Can this asymmetry post breast reduction be fixed with just breast implants? (Photo)

Question

I had a breast reduction 2 years ago and I'm unhappy with the asymmetry. Can this be fixed with two different sized implants ?

Chet Mays, MD · Answer

Thank you for your inquiry!!   There are different ways to get volume, implants or fat transfer.  You have options!  We would love to meet with you to discuss your concerns.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Daniel Barrett, MD · Answer

Dear madisonvvvl,
it is hard to tell for sure without an examination. Based on your photos, it looks like your asymmetry is minor so different size implants might be a good choice. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Leila Kasrai, MD, FRCSC · Answer

Implants can improve size symmetry. Based on your photo, a lift may be better suited since it appears that the right nipple (in the photo) is lower than the left. A lift could bring it up a bit to even it out.

Luis A. Mejia, MD · Answer

Dear madisonvvvl, thanks for sharing your pictures and concerns implants sizes selection are maybe the difficult step in this process, I do suggest to take a sit with your surgeon and talk about it, discuss your desires and listen his or her recommendation about, in order to meet your expectations. However it is impossible to pick or recommend style, shape or sizes without an in person consultation, that provide the chance to get the measurement of key breast parameters. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia

Laurie A. Casas, MD, FACS · Answer

You raise an excellent question. I would recommend you discuss your options with your surgeon or another Plastic Surgeon who is certified by the American Board of Plastic Surgeons. You have the option to merely revise the larger breast by removing breast tissue strategically. This would mean your breasts would remain the same size and look as your smaller one. If you choose to move forward with breast augmentation, I would recommend that you make sure you are 100%
Sure you want to enlarge your breasts. No matter what size implant you choose your breasts will be enlarged. If you choose that approach your surgeon can remove the extra breast tissue on the larger side and then use the same size implants. And also remember that breast implants have maintenance and that they will typically not last a lifetime.  Bottom line is, I recommend you and your surgeon discuss both possibilities. Good luck!

Gianfranco Frojo, MD · Answer

In general, I do not recommend placing different size implants. It would be best to place two bilateral symmetric implants and then reduce the skin/soft tissue over the implant.

Gary M. Horndeski, MD · Answer

If you had a breast reduction then you had excess breast tissue. I would not recommend breast implants but would recommend fat transfer. Also, I recommend a circumareola approach to correct the asymmetry of the nipple-areola complex.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You have a good result. However as with most breast reductions you lack upper fullness. Adding an implant would be simple to do

Dana Goldberg, MD · Answer

Breast implants might improve symmetry if you notice a significant size difference between the breasts. Fat transfer is another option so that you do not have implants (or deal with future surgeries related to them).

However, if you are hoping to improve the symmetry of nipple position or to improve the shape of the breasts, a revision of he breast lift might need to be done (instead of or in addition to changing the size).

Harry T. Haramis, MD, FACS · Answer

All breasts are different right to left before and after any surgery, especially without a bra.

Implants may camouflage some asymmetries, however, they will never be 100% identical.

Adding a small  revision on the one would improve symmetry.

An exam and consultation with your/a plastic surgeon is recommended to discuss your best options and expectations.

Can this asymmetry post breast reduction be fixed with just breast implants? (Photo)

Answers (19)

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