Approx Breast size difference?

I'm 5'5" 128 lbs with 32C/34B breasts. I used individual sizers in both 50 cc and 100 cc to get a gauge on breast size difference, and it looked closer to 50 CCs than 100 cc in difference; but looking at photos I feel like they are more different. Do you have a possible estimate? I've had three consultations and one PS said 50, another said 100, and the third let me decide with sizers. I would like my breasts to be as even as possible, so the decision is scaring me. Thank you for your help!

Doctor Answers 13


Hello dear, thanks for your question and provided information with pictures as well.. 

You are a good candidate if you have one of the following conditions:

  • Self-esteem has decreased or you dislike the small size of their breasts.
  • Not feeling comfortable in a bathing suit or tight clothing in the upper portion.
  • Your breasts have become smaller and lost their firmness after having children.
  • Weight fluctuations have changed the size and shape of their breasts.
  • One of your breasts is noticeably smaller than the other.
Breast augmentation is one of the most performed cosmetic surgeries and generally provides great satisfaction to the patient. It is usually performed with breast implants.

I recommend you to get a consultation with a board certified plastic surgeon!!

Dominican Republic Plastic Surgeon
4.6 out of 5 stars 331 reviews

Breast size difference

Thank you for your question.  Difference in breast size is extremely common.  One of the goals of breast augmentation is to improve asymmetries of the breasts.  Once you decide on an approximate volume that you would like with the augmentation, your surgeon should be able to make intraoperative decisions and place the appropriate size implants in the operating room by using temporary "sizer" implants before placing the permanent implants.  Hope this helps!

Breast Asymmetry May Remain After Breast Augmentation

 The volume difference is a concern for you, and a silicone implant cannot exactly correct it, as they are prefilled.  Sizers are used intraoperatively to see the best match.  Multiple implant options are on hand.  There is more than just a volume difference in the breasts, there is a slight shape difference.  You have a difference in the tissue below the areolae.  One breast is a little more relaxed and full looking.  Sometimes liposuction can remove some targeted excess volume on one side, other times it is resected.  If exact symmetry is one of your main concerns, ask your surgeon how this is best addressed.

D'Arcy Honeycutt, MD
Bismarck Plastic Surgeon
4.6 out of 5 stars 20 reviews

Breast size difference

Thank you for your questions and photos.  I definitely understand your concerns.  Contemplating surgery can be stressful!  Your breasts are somewhat asymmetric, and if they measured out at between 50-100 cc with the sizer, but closer to 50 cc, I would likely recommend using the 50 cc different implant.  I have found that in similar patients, if an implant difference greater than 50 cc is used to correct asymmetry, it is easily noticed.  An implant that is 100 cc larger will be very obvious, where a 50 cc larger implant (even if the breasts aren't exactly equal in size) will look much more natural.  You have done your research and seen 3 different surgeons.  I would encourage you to go with the surgeon that you feel the most comfortable with and that is able to answer your questions best.  Also please assure that your surgeon is an experienced, board certified plastic surgeon.  Best wishes!

Daniel Brown, MD, FACS
La Jolla Plastic Surgeon
5.0 out of 5 stars 14 reviews

You need an examination.

Without personally examining you, it will be nearly impossible to give you an estimate as to the volume of implants that will provide you with the best match postoperatively.

When I encounter people such as you, I spend a lot of time with them performing measurements, looking at how different volume implant sizers affect their symmetry, and I often modify my intraoperative process.  

If needed, I offer patients the option to have me select the implant that best matches the opposite breast by using temporary sizing implants in the operating room.  By doing this, we can give the most precise result to patients, and they can be reassured that we are intent on achieving the optimum result.  This extra effort takes time and experience, but if you have the type of mismatch that your photographs reveal, it is well worth the time and effort.

I did notice that you've seen three plastic surgeons.  I trust that you were diligent in investigating your surgeon to make certain that he or she was a member of the Utah Plastic Surgery Society.  Our members are all Board Certified Plastic Surgeons and adhere to a rigid set of ethical and professional standards.  You can find the list of members at the attached link.

Best of luck.

Correction of breast asymmetry.

It looks as though implants alone should allow for correction of breast asymmetry. Sizing systems will get very close to the volume disparity. Most plastic surgeons would you sizers in the operating room to confirm this.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

Size difference

Thank you for your question and you are on the right track by putting sizers in your bra.  You probably have a 75cc difference based on photos alone

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 58 reviews

Approx Breast size difference? (photos)

In my opinion, if the small difference in size is bothersome to you, intra-operative sizers could be used to determine the best possible size match. The breasts will never be identical, but that doesn't mean that they won't be attractive. Good luck!

Breast Size Difference

Honestly, this is not something that can be determined online or with a photo. I know that your anxious about making the wrong call, but I will remind you that know two breasts are perfectly even in size. Best, Dr. Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 44 reviews

Sizes of implants

Thank you for the question and photos. As I stress with most patients, the choosing of implants is a very crucial and is one that should be done through an in-person exam. Various aspects could affect the choice of implants like breast tissue, body measurements, desired end result and the like. Bra sizes also differ from one manufacturer to another so a carefully selected implant can be able to get you very close to that size. Best to visit a board-certified plastic surgeon and have a full evaluation. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 57 reviews

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.