Should I get two different implant sizes to even out the difference in my breast or get the same size implants?

Great question. I understand your concern and confusion. Everyone has sisters; no one has twins. Using  implants of different sizes can help make your breasts look like sisters from the same family. In fact, close to 50 percent of the time I use different size implants.I've taken care of women whose breast size varied by even more than 100 ccs, and they had satisfactory results. Please look at the link below to see before and after photos of women who got different size implants and how their asymmetry has been improved. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop on Breasts: A Plastic Surgeon Busts the Myths."

Many women don't realize it, but asymmetry is the norm, not the exception. If one breast is noticeably larger than the other, of course, you need different implant sizes, and I would go with the surgeon who recommended different sizes. The only caveat is that different sized implants will not correct asymmetrical sagging. So if your larger breast is also saggier than your smaller breast (and this is often the case when there is a substantial size difference), you may need to consider a breast lift. Usually I perform the lift on both sides, but with more breast tissue and skin removal on the larger side and greater upward movement of the nipple. This is illustrated in the breast lift section of my website. I've attached a link.

Using different implant volumes is a standard way to correct natural asymmetry. During sizing I also look at chest wall shape and nipple position, and sometimes combine with a lift or fat grafting for best symmetry. My breast augmentation page explains how we individualize sizing.

I appreciate your question.

Without examining you , it is very difficult to give you an accurate answer. It is however, common to use two different implant sizes to help correct pre-op asymmetry. 



The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz

Without seeing you in person, impossible to give you a truly accurate answer. But it is quite common to use two different implant sizes to help correct pre-op asymmetry. It really depends on the extend of your asymmetry. Best, Dr. Nazarian

Without an examination in person, or at least some photos, it is difficult to give you precise information or advice. That being said, purely based on your question, there is nothing "wrong" with you or your breasts. Size differences are more the rule than the exception and we often use different size implants in breast enhancement, just as in breast reduction we often reduce different amounts. Make sure you are confident with your plastic surgeon and his or her results. Best set of luck to you.

Thanks for your question.  In general, if you have a significant difference in breast size ( as you indicate you do), you will likely be best served with different size implants to equalize the difference in volume. As mentioned by Dr Pousti, when there are significant differences in breast size, there may also be differences in skin amount and nipple position which could necessitate other ancillary procedures.  Make certain that  you consult with a surgeon who has significant experience with breast asymmetry.  Best Regards .

Thanks for your question.It is common to use different implant size for different sized breasts.Although a perfect symmetry may not be achieved with breast augmentation, differential implant size will help with size asymmetry.Please select an experienced, board-certified plastic surgeon and learn about limitation, benefits, and alternatives to surgery.Best regards.

Hello dear, thanks for your question and provided information as well. I have to say that this depend on each surgeon and also each patient. If your breasts are different sizes, which is completely normal, I would put *on the small breast one size and on the bigger one, another smaller size* that's how it works most of the times. Because when surgeons perform the surgery, we have to try to give the patient almost the same size on both breasts

With small asymmetries, I usually do not place different size implants. For larger differences, it is sometimes a good idea.