Breast Augmentation for Asymmetrical Breasts?

I'm considering Breast Augmentation. I'm 5'2" 107lb, 34B, left breast is slight bigger(50-100cc?). So it's a bit saggy than right, left nipple is about 1cm lower than right nipple. What is the best way to fix this asymmetry beside put in different size implant? (I'm thinking about silicon, R 290-330 L350-370 ).

Or if by putting different size of implant can balance them out? Is areola incision the best way to go to take off a bit skin on left breast on top of nipple?

Doctor Answers 14

Correcting Assymetry with Breast Implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
In addition to an Augmentation, a Breast Lift may be better support the implants.
Getting #BreastImplants without a #BreastLift is usually said to be mistake by many patients who reflect back on the decision. Most breasts will look larger and more droopy with solely implants. They will sag more and sooner, due to the sudden and excess weight. At times it's possible for a “Snoopy” breast or double bubble to develop as a result.
Additionally, an implant with lift may be useful to re-position the nipples which may have been affected by ptosis or drooping. One of the primary intentions of a Breast Lift (#Mastopexy) is to improve the shape and position of the breast without reducing their size. It is used especially for breasts which sag or droop (#ptosis). Both procedures can typically be done together in the same surgery.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Lift plus implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for the question.  One option you can also consider is having a breast lift to balance out both breasts and put in same size implants.  I'm sure a lot of plastic surgeons do this as well but it would be best to see you in person for an examination.  Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 120 reviews

Breast asymmetry options

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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
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 and nipple position.
I would visit with a board certified plastic surgeon to discuss your options in more detail.

Ueven breasts and how to correct breast asymmetry with implant augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

A left crescent lift with volume compensation using different sized implants or suction assisted lipectomy (liposuction) of the larger left breast with similar sized implants are reasonable options for correction of the breast asymmetry. I have prepared a series of 4 youtube videos (linked below) discussing the management of breast asymmetry.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Without the benefit of photos it is difficult to give meaningful advice.  Having different sized implants to balance out the breasts is only one way of having symmetric appearing breasts.  Breast are less frequently even than one thinks.  There are many factors:  looseness of the overlying skin/breast, location of the nipples, prior pregnancy, age,etc.  

Shahin Javaheri, MD
San Francisco Plastic Surgeon
4.4 out of 5 stars 6 reviews

Asymmetry and augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, you can correct different sizes by placing implants of differing sizes. We do it all the time. It seems like you're very decided on the size. Hopefully your ABPS board certified plastic surgeon and you have discussed this in detail and he's come to that conclusion with you. Sometimes the asymmetry cases can be really tough because there's always going to se somewhat of a difference, but it can be made lesser. If the patient has that expectation you'll be alright. Sometimes it comes out just perfect!

As far as the lift goes, that's a trickier issue. Some of the periareolar lifts don't really work well at all. There are various techniques in lifting that can reposition the areola and nipple very effectively. Again, in this situation they can be positioned almost perfectly if the proper lift technique is done. Your plastic surgeon will know which lift technique has worked out best in his hands. I suggest you openly discuss your concerns with him prior to having surgery. This may entail a second preoperative visit. They're not uncommon and can be very helpful to clarify expectations.

Ricardo A. Meade, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 125 reviews

Asymmetry and breast implants

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 If there is significant asymmetry of the height of the nipple areola complexes, then a simple areola lift can be performed to raise the nipple areola complex and match the size to the opposite one.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Implants and lifts for asymmetry

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

What asymmetry you have cannot be corrected with implants alone.  The one side needs a lift.  Maybe both do and you would have the same scars.  Minor lifts can be done with areolar scars without the vertical scar or one in the crease.   

Breast Augmentation for asymmetrical breasts

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The vast majority of women have Asymmetric breasts. Asymmetry is the rule not the exception. There your situation is rather common.

My preferred incision is periareolar since it allows modification of the areola, visualization of the entire pocket and is re-useable in the future.

I would approach your condition by measuring the base of your breasts and see how much cover they can afford the implants. I would do a breast augmentation bilaterally using sizers to give us the best approximation of the ideal size implants for each side. Once the augmentation stage was over, I would perform a lift on the droopier side as dictated by the implant placed.

Although discussions of cc's (silicon, R 290-330 L350-370), are important conceptually, I would defer all my final decisions BASED on these discussions, to what I see in the OR.

Hope this was helpful.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Breast lift versus breast augmentation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

When there is a discrepancy in size between the two breasts, then using different size implants (a larger implant is placed under the smaller breast) can help even out the sizes. However, if there is a discrepancy in the level of the nipple-areolar complex, then you may also need a breast lift at the same time. If you post pictures, we may be able to give you more specific advice. Good luck with your procedure.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.