in person consultation with a well experienced board-certified plastic surgeon. Best wishes. more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast asymmetry is well corrected without implants.

Hi. 1) For your right breast, I would recommend a breast lift which would also make your areola a little smaller and move your nipple to the center. Size stays the same. 2) In your left breast, you need the same procedure combined with a small breast reduction to make the size the same as the right. The left areola needs to be made even smaller. 3) How the lift and the reduction are done is very very important for good shape and long term result... more

George J. Beraka, MD
Manhattan Plastic Surgeon

You will breast lift and not implants

There are many different options. You have stated that you want them both ROUND and higher nipple position. You do not need implant for that and implants will make the problem worse. You will need to have lift to reposition the nipple and change the breast shape. I would recommend some reduction of the left breast and fat grafting for the upper pole fullness and symmetry.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Correction of breast asymmetry

There is always the option of reducing the larger breast and elevation of the nipple. However, as others have noted, true symmetry cannot be achieved although your condition can be improved. The crucial thing is to understand your own expectations and the limitations of correction and then to choose an option and surgeon with whom you are comfortable.

Robert L. Kraft, MD
New York Plastic Surgeon

Breast asymmetry without implants

There are two factors in breast asymmetry, volume, and the shape of the skin envelope. If you decide that the larger breast is the 'best' size for you then fat grafting is an option to be considered, though you will not have a good chance at correction of the nipple level unless the breast envelope is adjusted with a lift. If the breast scar is acceptable then you should also consider a reduction with lift on the larger side. There are many options, all with compromise, so take your... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Many different opinions

The worst procedure would be fat grafting. The simplest would be an implant on the right. They will never be exactly even. You might get away with liposuction on the left to bring it down one size, but then there will be nipple asymmetry. See a well qualified board certified plastic surgeon and discuss all of the options. There is no one right way to go.

William B. Rosenblatt, MD
New York Plastic Surgeon

Correction of breast asymmetry

With all the criteria that you have expressed the best option would be a breast reduction and lift on the left and a lift on the right. It is the only procedure that will put the nipples in the right position and not add volume to the breasts. The downside is that you will have the most scarring with that procedure. Any fat injections or implants will make you bigger.

John P. Stratis, MD
Harrisburg Plastic Surgeon

Fat grafting would probably be ideal

Fat grafting would probably be ideal. The breast can be shaped by placing the fat exactly where it is needed, unlike an implant. It may not be possibly to get perfect symmetry with just one procedure, but particularly if you are amenable to some small touch up procedures, one should be able to get pretty close.

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Breast Asymmetry and Ptosis

Thank you for your question and photo, Theresa. All women have some degree breast asymmetry and it sounds like you have the right attitude about trying to resolve your problem. First you have to decide which breast you like more. Anatomically speaking, the right breast is a more normal appearing breast as it does not have the same degree of ptosis as the left breast. It appears "perkier" and younger. In order to match the size of the right breast and shorten the... more