Will a breast augmentation correct asymmetry or will I need reconstructive surgery to target this? 41 y/o, 120 lbs (photo)

Question

Besides wanting actual breasts, a big reason I'm interested in BA is because my tiny breasts are so assymetrical. Im told that is a different procedure (reconstructive) so Im concerned about the augmentation. Will I just have same, ridiculous looking breasts but larger? Im 41, never had kids, 5'4", atheletic 120lbs.... Appreciate your help

Morad Askari, MD, MBA · Answer

Thank you for sharing your pictures. It helps answer your question better. One of the major points to focus on is lowering your breast fold to match the other one. Additionally, I would suggest a minor lift on the lower breast side to align your areola (nipple). Adding implants will help correct the asymmetry. In your case, two different sizes and profiles of implants might need to be considered.

Brandon Richland, MD · Answer

Based on your picture you may benefit from having a breast augmentation with an implant on the smaller side while combining a mastopexy (breast lift) with or without an implant depending on your aesthetic goal and desired fullness. A breast lift resolves sagging and drooping of the nipple/breast mound as well as reduces large areolas by removing excess skin and repositioning the nipple areolar complex to its appropriate position.
While your case is more technical, a virtual or in person consultation with a Breast Augmentation specialist will provide you an accurate recommendation and pricing. 
Respectfully,Brandon Richland, MD

Tania Najar, MD · Answer

It appears that in your photo you may suffer from tuberous breast which is likely fixed through reconstruction or a combination with implants, likely not just breast augmentation.

Brian K. Reedy, MD · Answer

Thanks for your question! You do present with several challenges in both breasts; however, I do think you can get more symmetry and size. That being said, I would anticipate at least 2 surgeries, possibly even 3 to get things as close as possible. Please seek out a consultation with a board-certified plastic surgeon to learn about your options!

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Robert M. Wald, Jr., MD · Answer

Your breasts are very asymmetrical with the left breast larger and more droopy than the right. A breast augmentation can be done on both sides but a mastopexy or breast lift will be required as well on the left. You should understand that the breasts will never match exactly following the surgery. Please consult with your plastic surgeon and this procedure will be discussed in detail.

Daniel Barrett, MD · Answer

Dear Beautiful318267,
it is hard to tell for sure without an examination. Generally speaking, it is possible to correct some asymmetry using different size implants. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

From the submitted photo it does appear you are a candidate for breast augmentation.  In addition to placing your implants your surgeon can address the asymmetry via a lift.  The result will not be perfect symmetry, but they can be improved.  I encourage you to discuss your concerns with a board certified plastic surgeon.

Frank Lalezar, MD · Answer

In order to have larger breasts, you will certainly require breast augmentation, but you will also require a lift, specifically on your left breast in order to attain the symmetry that you are looking for. The lift/ reduction on the left would help to make improve the symmetry while the breast implant will make the breasts larger. Please contact a board certified plastic surgeon to determine the best technique to get you the results that you are looking for.

Kamran Abolmaali, MD · Answer

Thank you for your question.A breast augmentation and lift would definitely improve the symmetry between the breasts and increase the volume of the breasts at the same time. Due to complexity of the surgery, some may call it reconstructive.I do not recommend breast augmentation alone as we have to address the asymmetry between the shape, size and location of the nipples. Also there is significant different in the distance between the nipple and lower fold of the breast, which needs to be addressed during the surgery.I hope this helps and good luck.

Will a breast augmentation correct asymmetry or will I need reconstructive surgery to target this? 41 y/o, 120 lbs (photo)

Answers (15)

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