How to correct this asymmetry during breast augmentation? (Photo)

Question

I'm having a BA in about a week. My right breast hangs a bit lowers and is about 17cc fuller. My doctor said i dont need different implants. I'm worried my BA will enhance my asymmetry instead of correcting it. Is there anything besides using different implants that can help correct my asymmetry?

Laura Roider, MD · Answer

A small volume difference (like 17cc) will not be appreciated following augmentation. Based on your photo, I would recommend using the same implant on both sides. One thing to note is breast implants (regardless of size) will not correct the small asymmetry in your nipple position.

Ted Eisenberg, DO, FACOS, FAACS · Answer

I agree with your surgeon. In my experience, often, BA minimizes the difference when they are fairly similar in size to begin with. Let's do the math for example; if you start with  the smaller left breast, lets say about 50cc and the bigger right breast is 67cc the % (percent) difference is about 25%. Then if you add, let's say at least 200cc to each- now you have 267cc on the right and 250cc total on the left- the %(percent) difference drops to 3%- much less than 25% to start with. And, the difference becomes even less if you are getting more than 200cc. Hope this helps. Good luck. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Daniel Barrett, MD · Answer

Dear Loving163698,

it is hard to tell for sure without an examination. Generally speaking, minor asymmetry can be improved 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

Zoran Potparic, MD · Answer

Based on this photo there is mild breast volume asymmetry and asymmetry of the nipple/areola position. While volume asymmetry may not be that visible and even get better with larger implants, areola position will not change. Hope this helps. 
Good luck.

Guray Yesiladali, MD, FEBOPRAS · Answer

A 17 cc difference represents a mild asymmetry and in most cases can be managed without using different implant sizes.
Symmetry is often achieved through surgical planning rather than volume selection alone. Subtle differences in pocket dissection, careful adjustment of the inframammary fold and internal suturing techniques can help balance breast position and contour. If one breast sits slightly lower, selective fold correction may improve alignment.
In addition, fat grafting can also be used as a supportive tool to fine tune asymmetry. Small volume fat transfer allows precise contour correction in specific areas, especially when the difference is subtle and localized.
Before surgery, you may wish to clarify a few points with your surgeon:
• Is the asymmetry mainly volume based or positional• Will the fold level be adjusted on either side• Will pocket dissection differ between the breasts• Is fat grafting considered if minor contour differences remain
These focused questions can help you better understand how symmetry will be addressed during your procedure.
Wishing you a smooth surgery and a balanced result that feels natural to you.
Güler Güray Yeşiladalı, MD

Kourosh Tavakoli, MBBS, FRACS · Answer

Natural breast asymmetry is extremely common. During augmentation, asymmetrycan be improved by adjusting implant size, profile, pocket position, or inframammaryfold level. If one breast hangs lower, a subtle lift (mastopexy) on that side may alsobe necessary to achieve optimal symmetry. In some cases, different sized implantsare used to balance volume. The key is detailed pre-operative planning and settingrealistic expectation-

How to correct this asymmetry during breast augmentation? (Photo)

Answers (6)

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