Breast asymmetry correction with periareolar lift - would it be enough or would I need implants? (Photos)

Hi there!
Thank you so much for your question and for sharing this here.
Breast asymmetry is extremely common, and there are several options depending on the degree of difference and the underlying anatomy. From your description, you’re also wondering whether your breasts may be tuberous — tuberous breast characteristics can include a constricted lower pole, enlarged areolas, herniation of tissue into the areola, and overall breast shape that appears tight or “projected” rather than full.
In true tuberous breast anatomy, a periareolar lift alone is usually not enough to correct shape or lower pole constriction. These cases typically require techniques such as releasing the constricted tissue, lowering the inframammary fold, and sometimes adding implants or fat grafting to create a more natural, rounded contour.For asymmetry, the approach can vary — sometimes a combination of a lift, implant, or tissue reshaping on one or both sides is needed to achieve better balance.
Every patient is unique — anatomy, history, physical exam, tissue quality, goals, skin elasticity, and surgical risk profile all change what is indicated / recommended.Because of this, this should not be taken as personal medical advice. The next step is always an in-person evaluation with a board-certified plastic surgeon that can examine you and discuss individualized plan options.
Hope this helps!
— Georgina Nichols, MD FACS