My breasts are very asymmetric. What procedures will help my breasts look more even?

Hi, thank you for your question. The larger breast will require a reduction/lift to match the size of the other side. Your smaller breast appears to be in good position. An implant alone will not solve the problem. If you wish to have an areolar reduction, this can be done at the same time. Consult with a board certified plastic surgeon to examine you and go over all of your options. I hope this helps. Best of luck!

Hello, Thank you for your question. Based on your photos alone and your concerns I would recommend a breast lift with re shaping and a reduction to the larger breast. This will help in making it more symmetrical to your other breast. I suggest booking a consultation with a board certified plastic surgeon to discuss your concerns and goals of surgery. Some clinics are offering virtual consultations during this time. 

Thanks for your question which is a challenging one! If you don't want scars or implants to correct your asymmetry then fat grafting and liposuction are your best options. In fact both fat grafting and liposuction do leave multiple small scars, but they are normally placed in hidden areas and are small and therefore difficult to see once fully healed. Fat grafting to your smaller breast is the most obvious option, but it is unlikely that breast will fill out and drop such that it is symmetrical with your larger right breast, and the nipple heights will not the same. Although rarely performed, some moderate liposuction to the right breast can reduce this side. As you appear to have young elastic skin it should retact and may then lift the nipple on this side somewhat, so that if combined with fat grafting to the left you would gain symmetry quicker. The most obvious treatment would be a lift (mastopexy) to the right breast. If you really wanted to keep scars to a minimum then just having a scar around the areola (peri-areola lift) means the scar would be hidden at the junction of breast skin and areola. However a lollipop scar would work better, and the vertical scar actually heals very well so that it isn't very visible once fully healed in. A combination of implants and a lift  would be the most obvious solution, but from what you have written I presume you want to avoid this. Good luck.

Thank you very much for your question, in your case we would have to perform a breast lift in breast that has increased in size, the difference is significant so you could not avoid the scar, however the result will look natural and synetric. greetings from cartagena colombia

Dear Dilaa,
women’s breasts have some degree of asymmetry. Some may be more noticeable than others. If you have breast asymmetry before breast augmentation surgery, there is a great chance that this will exhibit right after the surgery. Based on your photos, it looks like you would benefit from breast lift and different size implants. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi Dilaa,Breast asymmetry is difficult, even when you use a combination of implants and scars to reduce the larger breast.  An areola reduction alone with fat grafting of the smaller breast will not likely result in significant improvement in symmetry.  Your larger breast has moderate ptosis (we refer to as grade 2) and would need to be lifted to match the other breast.  I think a combination of a vertical breast breast reduction (aka lollipop scars) on the larger breast, with fat grafting to the smaller breast would be the best procedure to match your breasts.  Of course an in person exam is needed to make the final recommendation.  In this Covid era, many surgeons are offering virtual consultations and 3D simulation software like Crisalix can be used to help understand what is possible.Best of luck and always happy to help :)

Hello, thank you for your question !The best approach would depend on what your desired outcome is.If you would like the right breast to match the left, you would benefit from a full unilateral mastopexy with wedge excision. This would lift the larger breast into place while taking out a wedge of tissue to decrease its volume to match the other breast. This would leave you with a traditional lift "anchor" scar on the right side, while the left side would be untouched. I feel this approach would give you the best result.

Thank you for your question. Based on your photograph a breast lift with a slight reduction  on the right side using  the vertical scar technique and some autologous fat eenhancement on the left side, should give you excellent results.Please find a Board Certified Plastic surgeon who can examine you and help you with all your concerns. 

if you want the simplest thing possible, then I would perform a breast reduction on the right side. I think fat grafting is unreliable and may take more than one treatment.

Thank you for your question.The best way to achieve symmetry would be through a breast lift. With that procedure it would elevate the nipple position, remove some breast tissue from the larger side, and give you some upper pole fullness in the breasts.