Will one breast implant on the left side be enough to fix my asymmetry? (photos)

I scar VERY badly, and so I cannot consider any type of life. Would I be able to have one silicone implant over the muscle through an armpit incision? Do you think that this will help to fix my asymmetry? I am 23 and this is very distressing for me

Doctor Answers 7

Will one breast implant on the left side be enough to fix my asymmetry?

It is difficult to provide accurate recommendations without the ability to perform a physical examination and assess the tissues. Based on your photographs however it appears that your asymmetry is a combination of a difference in volume and a difference in shape. The left breast will need additional volume and the right breast will very likely need a breast lift to help get better symmetry. Achieving satisfactory symmetry in this type of case is quite challenging. It will require precise creation of the appropriate pocket on the left side. Considering that a transaxillary breast augmentation is done bluntly and blindly it would not be my first choice. An incision made through the crease will allow for much better visualization and customization of the pocket. Good luck

Omaha Plastic Surgeon
4.8 out of 5 stars 112 reviews


Breast asymmetry can often be corrected or at least reduced with an implant on one side. From the photos you provided, it might be possible to match the volume, but not the shape without a lift on the larger side. This can still provide a very nice improvement. Though, I only perform trans-axillary augmentation that are in under the muscle, I think this would still provide a nice result. You should discuss these options with your surgeon. Good luck.

Steven L. Ringler, MD, FACS
Grand Rapids Plastic Surgeon
4.9 out of 5 stars 69 reviews

Will one breast implant on the left side be enough to fix my asymmetry?

Hi Laura,
In your case I recommend that you give room for the surgeon to choose the size within a reasonable range that both of you will agree upon. Intra-operatively I will use a sizer to try to match your right breast as much as possible because breasts on average are never 100% symmetrical.

Mansour Bendago, FRCSC
Toronto Plastic Surgeon
4.8 out of 5 stars 73 reviews

Will one breast implant on the left side be enough to fix my asymmetry?

Thank you very much for your message and your photograph. I think a small breast implant would certainly increase the symmetry between the two sides. This would make it easier for you to wear clothes and make the volume in both breasts similar.
A breast implant however will not correct your nipple position.
From your photograph your right nipple looks slightly lower and your areola (the brown area around the nipple) looks slightly wider. This will remain with an implant and you will have differences in shape and nipple position between your bust even though the volume may be more similar.
To achieve a full correction you would need a nipple lift on the right side and there are a number of different techniques for this. It is probably best to talk to your surgeon about the scarring they would prefer.
I wish you the best of luck if you do decide to go ahead with treatment.

Adrian Richards, MD
London Plastic Surgeon
4.9 out of 5 stars 148 reviews

Will one breast implant on the left side be enough to fix my asymmetry?

    A breast implant to the smaller side will not help to improve the shape mismatch or the areolar position asymmetry.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

One sided breast implant will not create symmetry with sagging opposite breast

Unfortunately your right breast sags more than your left smaller breast.  Simply placing an implant in the left breast will not create the natural fall or sagging of that breast so you'll be left with a larger higher breast on the left side.  If you cannot tolerate a lift on the right side will be very difficult to achieve symmetry.

Breast augmentation

Why do you feel you scar badly  There are new products like Embrace that are scientifically shown to improve scarring.  Also having a silicone device placed to through the armpit has less control compared than one placed through the fold from below.

In breast augmentation I have chosen to spend time reviewing photographs with patients to fully understand their expectation of size and shape. Many times this simply raises more questions. I will make measurements and use the implant guides to allow the patient to understand exactly the sizes that are reasonable for their body type and measurements.

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!

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.