Questions about breast asymmetry correction (Photo)

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.

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

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.