Can Asymmetrical Breasts be Fixed Without Surgery?

Question

Hi! I am 22 years old and I was wondering from looking at my pictures could my asymmetrical breast be fixed without implants? Or would I need implants plus a lift in my left(the bigger one) breast? Thanks!

Brent Moelleken, MD · Answer

Breast asymmetries must generally be done in surgery.

	If the patient is OK with their size on the smaller size, a lift on one or both sides with slight reduction of the larger side is an option.  This is the lowest maintenance option.

	Or the patient can have a lift plus asymmetric implants if the patient needs a bigger size.

Austin Hayes, MD · Answer

Thank you for the question. Unfortunately there are no nonsurgical options to fix uneven breasts. A breast lift with a small reduction on the larger side is typically used to create symmetry without implants. When considering surgery make sure you find a board certified plastic surgeon who will take the time to listen to your goals, answer all of your questions and explain all of your options, so that you can decide if surgery is right for you.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  Breast asymmetry is very common, particularly size asymmetry.  If you are looking to decrease the asymmetry from one breast to another, then you have several options.
1)  You can reduce the larger breast with liposuction or a traditional breast reduction technique
2)  You can enlarge the smaller one with fat grafting or an implant
3)  You can enlarge both but use different size implants
4)  A lift procedure may also be needed to help address differences in shape, nipple position and areolar size.
I would visit with a board certified plastic surgeon to discuss your options in more detail.

Lewis Albert Andres, MD · Answer

Hello! Thank you for your question! It is common for women to have asymmetry of her breasts. Usually, this is simply a benign finding, especially if it has been a finding since development. Sudden changes in one breast alone is more concerning. If the asymmetry is bothersome to you, there truly is no "natural" way to achieve symmetry. Nothing short of a surgical procedure would ameliorate your issue. Options would be for augmentation of breast(s) with implant(s) of varying sizes or fat, reduction of breast(s) with excision or liposuction. Consult with a plastic surgeon to examine examine and discuss the various options available. Your surgeon will help you decide for yourself which option(s) is the best for you. Best wishes!

Jerome Edelstein, MD · Answer

Thank you for the pictures. The procedure most suitable for you depends on which breast you would like to have matched up. Do you want to be larger like the left one or smaller like the right? A breast reduction and lift can be performed to reduce the size of the left to make it perkier. You can also increase the right with an implant although you may need to still have a lift performed if you want the left to be perkier.

Anita Patel, MD, FACS · Answer

Asymmetric breasts are very common, and you can definitely fix your asymmetry without implants. You can have a lift and reduction on the left in order to match the size and nipple position on the right. If you want the breasts to match and also be larger, then yes you would need implants, along with a list on the left. In that case a smaller implant can be used on the left side since it is already larger than the right. I would not recommend an implant on only one side though, since then you will still likely be asymmetric in shape. Good luck!

Scott C. Sattler, MD, FACS · Answer

You don't need an implant to fix your assymetry- a breast lift procedure with a small reduction on your left side would create better volume, nipple position and shape symmetry.

Robert Whitfield, MD · Answer

You can use your own tissue to even things out.Fat grafting is a valuable tool in breast surgery.  This technique has gained more popularity
over the past 7 years.  There are many
techniques used to harvest the fat, process the fat and then re-inject the fat.
Conventional suction lipectomy is performed with a small diameter cannula,
processed by separating the liquid and fibrous tissue from the fat, and then
placed into syringes for re-injection or through a closed system.

Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide.  These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!

Robert L. Kraft, MD, FACS · Answer

Correction does not always require implants.  This is a personal choice.  However, asymmetry does require a surgical procedure.  I second the statement of another poster that, regardless of the solution you elect, there may still be a difference in the shape and appearance of the breasts.

Gordon Lewis, MD · Answer

There are a couple of options for you.  The easiest is to get a small reduction on your left side.  This will give you a loft in your nipple position on the left and can easily come very close to the size and shape of your right.  Of course this gives you incisions on you left breast that you would not have on your right.

	Another option is much more controversial.  Fat injections can be placed in your smaller (right breast)  this is a procedure involving liposuction to your abdomen and injection of the harvested fat into your right breast.  This is still controversial as there is a concern that this could possibly increase your chance of breast cancer.  This is mostly a theoretical concept, but in the U.S., most surgeons (including me) are not willing to take the risk.  I am constantly reassessing my position, I think this has great potential and once I think the risk profile is OK, I will likely start fat grafting the breast.

Can Asymmetrical Breasts be Fixed Without Surgery?

Answers (20)

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