Looking to fix severe asymmetry. What would be the most cost effective correction? (Photo)

Thank you for your inquiry! We would love to sit down with you to discuss your concerns. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals!

Shape and size asymmetry can be corrected with a combination of cosmetic breast procedures. These may include a breast lift to correct sagging in both breasts, and reduction of the larger breast to match the size of the smaller one. An implant may also be placed in the smaller breast to match the size of the larger one.

Dear Rational570989,
based on your photo, it looks like you have significant asymmetry. You will most likely benefit from lift and reduction of larger breast. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

there are many ways to achieve better symmetry with breast surgery. The method would largely be determined by your expectations. A board-certified plastic surgeon would probably be able to give you a number of different choices. From your photographs, it seems like one choice to consider is a breast lift on the small side and a reduuction on the larger side, with attention to making them both the most symmetrical in volume and shape. this may involve lipossuction of the chest wall and parts of the breast. it seems you would benefit from liposuction of the armpit area also.

Hello, your breasts seem to have a condition called tuberous breast, where the breast does not develop round, but rather develops tubular, that also makes them asymmetrical, in your case you require a breast lift with asymmetrical implants

Hi- Congratulations on your weight loss journey! For a lot of our patients, as they go through the process of weight loss the difference between the size and shape of the breasts can become more prominent. This is due to the decrease of the fat content of the breast as you go through the weight loss journey. At this moment, it sounds as if you are still going through the process of weight loss. The most cost effective procedure at this time would involve a breast lift of your smaller breast along with a breast reduction and lift of your larger breast to achieve better symmetry. In the future, once your weight loss goals have been achieved, additional procedures including fat grafting can be performed to continue to shape the breasts and improve symmetry and results. Good luck with your loss journey.

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. 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 is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. The larger breast can be reduced to match the smaller one.

Best Wishes,

Gary Horndeski, M.D.

I would suggest a breast reduction. That way more tissue can be removed from your right breast than your left breast to get you as close to symmetrical as possible. You have to be cognizant of the fact your right breast is much wider than your left breast so while we can get your breasts to match in terms of the volume the shape will always be a little different between the two breasts as we cannot narrow the breasts.

A breast reduction includes a lift so not only will your breasts be much closer in size the areolae will be smaller, the nipples will be in a much higher position and the overall shape of your breasts will be better and your breast will no longer be on your upper abdomen.

It looks as if you have some axillary breast tissue as well which is that fullness towards the armpit. Usually a lot of that breast tissue can be removed at the same time as a breast reduction but occasionally it requires a separate incision in the armpit to remove this tissue.

It depends upon which size you prefer as to what can be done. I would suggest a small reduction for the larger breast and a lift for the smaller breast and liposuction to remove excess axillary fat. If you prefer the larger breast size, then lift the larger breast and lift and add an implant to the smaller.