I'm looking to enhance my breasts - both an increase in size and to make them more symmetrical. Are my hopes realistic? (Photos)

Hi, thank you for sharing your question. You are a great candidate for breast augmentation and you can achieve your desired goals with proper implant selection. After an evaluation by your surgeon, discuss the different options and go through the risks and benefits. You will have a terrific result.

Thanks for sharing your pictures. I think you've done a great job of selecting realistic goal photos, and I do think similar results are achievable. I think your asymmetry can be improved, but your breasts will probably always be sisters and not twins. I think an inframammary incision is the best approach for you with the least amount of complications. Good luck!

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Dear arp48,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I prefer the smooth round implants placed behind the muscle for better long term results and fewer risks. All implants are teardrop shaped inside the body. During your consultation, you will be examined and measured and can try on the range of sizes that best fits your frame and tissue so you can see what you like. If you go too large, it will look fake. Both saline and gel should work well for you.

Dear Arp482,
The right breast in the photos is a bit larger, lower and hangs more laterally. The opposite breast is a tiny bit restricted at the lower border.
You should be very nice with a silicone, submuscular breast augmentation (I am not a fan of the anatomical gummy bear implants-prefer the round smooth Mentor implants). I might consider a mini lift of the lower breast if it does not even out during the augmentation procedure.
Best wishes.
Dr. Taranow

From your photos you appear to be a good candidate for breast augmentation. This procedure can help with both volumizing and improving asymmetry. Without an exam or more information it is difficult to recommend a specific size or type of implant. I encourage you to schedule a consultation with a board certified plastic surgeon near you to design a unique surgical plan with your goals in mind.