Breast Augmentation for small asymmetrical breasts?

Question

I want to get a breast job in the near future but need to know what my prospects are. One is a full A and the other is barely a AA. The difference is very noticeable even through clothes. One surgeon told me she can just put two different size implants but do you think that's the best way to go? I've see doctors recommend reducing one or lifting one to reach a desired size. I just want to know what is best. Thank you!

Leila Kasrai, MD, FRCSC · Answer

You would probably need a breast lift in the larger breast as it appears to be sagging. Then, you can choose to have two different sized implants if you want to increase the size of both of your breasts, or possibly just one implant in the smaller breast to match your larger breast.

Lyle M. Back, MD · Answer

Saline breast implants are often the best choice in such circumstances.  In addition to the cosmetic surgical modifications your plastic surgeon can perform to create better symmetry, saline implants can be filled and adjusted to different volumes to account nicely for differences in size or shape.

Harry T. Haramis, MD, FACS · Answer

All breasts are uneven right to left, before and after any breast surgery, especially without a bra or clothing.  Your right and left are completely different in size, shape, projection, areolae,etc.  They can be made more symmetrical with different size implants and a lift/reduction on the larger side.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate for a breast
augmentation.  I recommend a lift and a small implant on the right and a larger implant on the left.  The size of the implant is based on your desired
breast size/shape, your chest wall measurements, and soft tissue
quality.  This decision should be based on a detailed discussion
with equal input from both you and your surgeon.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Ozge Ergun, MD · Answer

Thank you for submitting your photo. Based on it you will benefit from different sized implants.Your right breast should be supported with periareolar mastopexia and for your left breast an areolar access prodecure should be performed. With this procedures you will reach the desired result and you will get happy with it. Please consult with a board certified plastic surgeon. Kind Regards and good luck...

Jerome Edelstein, MD · Answer

Hello,Aside from different sizes of implants it appears that a breast lift and areola reduction on your right would be useful to provide more symmetry. A perfect match will not be possible but most people have some asymmetries and certainly they could be closer in appearance.I recommend that you meet with another board certified Plastic Surgeon in person to learn about your options. All the best

Jeffrey Umansky, MD · Answer

Thanks for the question and photos.  I suggest you meet with a reputable board certified Plastic Surgeon for an exam and consult.  From the photos, I would suggest a lift/reduction on the right, and implants on both sides if you want an overall increase.  I like to use similar sized implants so the base diameter is more similar.  The lift on the right will also allow for areola reduction and more symmetry.  I believe that you should get a great improvement.  Good luck!

Naveen Setty, MD · Answer

Thanks for your question and picture.  Based on your one picture, my suggestion would be a lift to the right side with a small reduction and placement of implants that are close in size if not the same size.  I think if you only do 2 different size implants, you might have equal volumes in your breasts but you will still have 2 different looking breasts.  Make sure you meet with a board certified plastic surgeon for an in person examination.

John Philip Connors III, MD · Answer

Hello,Thank you for your question and photo. You have a couple options for your breasts depending on what your goals are. By placing in two different size implants you may be able to achieve volume symmetry; however, the breasts will look the same just be larger and closer to the same volume. Patients that present themselves in our practice recommendation is to perform an augmentation for both breasts most likely using two different size implants. Performing a lift on the right breast and reducing the size of the aerola. This will allow for symmetry in volume and appearance of breasts. Wishing you the best.Dr. C

Joseph G. Bauer, MD, FACS · Answer

Thank you for your question and for your photographs. Based on your picture alone it appears that using two different sized implants would certainly get you closer in symmetry. Other surgical options may include liposuction to the larger breast or a breast lift. In order to determine the best plan of care for you, I would recommend a consultation with a board certified plastic surgeon. Good luck.