How to correct severe breast asymmetry - is it possible to increase the volume of the smaller one without implants? (Photos)

Question

I’m 26 cis-female, 5’9 and currently weigh 180 lbs and I am shooting to loose 10-15 pounds before going through with the correction. I have struggled with the asymmetry since puberty, for about 13 years. When I was younger, I was told that it would eventually even a bit more out, of course this was not the case. I had one consultation with a surgeon a few years ago that kind of dismissed the need for me to correct it, which made me shy away from doing so. I’m really over the impact is has on my body image and just not allowing me to dress the way I would like. I’m not happy with the size of either and would want to be somewhere in between, not too large but not too small. My mom is pushing me to just get a reduction on the larger size but I don‘t think that would achieve great results. Is there any other way to increase the volume of the smaller one without implants,just the concept of having one implant seems weird. I’m open to any and all suggestions/feedback. Thank you!

Finny George, MD · Answer

Hi, thank you for sharing your question. A combination of procedures is needed to address this asymmetry. Reducing the larger breast and lifting the smaller one in addition to using your own fat vs implants will achieve symmetry.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. I have been in practice for over 30 years and revisionary breast surgery is a large portion of my practice. I have taken care of 100's of cases similar to yours with significant asymmetry wanting more upper pole fullness. I have developed with a technique termed "reductive augmentation" which I published in 2017. It involves perform an, augmentation with implants, removal of inferior pole breast tissue, and mastopexy/lift. You should be able to have an excellent result. Best wishes to you.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photos. Needless to say an evaluation in person by an experienced board certified plastic surgeon is necessary to provide you with a precise treatment recommendation, however based on your history and photos, you would be best served with a breast lift of the smaller breast and a breast reduction of the larger breast (that includes a lift) and this will achieve a pretty and youthful symmetrical breast appearance with minimal sagging and optimal shape. If you feel that the smaller breast is smaller than you had hoped for, an appropriate sized implant can be inserted at the time of surgery while aiming for the optimal desired breast size on your larger side.

Do your research, and select an experienced board certified plastic surgeon whose results and reviews resonate with you. Best of luck to you.

Do your research, and select an experienced board certified plastic surgeon whose results and reviews resonate with you. Best of luck to you.

Kadir Berat Oyur, MD · Answer

Based on the photos, you appear to have significant breast asymmetry and are a good candidate for corrective surgery. While fat grafting can increase the volume of the smaller breast, the amount of enlargement achievable is limited and may require more than one procedure. Depending on your goals, the best result may involve a combination of breast reduction or lift on the larger side, fat grafting, or an implant on the smaller side. A customized surgical plan is usually the most effective way to achieve balanced, natural-looking symmetry.

Darryl J. Blinski, MD · Answer

Thanks for posting photos best in person consult or at least a virtual consultation. I recommend 2 stages surgeries to gain best symmetry. Do you have insurance ? Again best to see you either in person or virtually

How to correct severe breast asymmetry - is it possible to increase the volume of the smaller one without implants? (Photos)

Answers (5)

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