50cc asymmetry. Does anyone have any experience on this?

Question

Hi I’ve had a few consultations with a couple of surgeons and the last one suggests that asymmetry of around 50 cc is likely not worth sizing up in case it goes the other way. Does anyone have any experience on this please? Like has anyone done 2 same size on that asymmetrical breast before and if so what was the outcome? Suggests for BB 430 UHP MENTOR

Ronald J. Edelson, MD · Answer

Trying to correct minor degrees of asymmetry with different size implants often is a recipe for a poor result. If you don’t see the asymmetry is much ahead of time I recommend using the same size in both sides

Joe Gryskiewicz, MD, FACS · Answer

Hello,
Asymmetry is completely normal. I always say, "Breasts are sisters, not twins." I have many patients who have done the same size implant and they look great. Sometimes if you do different sizes if you are 50cc or lower you may regret it. You can always do a fat transfer if you'd like as well. It is just patient preference. Some implant styles don't go up by a perfect 50cc. 
All the best,
Dr. Joe

Daniel Barrett, MD · Answer

Dear sjk4425,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Lane Smith, MD · Answer

Asymmetry is very common in women’s breasts. It’s impossible to give you a definitive answer without seeing your breast so I’ll just tell you what I typically do. I measure your breasts before surgery, we decide what your ideal size is. Then I suggest the peri-areola, or nipple incision if I believe you are going to need adjustment to make your breast even. Sometimes just a little breast tissue and skin around the larger breast can be removed, making the breast even using the same size implants in both breasts. Sometimes different size implants are needed. Sometimes when breast are different shapes, the breast pocket needs modified to make the breasts symmetrical. It’s best to seek out a board certified plastic surgeon to perform your procedure. If you’d like to be seen and go over what options would work best in your situation, feel free to reach out to my office. Smith Plastic Surgery 702-838-2455

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Salvador Garcia, MD · Answer

Hello, I am Dr Salvador Garcia, my recommendation is to assess you and do a simulation to give you an idea of how you would look, the easiest thing is to place asymmetrical implants 50 cc larger on the smaller side, but not all implants have that difference and that depends on the brand, because generally over time the asymmetry is reversed, on the side that you have the smallest ends up being the largest and on the largest side it ends up being the smallest. We can gladly schedule a video call and assess your case and choose the brand of implant and the most suitable size for you.

Warren Schutte, MD · Answer

It is common to be conservative with correcting asymmetries considering the silicone implants are made in only 25cc (50cc in larger implants) increments. It is extremely important that you are apart of the decision-making process with placing same or different sized implants when you do have a size discrepancy. We have all of our patients try on sizers, same sized and then adding the 50cc sizer to smaller side. This can quickly let you know if this corrects the asymmetry or if it is too much volume. You do not want to 'flip flop' your asymmetries. Just remember, breasts are always going to be sisters, not twins.

Ram Kalus, MD, FACS · Answer

Without an examination in person it is difficult to make any specific recommendations. That said, women’s breasts are rarely perfectly symmetrical, but as a rule, augmentation will magnify the asymmetry, which means that two implants of different size by one or two sizes may achieve the optimal symmetrical result you are seeking. 20-25 cc differences are difficult to perceive. 50 cc differences may be noticeable. You will have to trust your surgeon’s judgement and experience.

That said, the UHP is highly projecting and may have a greater risk for asymmetry than a HP or Moderate Plus. Do your research and base your decision on whether or not your own sense of aesthetics appears to align with that of your surgeon. Best of luck to you.

That said, the UHP is highly projecting and may have a greater risk for asymmetry than a HP or Moderate Plus. Do your research and base your decision on whether or not your own sense of aesthetics appears to align with that of your surgeon. Best of luck to you.

Connie Hiers, MD, FACS · Answer

Every surgeon has dealt with asymmetry. For 50 cc's difference, I select the implants that will make you the closest in size. You could go 30 to 60 cc's up or down to make you more symmetrical. Otherwise, select saline and be closer in size.

Camille Cash, MD · Answer

It is not uncommon to have some amount of asymmetry to the breasts.  If you don't correct the asymmetry with differently sized implants you will have the same amount of asymmetry after surgery as you have now.  Sometimes the asymmetry can affect how the breasts sit in a bra or can be noticeable in clothes or bathing suits.  If was bothersome to you in the past now is the chance to address it.  Just be aware that the amount of asymmetry can only be estimated.

50cc asymmetry. Does anyone have any experience on this?

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