How do I fix my asymmetrical, sagging boobs? (Photo)

Hi lipa24, asymmetrical sagging breasts are very common! While non-surgical solutions likely will be less satisfactory, they are worth considering while you are contemplating surgery. Try wearing a well-fitting, supportive bra with underwire and adjustable straps that lift and evenly distribute breast tissue. Also, inserts can be placed to create a more symmetrical appearance. They come in various sizes and shapes to accommodate different levels of asymmetry.

As for surgery, the breast lift (mastopexy) removes excess skin to improve the overall breast shape, and symmetry. It can be performed with or without implants but given your volume discrepancy, implants or fat transfer to the breast will yield the best look. You likely just need a small scar above the areola to do a nipple lift, but the amount of skin to remove depends upon your measurements. I don't recommend placing an implant without the nipple lift-it might result in a "waterfall" deformity where the breast tissue is lower than the maximum point of implant projection.

Insurance typically doesn't cover breast augmentation or lifts for purely cosmetic reasons. However, if the asymmetry or sagging is causing pain or discomfort, insurance may offer some coverage. It's best to check with your insurance provider to understand your specific coverage details.

Following breast surgery, you'll need to restrict strenuous activity for a period of time to allow for proper healing. It will be approximately 4-6 weeks before you resume your gym routine and gradually increase the intensity of your workouts, depending upon whether you proceed with fat transfer or implants. There will be no long term impact on your pectoralis muscle function regardless of how you proceed.
Good luck!-Dr. Doolabh

Hi, thank you for sharing your question. Your breast asymmetry can be corrected with a combination of implants and/or breast reduction. The implants can be placed in a way to minimize the impact they would have on your active lifestyle.

It appears a breast lift would be suggested to improve the sagging. For symmetry you can either have tissue removed from the larger breast at the time of the lift, or you can add different size implants. The implants should not significantly affect your upper body exercises.

In my experience, in power lifters we discuss placing implants above the muscle.

All breasts are different right to left before and after any surgery. Symmetry can be improved as well as more perkiness than implant alone with a lift.

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Thank you for your inquiry! To correct the asymmetry, two different size implants could be used. We would love to sit down with you and review your options. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Thank you for your question. A breast lift can raise the breasts on the chest wall, remove excess skin, and reshape breast tissue. It is most effective for addressing breast sagging when you are generally happy with the size of your breasts. Breast implants can provide more fullness and volume if you are concerned about minor sagging. However, in your degree of breast sagging, implants alone will not be sufficient, and a combination of implants and a lift may be recommended to address drooping breast tissue and achieve more prominent breasts. Recovery after surgery typically takes 6-8 weeks, during which you should avoid strenuous upper body activities to allow for proper healing. Once you have fully recovered, most women can resume gym activities, such as bench pressing and upper body workouts, without much difficulty. Cosmetic procedures like breast lifts are typically not covered by insurance unless they are deemed medically necessary. However, in cases of significant asymmetry or if breast drooping is causing physical discomfort, insurance may contribute to the expenses.

Based on the photographs you do have asymmetry in both breast volume and degree of ptosis ( nipple areolar position). In the views provided, the right breast appears to have a slightly constricted lower pole. In my opinion you would do well with a breast lift and implants ( either using slightly different sized implants or similar implants with a small reduction on the left). If you are more concerned about symmetry and less about a very noticeable volume increase, then you may want to consider a breast lift with fat grafting. An implant alone is unlikely to correct the ptosis. How a breast implant affects the ability to exercise depends on the individual and whether the implant is sub glandular or sub pectoral in location. I hope this helps.

Thank you for the photos. Most people in this situation would want a lift with implants, with a larger implant on the smaller side. Your lift is "borderline" meaning you don't NEED one, but the shape of the breast would be improved with one. If you have a surgeon near you with Vectra imaging, you can "try on" different size implants (we do this all the time) to arrive at the right recipe for how many CCs in each breast to get you more symmetry.

Your nipples are located below your breast fold therefore a breast lift would be recommended. This would also improve shape asymmetry. Implants can be placed if you’d like to increase size or balance out size asymmetry.

Dear lipa24,
it is hard to tell for sure without an examination. Based on your photos, it looks like you have significant asymmetry. You will most likely need a breast lift and different size implants to achieve better symmetry. 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

I would recommend an implant with a lift. I would never recommend an implant "to correct the ptosis"; this never works and leads to more problems in the future. Insurance will not cover this aesthetic breast surgery procedure in my professional experience with insurance companies across many different types of surgeries. I recommend no pectoralis major work for 6 weeks minimum.