Fixing Uneven Breasts Without Implants

i have uneven breasts and im thinking about getting surgery to fix them however im not really keen on getting implants to correct this. Are there any other options?

i was also thinking about getting a aerola reduction because they are quite large, but if i was to get pregnant in future would this be ruined?

Doctor Answers 72

Fixing uneven breasts without implants

This is absolutely possible! And the surgical incisions we often use allow to mathematically achieve better symmetry, so this is a great approach to treating breast size/dimension mismatch. Areolar reduction is a positive thing that occurs with this surgery and it is routinely done. If you get pregnant in the future, it is uncertain if you will get larger, smaller or sag. The nipple areolar complex may also change. If you need revision after pregnancy there would be no additional scars - your plastic surgeon would likely use the existing scars. So it's not so bad. You should enjoy your breasts sooner, particularly if childbirth is not planned at the current time.

Baltimore Plastic Surgeon
4.7 out of 5 stars 39 reviews

Lift is a great choice!

The breast lift operation allows for correction of asymmetry from left to right.  In fact it is a much more powerful operation in this regard than breast implants. The areolar reduction is an integral part of the lift operation, so that would be accomplished at the same time.  You probably should be fine after lift with pregnancy, although it is impossible to guarantee 

Fixing Uneven Breasts

Uneven breasts cam be improved when they are both close to the same size and same shape.  It is not necessary to use a breast implant to make two unequal breasts look alike.  The right choice needs to be individualized for you.  A reduction of the larger breast, a lift of the smaller breast and possibly some fat transfer are options to look at closely.

Mary Lee Peters, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 109 reviews

Correct Uneven Breasts without Breast Implants-Lift or Reduce One Side

Thank you for your question. Uneven breasts or breast asymmetry is very common in most people. Slight variations in hand size, foot size, breast size and even differences in the two sides of the face are very common and normal variations in human anatomy.

However, significant differences in breast size that create noticeably uneven breasts is very frustrating for many women, especially when trying to fit clothing and bathing suits.

If the smaller breast has not developed normally or is a Tuberous Breast, some type of reconstruction using a breast implant will be necessary.

However, if you have adequate breast tissue with one breast simply larger than the other normally shaped breast, the larger breast can be surgically reduced in size to match the other smaller breast.

If one breast sags more than the other, a condition called Breast Ptosis, a Breast Lift or Dermal Mastopexy can be done to lift the breast to match the non sagging breast.

Be sure to consult a Board Certified Plastic Surgeon who is experienced in Breast Surgery.



Correcting Uneven Breasts

The first point to be addressed is that asymmetry is natural and whatever you do, they are not likely to ever be completely even. With that said, your best bet is to try and make the composition of each breast similar. That is the same amount of skin and the same amount of breast tissue.

You have already taken implants off the table so depending on what your breasts look like you may or may not want a lift. Doing it on both sides will leave similar scarring and as alluded to above the larger side can have more skin and breast tissue removed.

The only way to make the smaller side larger would be through implants or fat transfer. Implants are not an option and though fat transfer to the breasts has traditionally been taboo it seems to be coming into vogue these days. There are still lingering issues of how much fat survives and will atrophic fat calcify and mislead radiologists on mammography exams.

I would think the best thing to do would be a differential mastopexy.

Barry Stuart Handler, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 2 reviews

Breast lift and areola reduction

One of the most gratifying surgeries is to fix breast asymmetry.  I think you have the right idea.  Consider breast reduction and lift of the larger breast.  Breast lift of the smaller breast.  Areola reduction is accomplished at the same time.  Good luck with your surgery.

Saira Saini, MD
Fayetteville Plastic Surgeon
5.0 out of 5 stars 3 reviews

Fixing uneven breasts without implants in Los Angeles

it is possible to correct breast asymmetry or unevenness without a breast implant. The type of breast lift surgery used is depended on the amount of breast sagging and the differences between the two breasts. If one breast is significantly larger than the other one the sizes need to be evened out by removing volume from the larger breast. 

Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.3 out of 5 stars 45 reviews

Can uneven breasts be improved with a breast lift and without implants?

Breasts are often #asymmetric and can be lifted differently. The size of one breast may be reduced, or, different amounts of fat may be added to the breasts to improve symmetry. This is called the "#California Breast Lift" also known as "Natural Breast Enlargement".  It is a method of transferring your own fat to enlarge and #shape  #uneven breasts, without adding #implants.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Fixing uneven breasts without breast implants

A breast lift alone is a great option for patients with breast asymmetry who are looking for a better match in size.  I like to caution my patients with marked breast asymmetry that the goal of the surgical procedure is to improve breast symmetry and that they should still except some degree of asymmetry post-operatively.  A breast lift surgery allows for correction of breast asymmetry and can be done with or without an augmentation using silicone gel or saline breast implants.  At the time of a breast lift, breast tissue is rearranged, excess skin is removed, the nipples are lifted and the aerolae are reduced in size.  In doing so, the patient is ultimately left with greater breast symmetry than they had pre-operatively and with a more youthful and perky breast shape.  

It is impossible to guarantee or predict how a pregnancy will affect your overall body shape, including your breasts, but in my practice plenty of patients go on to have more children after undergoing a breast lift surgery.  The worst case scenario is that you might require a revision lift in the future, which will most likely require that the surgeon make the same incisions that they had made with your primary breast lift surgery.  

If you are interested in pursuing a breast lift operation, I would recommend seeking out a board-certified plastic surgeon who is well-experienced with these procedures.  At the time of your consultation, all of your concerns will be addressed and a plan of action can be decided upon in order to provide you with the best cosmetic result.  I hope this helps and all the best!  

Fat Transfer

A person’s own fat may be used to improve the appearance of his or her body by moving it from an area of excess (or where it is less desired, such as the thighs, hips or abdomen) to an area that has lost tissue volume due to aging, trauma, surgery, certain diseases, birth defects, or other causes.
Ideal candidates are in good health, and have excess fat in some parts of the body and too little in other regions. Fat grafting is most often used for the face, breasts and buttocks. Typically, the transferred fat results in a significant increase in volume of the body site being treated.
Fat for lipoinjection, also called fat transfer, is removed from unwanted areas of the body by a narrow blunt tip surgical instrument with side holes, called a cannula, through a small incision. The fat is then cleaned with sterile saline solution before being restored to the body. The fat is then injected into the desired area using either a smaller cannula or needle, or it may be placed directly through an incision. Since some of the fat that is transferred does not remain over time, your surgeon may inject more than is ultimately needed to achieve the desired end result. Over a few weeks, the amount of transferred fat will decrease.
There is a limit of how much fat can be safely injected into one area. The amount of fat that remains over time is variable from patient to patient. For some patients, more fat or other fillers may need to be transferred in a subsequent surgery to maintain or supplement the desired results.

Fat transfer to the breast involves a relatively short recovery - just a few weeks.


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.