Severe uneven breasts. What is the best option ? (photos)

Hello,Your breasts are not just different in size, they are different in skin surface area. Although an implant can expand skin, your breasts would never look alike early or late after such a surgery; one would be substantially overfilled by an implant and look firm and projecting while your larger would look the same as it does now. Additionally, neither would have the other issue addressed: nipple position.You will need a surgery that lifts the nipples up on both breasts, and substantially reduces the skin and breast tissue of the larger breast. This is a mastopexy reduction for both shape improvement and symmetry, and the goal is equalizing skin surface area and breast tissue volume, and improving shape and nipple position. This is a complex surgery, and not all qualified surgeons do it well. You should only see ABPS certified/ASAPS member surgeons that really specialize in breast surgery. Best of luck!

Thank you for your question.The goal of symmetry can be achieved in several manners. It appears the best way to achieve symmetry is by a left breast reduction, and right breast lift (if you are happy with the volume of the right breast). The breasts will never be the same, as nature intended, but the aforementioned surgery will definitely lead you to looking more balanced. The reduction can also be covered by insurance, if documented correctly. I recommend seeking a board certified plastic surgeon for this type of surgery.Regards,Manish C. Champaneria, MD

Looks like your best option would be to undergo a reduction of the larger size and a lift of the smaller breast to help even out the two breasts. You can always undergo an augmentation later if you want greater volume. Best to see a board certified plastic surgeon in your area who takes the time to properly examine and measure you in person and gives you the best surgical options for you. Good luck!

 You have breast asymmetry in this can be improved using breast reduction/lift techinques.  Depending on what you were trying to achieve, it is possible that you may require an implant to achieve more symmetry. Is very difficult to comment completely on your particular case without seeing you and. examining you. Best of luck. 

While they can never be the same! You can expect to be tremendously netter then you are now. Insurance may pay if they cover breast reductions. I would think you will be much happier! Good Luck!

I fully and totally agree with you in every way that lopsided or one sided implants not only look different initially, but they look more and more different after time passes. The"faker" breast stays higher and the "real" breast will sag, only increasing the difference. As for you, you have breast asymmetry with tuberous breast deformity. Big areola, short distance from nipple to inframammary crease, etc etc. First, I would choose the size that works for you, most likely between the size of the smaller breast and the larger breast. Then, I would reduce the larger breast and lift it (lollipop scar). I would fat graft the smaller breast and do a small lift/evening-up procedure on it as well. Now I'm going to talk crazy, but hear me out. The key to a great outcome on this surgery for me is actually to reduce the larger breast down to the smaller one's size and the graft them both up to the desired size. That way I get the best control over the shape and the prettiest result. I'm not sure every surgeon would do that, and in fact probably almost no one would, but that is my preference. Make sure to go to someone strong in grafting and recon and they should be able to handle it!

Often implants can help improve the VOLUME of a breast and they do also affect the shape of the breast, soon after surgery and even down the road. Often a mastopexy is used to change the SHAPE of a breast. Sometimes these procedures can be done at the same time and sometimes they are staged, meaning they are done at two different times. Choosing a size is all about a healthy conversation between you and your plastic surgeon, sara.coleman. Anatomy and the size of your breast "footprint" or dimensions of your chest can help pick an implant. You are still in the early recovery period so swelling is not uncommon. Having a natural look is about how you define natural and what you are happy with. Good luck! MMT

Hello and thank you for the question and pictures. You definitely have severe asymmetry. I'm so sorry you've had to deal with this. Just so you know in some cases there is something called Poland's syndrome which may account for the severe difference in your breast size. You will need to have a in-person consultation with a board-certified plastic surgeon to go over your examination and evaluate for this potential issue. It is not dangerous or life-threatening so don't worry.My general approach to patients who have severe breast asymmetry is to reduce the larger breast first. It appears that both of her breasts would benefit from a breast lift as well so my stage one approach would be to do a lift on the smaller breast and a reduction on the larger breast. After you've healed the stage two approach would then be to go back and place  breast implants on both sides to achieve  a more balanced breast size to your frame. This might seem unnecessarily redundant but in my experience trying to place a larger implant on one side and a small implant on the other side never quite gives the best possible symmetry.As always it is best to be as healthy as possible avoid any smoking and if you have any medical problems that they are well controlled and managed by your primary care physician.Best to you

No two breasts are alike but in some cases the difference between the two breasts are significant and present difficulty not only with body image but also with practical matters such as fitting of clothing.  It is difficult to say from your photos but the approach to symmetry has to take into account your overall goal of size and shape.  This may include a reduction of your larger breast with or without a lift on the smaller side or implants for one or both breasts or a combination of these procedures.  The most important thing is to develop a relationship with your surgeon that allows you to state your goals and then receive feedback and education so that you can make the correct choices.  In general, insurance will not cover procedures of this nature but your surgeon should be able to evaluate you to see if there is an option to submit your case for insurance approval.   

Thank you for the photos and clearly the appearance of both breasts can be radically improved with a lift/reduction on the left and a lift with or without an augmentation on the right depending on how small if at all the left is made.  The key is to find a surgeon with expertise in this area of breast reconstruction.  So go on several consultsDr Corbin