What procedure would improve my breast asymmetry and are they tuberous? (Photo)

Question

29 yr old woman, one breast lower than the other, what could be done to improve aesthetic, happy with size.

Yasemin Aydinli, MD · Answer

Thank you for your question. Some degree of breast asymmetry is completely normal &mdash; almost no one is perfectly symmetric &mdash; but a noticeable height difference, where one breast sits lower than the other, can usually be improved. Whether the shape is "tuberous" depends on specific features rather than just asymmetry: tuberous breasts tend to have a narrow/constricted base, a higher inframammary fold, herniation of tissue into a puffy/enlarged areola, and a tubular rather than rounded shape. I can comment more precisely with an in-person exam and a couple of standardized views, but from a single photo I can give you the general direction.
If you're happy with your size and the main issue is one breast being lower, the most likely solutions are a lift (mastopexy) on the lower side &mdash; or a small lift on both to match &mdash; to even out the position without adding volume. If there are true tuberous features, treatment often involves releasing the constricted base, lowering or balancing the fold, and sometimes reducing areolar herniation; an implant or fat grafting is added only if you also want more volume, which it sounds like you don't. The good news is that achieving better symmetry while keeping your current size is very feasible.
I'd recommend an in-person consultation so I can examine the base width, fold position, areolar shape, and nipple height, then map out the least-invasive plan that gives you symmetry. Bringing this concern in for a proper exam is the best next step.

Luis A. Mejia, MD · Answer

Hello, thank you for the question and photo, NO, your breast are not tuberous... and to improve asymmetry a lift with implants or fat transfer can really helps.

Gary M. Horndeski, MD · Answer

Your breasts are not tuberous, just ptotic. I recommend a breast lift using the Bellesoma. 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ram Kalus, MD, FACS · Answer

Thank you for your question and photo. An examination in person along with a through discussion of your goals would be required to properly advise you. That said, your breasts do not appear to be tuberous. Some degree of breast asymmetry is more the rule than the exception in most women. There appears to be nothing "wrong" with your breasts, but if you were hoping to achieve a greater degree of symmetry and more upper pole fullness with less "droop", a one sided or bilateral breast lift ("mastopexy") possibly with a slight reduction of your larger breast should easily accomplish your goals. If your wish is to be larger, then a possible augmentation with or without a lift may be indicated.

Do your research, and consult with an experienced board certified plastic surgeon whose results appeal to you and with whom you feel comfortable. Don;t be reluctant to seek more than one opinion. Best of luck to you.

Do your research, and consult with an experienced board certified plastic surgeon whose results appeal to you and with whom you feel comfortable. Don;t be reluctant to seek more than one opinion. Best of luck to you.

What procedure would improve my breast asymmetry and are they tuberous? (Photo)

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