Interested in breast augmentation. Would this help minimize asymmetry? What are my options? (photos)

Would breast augmentation surgery help minimize asymmetry? Absolutely. In most cases, breast augmentation can be an amazing solution for correcting breast asymmetry. Inserting two different sizes of implants allows us to create more even and symmetrical breasts. In some cases, we remove a bit of fatty tissue from the larger breast as well. Good luck.

Thank you for your question. Currently, breast augmentation surgery can be performed while improving the asymmetry of the chest.The difference in nipple level and asymmetry can be improved by changing the level of dissection of the pectoralis major muscle of both breasts when creating a dual plane pocket; the difference in inframammary fold (IMF) level would be fixed to the chest wall when closing the IMF incision. You can raise or lower the IMF while doing it. The asymmetry of IMF level can be corrected by raising one IMF and lowering another. If there is a difference in breast size, it would be corrected by inserting implants of different sizes on both sides.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Based on your photographs, the left breast is smaller than the right. The fold at the bottom of the left breast is higher than the right side. I am sure your surgeon will do their best to get you the best symmetry possible. They would have to use different implants to balance the size of the breasts and may try to modify the position of the lower fold of the breasts to make them more even. Unfortunately, your surgeon cannot control how your body heals, and there is no guarantee of perfect symmetry. There may still be asymmetry afterwards.

Hi! Excellent question and a very common issue. All patients have some asymmetries. Sometimes different implants help. Sometimes a small lift may help as well. Sometimes implants and nothing else is better in or to avoids accentuating the asymmetries.
In your case I feel that using same size implants plus a small circumferential lift on your right breast and or a slight lowering of the breast fold on the right would help correct your issues. The scars might be different but these will practically disappear with time. If your interested in large implants then I would avoid the circumferential lift and only work on the breast fold on the left side.
If you are afraid of these scenarios. You should do breast augmentation only. If you still feel your breasts are too asymmetrical, then in the near future, a revision without changing the implants will be easy.

helloabout your breast fold asymmetry the incisions may be planned to get the folds level as much as similar with saving the natural fold structure. On the other hand the augmentation operation will notmake the asymmetry more pronounced.
best regards

Thank you for your question. You are correct in noticing this asymmetry. When performing a breast augmentation, you would benefit from the left breast IMF being lowered slightly. Additionally your left breast implant will likely need to be slightly larger than your right, as your left breast is slightly smaller to start with. Good luck.

You do have some asymmetry. But not bad enough to do anything special with your surgery. I think you are a good candidate but just need to understand that there will still be asymmetry no matter what is done. In fact efforts to try to correct the asymmetry may leave you worse off

Hi In53,Thanks for sharing the photos. During the augmentation, your board-certified plastic surgeon will be able to use different maneuvers to try and drop the left side slightly so that it can improve the symmetry. Although breasts are never identical, I think that you will be able to have a very nice result.Good luck!!

Dear ln53,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery