Major breast asymmetry. One side just stopped growing. What causes this and what surgical procedure do you recommend? (Photo)

Hello and thanks for the post. Asymmetry is common, but in your case your breasts are very different. No one knows exactly why this happens. There are lots of surgery options for you including saline, silicone and MemoryShape breast implants. Best wishes, Dr. ALDO.

Hello,The most successful way of improving symmetry is a two stage process that Dr. Mackenzie mentioned.  Your breasts don't just differ in volume, they differ in skin surface area as well.  Because of the degree of difference, it's best done in two stages.  The first is to reduce the volume and skin excess of the larger breast.  This is very important so that the larger breast can respond to the increased volume of the implant in the same way that the smaller implant does in a second operation.  Also, minor revisions can be performed on the formally larger breast during the second operation if necessary so that the best symmetry can be obtained.Best of luck!

If you are okay with the volume of your right breast one possible solution would be to augment the left side to match the volume of the right and then perform a mastopexy on the right side to adjust the diameter in position of the areola.

Hi... thank you for the question...and photos... the treatment of these asymmetry, a breast augmentation with anatomical implants and a mastopexy of the other side to take them to the most simmilar as possible

Every woman that I see in consultation, think that they are the only ones with breast asymmetry. Matter of fact, in over 22 years of practice, I'm still waiting to see the perfectly symmetrical breasts on a woman.  If you like the larger size and shape, then I would consider fat graft breast augmentation on the smaller side to achieve more symmetry in shape and size. This will give you the most natural result both in static and dynamic conditions. If you consider just augmenting the smaller side, without or with a breast lift on the larger side, you will continue to have asymmetry, especially with movement. If you move your arms up the breasts will look even more asymmetrical, since the implant will need to go in a submuscular pocket and tends to go up higher. See a board certified plastic surgeon for an in person consultation/evaluation to decide what is the best option for you based on your wishes and what is anatomically possible to achieve. Good luck.

There are several options to correct your asymmetry:1) Breast reduction/lift on the bigger side reducing the size of your areola2) Breast lift on the bigger side- with augmentation on the smaller side3) Breast lift on the bigger side with bilateral augmentation with implants on both sides-- if you want more volume

Hi lookinforaboobfix,

Every woman has some degree of asymmetry; I remind my patients breasts are
“sisters not twins”. In your case, your asymmetry is very significant and I
imagine you would find it difficult to find bras and clothing. I would
recommend a unilateral breast augmentation (inserting a breast implant into the
smaller breast pocket only). Your other breast is very nicely shaped and sized,
so I believe just evening out your asymmetry would achieve the result you’re
after. You may require a lift 12 months down the track on the other breast to sustain your symmetry, but that would be a matter of waiting and seeing how your breasts settle. You have concerns over the difference between your areolas; I probably
wouldn’t touch you nipples surgically to start with as it would leave you with unnecessary
scarring, but a revision of your areola could be performed if you had a lift later on. I’d advise to make an appointment with a highly experienced plastic
surgeon as your case is quite complex.Hope this has been of some help,Craig

In my opinion, the best way to get as much symmetry as possible in a situation like yours is to bring the larger breast to match the smaller one, then augment both with implants of identical or nearly identical size.  The goal here is to have the same or similar amounts of both breast tissue and breast implant in each breast, and to have the areolae similar size.  This will require reducing the big side (which also provides a lift).  Simply lifting the big side with a mastopexy but not reducing volume, then trying to match size with an implant on the small side usually does not yield a symmetric or lasting result. This is because one side has a lot of breast tissue and no implant (or a small implant), while the other side has a little breast tissue and a big implant.  In this situation, they will never look, hang, feel, or bounce the same.  Be aware that achieving good symmetry may very well require more than one surgery.

The good news for you is that it is possible to have the filler, matching breasts you wish for.Based upon your photos, I'd say the best procedure for you would be combination of procedures done on both breasts. On the larger breast, a curcumareolar mastopexy to decrease the size of the areola and tighten the skin envelope to better match the left side.For the smaller breast an augmentation will allow the volume of each breast to better match the other.its also important to note that in cases such as yours with significant asymmetry an additional , relatively simple procedure may be needed to adjust things to give you the best match posdible.

Thank you for a wonderful question.well, i think the firths step is a proper diagnosis, by the pictures you send us i think it would be wise to ruled out Poland syndrome, a rare birth defect characterized by underdevelopment or absence of the chest muscle on one side of the body. as you can understand if that is the case, that means that fixing the asymmetry it's a challenge that needs careful planning. please look for a certified surgeon and ask for a chest ultrasound and a xray. and seek for the information for a better treatment. remember the body its a perfect machine and we need to make sure that you are not only beautiful, we need you to be healthy