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Uneven Breast - Reduction Lift w/ Implants?

asked 10 months ago by amandad87 in savannah, ga
Latest answer by Scott E. Newman, MD
Question viewed 632 times
Tags: age 18-24, 090-109 lbs, 5 ft 0 in to 5 ft 3 in, silicone implant, under muscle, 400-449cc, A cup, C cup, uneven

Hey, im 24 years old with 2 kids. I am 5'0 and 98 pounds and have uneven breast. one is a size a and one is a small c. I went to a consult 2 years ago and dr said I would need a reduction in my larger breast and a upliFt along with 400 cc silicone under musclu to achieve a 32 or 34 c? would I really need a reduction lift and implants?

17 answers to Uneven Breast - Reduction Lift w/ Implants?

Asymmetry...

Some of your answer lies in you deciding your comfort with the size of your right breast. To me that breast does not look overly large and it likely needs more of a lift than a reduction. In cases like yours I'm inclined to want to end up with an implant in each breast as I think that yields a result that feels and reacts more similarly. Once the decision about size/shape is made regarding your more normal right breast, then we can discuss how to get your left breast to... more

Scott E. Newman, MD
New York Plastic Surgeon

www.psurgery.com

Breast asymmetry

Thanks for submitting your photos they help to understand the asymmetry. In answer to your question you must first decide which side you like better? Would you rather be larger or smaller breasted. The choice will determine which surgery will accomplish the goal. Any surgery comes at the price of scars and/or an implant. I would suggest a second opinion on this topic. Good luck.

Rodger Wade Pielet, MD
Chicago Plastic Surgeon

Procedures to improve assymetry

Based on your photos, you are a good candidate for breast augmentation. In order to improve your asymmetry, you may possibly benefit from a breast lift on the right side depending on your overall goals. Breast implants provide more fullness and volume. Placing the implants sub-muscularly would provide more support and help prevent encapsulation. It is difficult to determine exact cup size pre-operatively. Every manufacturer produces a variety of bra styles, which may differ in size and shape... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Asymmetric breasts.

What you need depends upon what you would like. If you are happy with your left breast, a reduction of the right is all that is necessary. However, if you would like to go larger with the left then an implant to match the right breast and a small lift of the right would suffice. Breast asymmetry is very common and choice of final size is really person dependent. Consult with a few plastic surgeons and find one you feel comfortable with.

David Bogue, MD
Boca Raton Plastic Surgeon

Breast asymmetry

You have it difficult as problem to address. And no matter what. Approach this is not an easy case. I would recommend considering doing this procedure in multiple procedures. When I look at your photos it appears to me that you also have an asymmetry in the chest wall. The right breast is much wider than the left. The midline of your chest appears to be to the left. The 1st thing I would recommend would be approaching the left breast as a breast reconstruction.... more

Wendell Perry, MD
Miami Plastic Surgeon

Fat grafting for the smaller breast and lift for the other breast

You have two different breast and will need volume for the left breast and lift for the right breast. The use of implant for the left breast will give you the volume,but your breast will age and sag different since one has implant and the other not. i have done fat grafting for the smaller breast and lift for the sagging breast for my patient.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast Reduction and Breast Implants

Hello Amandad87, Your's is always a difficult problem to correct perfectly, and many surgeons have different ideas on how to fix it, as you can see from the responses given to your post! Placing a single implant RARELY improves symmetry in shape or size, and can make you feel just as lopsided. This is because breast implants are vastly different in shape and compliance compared to natural breast tissue. If one of your breast's volume is 90% implant, it will never... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Asymmetry of breasts

The choice really depends upon what you want. If you want the smaller breast larger, then you need an implant. If you want the larger breast even large, then you need an implant and lift. If you want the larger breast a bit smaller you may need a reduction on one side and an implant on the other. The more variables, the more difficult to match them up.

Steven Wallach, MD
Manhattan Plastic Surgeon

Asymmetric Breasts

With asymmetric breasts, you have two issues. First, you have the volume difference. Second you have the shape difference. To achieve better symmetry for volume, you will need an implant on her left. I would suggest a silicone, under the muscle. To achieve better shape (and areola position) symmetry, you will need a lift on your right side. You don't necessarily need to have both procedures at the same time. Good Luck. more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Very asymmetric breasts, what to do

When breast are very asymmetric, the issues are not just volume, but also the difference in the skin envelope of the breast. What to do is not an easy question to answer as choices include efforts to lift the breast, reduce the breast, and augment with an implant. There will be trade-offs. You can avoid an implant by reducing the larger breast alone, You can expand the nipple and volume of the smaller breast with an implant, and at the same time (or later as it can be hard to predict what... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Breast assymetry can be corrected with cosmetic breast surgery

You have relatively severe asymmetry of breast shape, volume and nipple position. My personal approach would not be to try to hit a 'home run' with a single operation - there are just too many variables in play here. Accept the fact that your breasts will never be exactly alike. I would offer you augmentation of the left breast in order to achieve volume symmetry with your right breast. Wait 6-9 months, and then address breast shape and nipple position asymmetry of the right... more

Scott Sattler, MD
Bellevue Plastic Surgeon

Uneven breasts

You need to have a discussion with your surgeon. You need to decide size first. Do you want to be as big as your bigger side or somewhere in between? then you need to modify the shape of the larger breast as it hangs lower than the small side. This is a fairly common occurrence. In lifting the larger breast, reducing the size a small amount would be a good idea for long term, to prevent sagging due to the weight. It can be a small reduction, but you need to have the nipple complex at the... more

Rick Rosen, MD
Norwalk Plastic Surgeon

Which breast do you prefer?

Dear Amanda, Yours is a very interesting case. Each of your breasts is attractive taken on its own so you have to decide what result you want as this will determine the best operation for you. For what it is worth, my feeling is that if you can be happy with your breasts without resorting to implants, you are better off as these usher in a whole set of concerns that will not be there if you don't use them (hardening of the breasts, failure of the implants, visible or palpable... more

Richard T. Bosshardt, MD
Leesburg Plastic Surgeon

Uneven Breast Position and Size Requires a Personalized Approach

Dear amandad87, Thanks for the questions and your photos. Overall, you should decide what to do that will make you happy regarding breast volume, shape, and position. If you're happy with your right breast volume, then you will need some type of volume in your left breast with an implant. However, your left breast will probably not have quite the same shape as your right breast. If you're not happy with your right breast shape, then yes, a breast... more

Roy Kim, MD
San Francisco Plastic Surgeon

Uneven breasts

My approach is to ask the patient first which side she likes better. 1. If the larger side, then the smaller side needs to be enlarged. If there is a big mismatch, then a reduction/uplift of the larger side with implant for the smaller side. 2. If she is happy with the smaller side, then just reduce &/or uplift the bigger/droopier side. 3. If neither side, then a combination of the above, or, a differential augmentation (different sized implants with/without uplift). In... more

Anindya Lahiri, MBBS
Birmingham Plastic Surgeon

Correcting breast asymmetry

If you are happy with the size and shape of your right breast, then I would only recommend an implant for your smaller left breast. I don't necessarily feel you need a breast lift on your right side as the nipple position appears to be adequate. This is difficult to determine without examining you in person however. You need to ask yourself which side you prefer, then work with your surgeon to match the other side to it; either with an implant or lift . A board certified plastic... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Correcting breast assymetry

Correcting the asymmetry is extremely variable depending on the exact situation. In your case your nipples are somewhat drooping; at the level of the fold on the right ( Grade II ptosis ) and slightly drooping on the left ( Grade I ). A nipple lift ( mastopexy ) is indicated on the right. A fairly large implant is needed on the left. I would also recommend a small implant on the right as it gives a more... more