Questions about breast asymmetry correction (Photo)

Question

I have significant breast asymmetry. I'm concerned about the risks of decreased sensitivity to the nipples and of very noticable scars. What procedures for breast asymmetry carry the least risk of those things happening? I'm considering fat transfer to the smaller breast and a circumareolar lift to the larger breast (+/- minor nipple reduction). Does fat have to be taken from the lower body (thighs, butt, hips) or can it done with just fat from abdomen, back and arms?

Gary M. Horndeski, MD · Answer

Your breasts are asymmetrical in volume, shape and position.  The large lower breast needs to be lifted using The Bellesoma Method.  This will reshape your breast tissue creating more upper pole fullness without an implant, elevate it higher on the chest wall and more medial to increase your cleavage.  Vertical scar is avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  At the same time, it is possible to perform a mini lift on the smaller breast.  Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage.   Fat transfers can be performed to match the larger breast.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Okli76,
based on your photos, it looks like you have severe asymmetry. You will get good results with fat transfer and breast lift. 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

Jordan Kaplan, MD · Answer

Thank you for your question and for providing photographs. Breast asymmetry is a common yet challenging surgical concern and one that can not be treated with shortcuts. I do believe that fat transfer to your left breast is a good option for correcting the volume discrepancy. The fat can be harvested from multiple areas including your abdomen/flanks, thighs, or back. My preference is thighs and abdomen/flanks. About 50% of the fat transferred should take if done correctly. Because this is a moving target one option is to stage these procedures and address the right breast once the final volume of the left breast is reached at around 2-3 months. A periareolar mastopexy for the right breast is a poor option in my opinion because of these reasons, it tends to flatten the breast and it does not hold up well over time. The scar and areola will widen leaving most patients unhappy. 
If you are happy with the nipple position on the left my advised plan would be to perform fat transfer to the left breast and a vertical lift (lollipop incision) of the right breast with possible small volume reduction to match. If you are willing to stage these surgeries that would be ideal but I understand most patients would like to accomplish this in one stage which is a fine option as long as you understand the rationale for discussing a staged surgery.

Ronald J. Edelson, MD · Answer

A simpler option for you would be to reduce the larger breast through liposuction. Just a few tiny incisions. It won’t give perfect symmetry but it will be an improvement and probably work better than fat transfer

Hilton Becker, MD · Answer

Fat grafting would be a good solution for the smaller breast .
The larger breast could be reduced with lipo suction and the nipple elevated with a circum-areolar lift
See my web site for further information

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Questions about breast asymmetry correction (Photo)

Answers (7)

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Everything you need to know about Breast Fat Transfer

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