Natural Assymtrical Breast, Interested in Augementation? (photo9)

I am a 19 year old female, 5,5 and 145 pounds. I have struggled with self esteem issues most of my life because of my breasts. I live in Florida, so it is bathing suit season year round. Unfortunately because of my extremely uneven bust I do not feel comfortable to wear a bathing suit in public. Will an augmentation be able to correct not only the size but also the position of nipple. My breasts are also very far apart and impossible to get cleavage. goals are cleavage,symmetric full C/smallD

Doctor Answers 27

Natural Assymtrical Breast, Interested in Augementation?

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Augmentation will increase the size and improve the symmetry ( by using different sized implants). Its effect on the nipple will be more predictable on the right than the left. You may need a lift in addition to an augmentation to correct both

All the best

Natural Assymtrical Breast, Interested in Augementation? (

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An in person consultation will be far more useful than internet advice. The suggestion will probably be for an implant in the right side and a lift on the left. If your preference is to enlarge both , then implants on both sides would be advisable. All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Breast issues

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I think it is best for you to go for an exam in person to be properly evaluated. You may need a lift for both  as well.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast Augmentation Can Correct Size Asymmetry

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A breast augmentation can certainly make your breasts more symmetrical in terms of size. It is difficult to say whether breast augmentation alone would have a desired improvement on your nipple position, however. When performing breast augmentation, your implants have to be centred beneath the areolae/nipples, more or less, which  means you will have cleavage similar to before surgery.

Based on your photos alone, I would also suggest considering breast implants that would provide a bit of a lift, as your left breast seems to be affected by ptosis somewhat.

Breast asymmetry

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I believe you are a good candidate for breast augmentation with implants of two different sizes.  You probably will not need a breast lift until much later in life.  Good luck.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 62 reviews

Breast Enhancement Surgery

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I would suggest just augmenting your smaller side, I think you have a great shape. If you really want cleavage than you will need a large implant that will have long term consequencesn 

Asymmetry requires Mini Ultimate Breast Lift

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Implants correct the asymmetrical volume.  Asymmetrical shape and position will require another procedure.  I recommend a new technique called Breast Augmentation with Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage.  If you are satisfied with the size of the larger breast, no implant would be required on that side.  However, if you want to be larger, then both breasts will need implants.  This technique avoids the ugly vertical scars of the traditional lift procedures such as the lollipop pr boat anchor.  Aligning the areola, breast tissue and implant over the bony prominence of the chest wall gives maximum anterior projection with a minimal size implant.  Small silicone implants placed retro-pectoral look and feel more natural, are more stable long term and less likely to ripple.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Asymmetric breasts

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You have several options but it greatly depends on what you are hoping to achieve.  If you want fuller breasts, a breast augmentation with a left breast lift can correct the asymmetry and areola position.  Definitely go see a board certified plastic surgeon for an in-person consultation so you can go over all of your options and you can decide together what best suits you.  Remember, you will not be perfectly symmetrical, because no one is but it can definitely be improved. ac

Angela Champion, MD
Newport Beach Plastic Surgeon

Correction of breast asymmetry

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Many thanks for posting your question and photo

Whilst it may seem desirable to increase the size of your smaller breast, using an implant on this side will mean that the breast behaves differently from the other one - if you lie down, the augmented breast will stay projected, whilst your naturally larger breast will flatten.

There is no single way to address your asymmetry - you will see that by the conflicting advice given to your question!

My suggestion?

I would suggest reducing the larger breast to match the smaller one. This at least then gives you symmetry in terms of size, shape and behaviour. Once that is done, if you want to augment both breasts with the same size implants, then they should behave the same way, and look the same.

It's tough distilling all the advice you are being given, so I wish you good luck!

Breast size asymmetry can be treated

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Thank you for your question and for providing the photographs.  I just saw a patient with a similar situation today in my office.  She also felt extremely self-conscious in clothing such as bathing suits; for regular clothes she wears the bras with the little form inserts to give her symmetry. The question is which side do you prefer in terms of volume and size?  If you like the left side better, an option is to lift the left side and do a lift with small implant on the right; or if you like the right side size better, do a lift with small reduction on the left side.  Some might also recommend a small lift on the right.  Have a consultation with a board certified plastic surgeon to discuss your options.  Your asymmetry can be improved.  Hope this helps.  Tracy Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 29 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.