Would lipo on my bigger breast make them more symmetrical? (photos)

Question

Would lipo on the bigger breast do the job of making them more symmetrical? I'm pleased with my overall result but there is about half a cup difference in size. Am I nit-picking? I'm 7 months post op.

George Bitar, MD · Answer

Hello and thank you for your question. The fact of the matter is that almost no one has perfectly symmetrical breasts, and most breasts vary from left to right. Overall, liposuction of the left breast would increase the amount of sagging to that breast, even though it would even out the volume. If you are overall pleased with your result, then this would be the most important thing. However, you should bring up your concerns to your plastic surgeon, so they her or she can address them.

Ajay Mahajan, MD, FRCS (Plast) · Answer

I think that you have reasonably good result. It is obviously nice to have perfect symmetry, but well over 95% of women do not have symmetrical breasts and the degree to which they are asymmetrical varies widely. Did you mention 'nit-picking'?!But taking about the problem as you see it, you have a drawn a line under your breasts to show that you left breast is slightly lower than you right breast. This cannot be correted by liposuction and there is a risk that this will only get slightly worse if liposcution is done to reduce volume. If you are really concerned about it, you could potentially have liposuction and uplift of the left side or fat transfer on right and uplift on left.

Kenneth Hughes, MD · Answer

A breast reduction revision performed by liposuction can reduce the size of the breast a moderate amount depending upon the amount of fat, but the procedure will not lift the breasts.  If you want the best results, then the excisional procedures should be performed. Liposuction will not improve the skin.  If there is any level of droop, breast reduction by the conventional surgical methods is best.

Elisa A. Burgess, MD · Answer

In my practice, we like to wait 6-12 months after surgery to do any type of revision. The longer patients wait the better since there can still be fluid pockets at 6 months. So it can be reasonable to try a little lipo but sometimes it will improve on its own. It is also virtually impossible to make people perfectly symmetric even though that is our surgical goal every time. Best of luck to you.

Daniel Barrett, MD · Answer

Dear thetigerwhocametotea,
I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. Based on your photos, it looks like there is small asymmetry, but liposuction probably won't provide good results. It is best that you visit your plastic surgeon for further assessment. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your breasts are still low on the chest wall and lack upper pole fullness.  Liposuction would reduce the larger breast but may not give you the result you desire.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.    Best Wishes,Gary Horndeski, M.D.

Tom J. Pousti, MD · Answer

No, I do not think that you are "nit picking".  Based on your photographs, I think you'll be better off undergoing revisionary breast reduction surgery that includes skin/tissue reduction. This will be much more effective (than liposuction surgery alone) when it comes to improving breast symmetry.  Best wishes.

Karl William Schwarz, MD · Answer

Your breasts look beautiful and you have a super nice result. What you are seeing with the black line that you drew is not a difference in your breasts but in the position of your infra-mmammary folds. This is normal and something that we cannot change during surgery as moving your breast up and down your chest is akin to moving your eye. I think you have a beautiful result.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, there is size disparity and the left breast "hangs lower" than the right. Nipple-areolar positions appear symmetric.You appear to be demonstrating 2 problems here...that of size and of shape. In addition to being smaller, the fold beneath the right breast appears higher than the left. However, there are no lateral views to clearly visualize the folds themselves. If the fold locations are symmetric, you may have excess skin of the infraareolar portion of your larger breast, requiring revision. A small implant to the smaller breast would correct the size disparity. Liposuction may correct small size disparities but removal of excessive fat may lead to overlying loose skin.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...

Would lipo on my bigger breast make them more symmetrical? (photos)

Answers (9)

More Breast Reduction Questions

How much quicker are breast reductions with FNG? How long might the surgery take?

After 2 breast reductions will I require a third to reduce the size of my breasts?

To correct the dog ears, does it require more cutting , extending my scar further? (photos)

Would a breast reduction from 32D to a 32C/B be helpful for exercising pain?

Are there higher risks with breast reduction surgery if you have dense breast tissue?

How long after a breast reduction before I can get a dog ear corrected?

WE SEND PRETTY
EMAILS