Can I get a Breast lift and achieve symmetry? My goal is symmetrical perky B cup breasts with small areolas. (photos)

Question

I can't indicate the actual cup size of my breasts cause there is nothing but excessive skin left. I wear a D cup, I could easily wear a C cup but if I did, the skin tissue would get wrinkly. Furthermore, my left breast is far bigger than the right one. If, for instance, prices for a breast lift varies from [RS bleep]$ to [RS bleep]$, does that mean normally I can get areola reduction and symmetrical breasts included or it is not included?

Don W. Griffin, MD · Answer

A breast lift will definitely improve your shape and help you achieve better symmetry. Because operated tissue tends to stretch differently over time than non-operated tissue, I usually advise lifting both breasts, but utilizing an asymmetric lifting pattern which in your case would lift your left breast more than your right. Areolae reduction is part of the procedure.You should also remember that absolute breast symmetry is not always attainable. Your breast can certainly be much more similar in size, shape, and areolae dimensions, but many times, differences in the underlying ribcage affect the final breast shape preventing absolute symmetry.

Jed H. Horowitz, MD, FACS · Answer

Breasts are often asymmetric. They can be lifted differently.  One side can be reduced or the breasts can have different size implants or different amounts of fat added to improve symmetry.A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a mastopexy

Alex Campbell, MD · Answer

Thank you for your question. Yes you should be able to correct this with a breast lift procedure. The goal with breast surgery is to achieve symmetry with a pleasing shape and volume according to the patient's desires.  The key is working with an expert, board certified plastic surgeon to get the best plan for you.

R. Clark Mooty, MD · Answer

Thank you for your inquiry.  Your provided photo greatly assists in the discussion process.Your photo shows asymmetry both in your breast volume, nipple/areola position, and nipple/areola size.  I feel your desired goal of being a "b" cup and achieving symmetry can both be accomplished with a breast lift or mastopexy.  This is a very common procedure performed by board certified plastic surgeons. The principle is to remove enough breast tissue to achieve your goal size and shape.  The procedure also allows the surgeon the opportunity to make your areolas smaller.I would encourage you to consult with a board certified plastic surgeon to discuss you concerns and goals.  During consultation, I provide patients details regarding there clinical exam followed by discussion of how procedure is done.  The surgeon should provide you before and after photos for review.  Full disclosure of surgical costs should be done prior to any surgery.Best of luck,Dr. Mooty

Mark Chariker, MD · Answer

You goal is very achievable. Symmetry and decreased Areola size is part of the mastopexy  procedure. Speak with your surgeon regarding you goals. 
Thank you for your question.

Lee E. Corbett, MD · Answer

A breast lift, or mastopexy, will help you achieve better symmetry and tissue can be removed to better balance the size. Areolar reduction is typically part of a breast lift.

Brian J. Lee, MD · Answer

Your photos suggest that you are a good candidate for a breast lift to raise and reshape your tissue, reduce the areolar diameter and give better symmetry. A breast lift should give you the areolae reduction and symmetry that you are desiring. Seek the opinion of a board certified plastic surgeon to discuss your concerns.

Steven Wallach, MD · Answer

Certainly a lift can be performed. It is best to be seen in person. This can probably be accomplished with a lollipop type incision.

Camille Cash, MD · Answer

You should be able to get your left breast downsized to more closely match your right breast.  A reduction of the areola should be included in the price.  If you are unhappy with the size of the areola on the right, it can also be downsized, but it appears to be a good size currently.  Search for board certified plastic surgeons in your area with experience correctly asymmetry.  Best of luck.

Can I get a Breast lift and achieve symmetry? My goal is symmetrical perky B cup breasts with small areolas. (photos)

Answers (15)