Eterno 360º

Hi,

Thanks for your question. You can address breast asymmetry with one implant, but it's a bad idea in my opinion. Breast implants don't just alter volume but shape, so you would have one much perkier breast than the other with this approach. Better approaches are to use two differently sized breast implants, or (if you don't want implants) either to reduce the larger breast or fat graft/lipofill the smaller one. My preference is to use the same sized implants wherever possible because even implants of different sizes will age differently, so if I notice some asymmetry in a patient requesting breast augmentation I tend to lipofill or reduce one side, and then use the same implants on each side. I personally wouldn't recommend one implant!

All the best,

Fulvio

I'm going to disagree with some of the other opinions you've had - I think you are a good candidate for a periareolar mastopexy. PAM should really be thought of as 'nipple repositioning' rather than a true mastopexy, but if you're otherwise happy with your overall breast shape (which I think is reasonable) then a PAM could be used to elevate your nipple to a better position on the breast mound, giving better overall aesthetics. The surgical technique is very important, and in particular suture selection - recurrence is inevitable with an absorbable suture in my opinion, whereas there are good long-term results of a permanent suture is used. You should see a surgeon who does this regularly and who has good long-term results to show you. Good luck!