Best Option for Breast Asymmetry?

I have uneven breasts and am very unhappy with right (the pictures left) is visibly bigger and hangs lower than the left..i am not against breast implants but would prefer not to have them..i also have not had any children but am planning to in future..i know that scarring is inevitable but would like a option that would have the least amount of scarring if there something that can make my breasts look normal...what would you suggest..?thankyou

Doctor Answers 15

Breast asymmetry options

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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.

Unhappy Breasts

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There are certainly many options to improve the appearance of your breasts but before proceeding you must make several decisions. You mentioned that you intend to have children but no one can predict how your breast will change after pregnancy. Your areola could be lifted and made smaller but they may widen after pregnancy.

Your primary problem is breast shape and you would require some type of Mastopexy and possibly implants if you are unhappy with your size. These procedures will produce scars most likely a lollipop or inverted T. Are you willing to accept the scars and the possibility of future surgery after pregnancy? Only you can decide.

If you proceed, I would do a vertical Brazilian mastopexy and internal support with no implant if you are happy with the size. Otherwise I would consider using a gel implant with inverted t or J mastopexy. Tough decisions on your part. Good luck

Richard Linderman, MD
Indianapolis Plastic Surgeon

Breast options

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Your areola are medialized, and that may be difficult to change too much.  It also looks like you probably need some sort of a lift as well as an implant if you want to be fuller.

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

Evening Out Breasts

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I believe that a lift with a vertical component to it would be beneficial.  The breast can be shaped internally to achieve more fullness and symmetry.

Dr. ES

Breast Asymmetry

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Thanks for the question and the photo! From what I see, breast asymmetry with constricted lower poles with tubular appearance and resultant ptosis (sagging)....I know implants sound daunting, but they will provide excellent upper pole volume as well as contour improvements along the base of each breast. Correction of the ptosis and tubular breast issue to give you better symmetry and an rejuvenated breast look would be a lift or a mastopexy. A vertical or lollipop lift would place a scar around the areola and is concealed pretty well, leaving only the up and down scar that is visible....but with your fair skin, it should heal very nicely

Seek out a breast surgeon who is Board Certified and who performs a significant number or these (both breast aug and mastopexy at the same time), review their results and see what they have to say.

Hope this helps and I think you are going to do great!

Dr. C

John Philip Connors III, MD, FACS
Atlanta Plastic Surgeon


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In my opinion, a right sided peri-areolar (crescent) or circumareolar (donut) lift would even out the areola level and use of liposuction would achieve closer proximity in the appearance of the breast with the least amount of surgery.

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

Breast asymmetry can be corrected without breast implants.

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1) From your picture, you will do well with an asymmetric breast lift, with circular scars around your nipples. Your nipples need to point out a little more.

2) You need more of a lift and a tiny reduction on your right breast.

3) The areolas should be made a little smaller, specially the right one.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Breast asymmetry

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Your nipples are disproportionately large and off-centered. The only way to correct this is with a type of breast lift, probably a vertical lift with a lollipop scar. The size difference can be adjusted at the same time with or without implants depending on what your goals are for breast shape and size.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast lift for you

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You simply need a breast lift to elevate and reshape both breasts and make them more symmetrical.  You don't need implants if you don't want to be bigger.

Breast asymmetry can be fixed with a combination of a lift with a reduction or implants

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From your photos, it appears as though you may benefit from a vertical mastopexy to make both breasts perkier and more symmetric.  Depending on your desires, one breast may need to be reduced a little or the other augmented with an implant.  Either way, the scarring heals very well with incisions around the areolae and straight down from the 6 o'clock position.  Good luck!

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.