Will my scoliosis affect my breast symmetry if I got a Breast Augmentation?

Question

Will my scoliosis affect my breast symmetry if I got an augmentation? My scoliosis affects my shoulder symmetry, with one shoulder is higher than the other. When I am standing up straight, (from my ribs to my shoulders) I look as if I'm actually leaning to the side. With that said, my breast are symmetrical as of now, but is it possible that a Dr. will make one breast lower and asymmetrical to my body because of my shoulders?

Camille Cash, MD · Answer

If you are symmetrical now then breast augmentation should not disrupt this.  When implants are placed they settle behind the nipple/areola complex.  Unless symmetry is specifically addressed during surgery, the symmetry you have preoperatively should be essentially the same after.  I encourage you to discuss your concerns with your surgeon.

Brian Biggerstaff, MD · Answer

Hello kennadeeglunt282, this is a good question. Generally speaking, I would not let scoliosis alone dissuade you from breast augmentation. Scoliosis may have some impact on the appearance of symmetry or perceived symmetry/asymmetry. This may be less likely if your breasts appear symmetric beforehand. If you do end up with some asymmetry, it is likely to be on the more subtle side, and not likely to grab the attention of somebody who is not looking for it. For a patient with scoliosis considering breast augmentation (this is a common scenario btw), one of the most important considerations is to make sure the patient is aware BEFORE surgery (which you are already astutely aware). And as long as the patient is not surprised by this and/or expects some degree of imperfection/asymmetry postoperatively, most patients are very happy with the results. If you haven't already, I would recommend you consult with a board certified plastic surgeon, who may be able to make more specific recommendations in your specific case. Hope this helps. All the best, Brian Biggerstaff, MD

Ram Kalus, MD, FACS · Answer

Breast asymmetry can be related to both the breasts and or the chest shape and is more common than the exception, as is scoliosis to some degree or other. That said, without examining you in person to at least seeing photos, it is difficult to comment specifically. An experienced board certified plastic surgeon will take into account all aspects of you chest and breast shape and dimensions and determine which implants would be optimal for you to achieve the aesthetic you result your re seeking, with optimal symmetry being an essential goal. 
Please consult with an experienced board certified plastic surgeon who can advise you specifically. Be sure that your own sense of aesthetics seems to align with that of your plastic surgeon, and prepare for your consultation by selecting images of women's breasts you find to be beautiful and which you hope to be able to realize in your own surgical outcome. Best of luck to you.

Finny George, MD · Answer

Hi, thank you for sharing your question. It is difficult to answer this question without a physical exam or at the least photos, however,  your breast anatomy will dictate the placement and symmetry of your augmentation. The scoliosis should not have a significant bearing on it unless it significantly affects your chest wall. I hope this helps.

Daniel Barrett, MD · Answer

Dear kennadeeglunt282,
if you have no asymmetry no, there is a high chance that you won't have asymmetry after breast augmentation. If you are considering a surgery, I would suggest you to 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

Will my scoliosis affect my breast symmetry if I got a Breast Augmentation?

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Will my scoliosis affect my breast symmetry if I got a Breast Augmentation?

Answers (8)

Answer: Breast augmentation

Answer: Breast augmentation

Answer: BA candidate

Answer: BA candidate

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Everything you need to know about Breast Augmentation

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