How Can I Re-correct Breast Asymmetry After Weight Loss?

Thank you for the question.

The best course of action is to achieve a long-term stable weight prior to undergoing any consultation and/or surgical procedure. Once you have reached this long-term stable weight,  then direct examination will be critical to determine the best options to improve the breast asymmetry in your case.  Again, exactly what is recommended will depend on what is found on physical examination and a full discussion of your specific goals.

Best wishes.

Every woman's breasts go through lots of changes their whole life.  They change with hormone fluctuations, pregnancy, and weight changes.  When you have breasts of two different sizes and shapes they do not change in the exact same manner.  You have experienced that frustration already.  An implant is a fixed size and will of course not respond to biologic forces.  Fat transfer to your smaller breast may smooth out some of the variation, but we have no scientific data to let us know whether the transferred tat cells behave like fat cells that originated in the breasts.  Weight control can help prevent the size discrepancy, but your frustration is likely to be lifelong.  Keep your sense of humor!

You will likely need an implant on the right to try to improve the breast volume symmetry. Depending on how much weight loss you have and how droopy your breast(s) get, you may also need a lift. If you are planning on losing a large amount of weight, you should do this first, before surgery and then you need to maintain your weight without large fluctuations. If you are planning on losing only 10-15 pounds more, I don't think you need to wait to have surgery. You should discuss this with your board certified plastic surgeon.