I have severe breast asymmetry. Where should I start? (Photo)

Thank you for your question and for providing the photo.  Breast asymmetry is extremely common - you are not alone.  Asymmetry can come in many different forms including:-Volume asymmetry-Shape asymmetry-Positional asymmetry, where one breast is higher or more lateral than the other-Or any combination of any or all of the above.Correction of the asymmetry takes these factors into account with a variety of options to improve the evenness of the breasts.  In some cases, implants are used to balance the breast volumes and shapes.  In others, lifting or reshaping procedures are done.  Most frequently, both are used in combination to make the breast more symmetric.In your case, there is a combination of volume, shape and positional asymmetry.  Based on the photos, I would recommend placement of two different sized implants to match the volumes, and a lift to reshape the breasts and lift the right side.  While there are other options, I feel that this would give the best and most natural result.  Of course, an examination of your chest would be needed for final recommendations.  All of this could be done as an outpatient procedure with limited recovery time.The next best step would be to schedule a consultation with a plastic surgeon of your choosing.  At that time, you could discuss the specific options for your breasts and decide how best to proceed.Best of luck with your breasts,Jeff Rockmore

Uneven breasts are very common.  The degree of uneveness varies.  Your photo doesn't look severe.  But breast lifting with implants can offer you a good opportunity to even up your breast size and shape.  I agree with the other experts:  Seek consultations with respected board certified plastic surgeons. Best of luck!

Thank you for your question. Breast asymmetry is very common, particularly size asymmetry. If you are looking to decrease the asymmetry from one breast to another, then you have several options.
1) You can reduce the larger breast with liposuction or a traditional breast reduction technique
2) You can enlarge the smaller one with fat grafting or an implant
3) You can enlarge both but use different size implants
4) A lift procedure may also be needed to help address differences in shape, nipple position and areolar size.
I would visit with a board certified plastic surgeon to discuss your options in more detail.

There are different ways to address the asymmetry of your breasts primarily based on the final volume that you wish to be. I think both sides will need a mastopexy for the purposes of generating symmetry of the diameter in position of the areola. Volume asymmetry can be corrected by a reduction of the larger breast or augmentation Of the smaller.

hi i'm pak you for your question about breast asymmetry and where to start. In the first instance arrange a face to face consultation with an accredited plastic surgeon who will discuss all of the potential options that are appropriate and available to you. Good luck

Thanks for your question. Believe it or not, your problem is far more common than you may realize. Severe breast asymmetry is something that many women deal with, but something that few talk openly about. How best to address your concerns really depends upon whether you want your small breast to match your large breast or vice-versa. At minimum, you would need breast lift (mastopexy) of both breasts with simultaneous volume reduction of the right breast to obtain a better size and shape match. Alternatively, you could add an implant to the left breast to increase the size to better match the right breast. The options and permutations of these procedures are far too extensive to address in this forum. I recommend that you start by locating a Plastic Surgeon, board certified by the American Board of Plastic Surgery who has experience with these types of cases. Schedule a consultation and openly discuss your concerns. Your surgeon can outline all of your options and you can then decide which, if any make the most sense for you.Also worth noting, unfortunately, my experience has been uniform denial across the board by insurance companies (including Tricare) for coverage of surgical correction in these circumstances. This type of problem is considered cosmetic and not a "functional" issue by insurance companies. This is the basis they use to justify denial of coverage.Best of luck!

Dear Mrs SmithBreast asymmetry is more common than you might think.  Many times a "cause"  cannot be found. The correction can involve a number of different options depending on whether you are interested in correcting one side and matching the other or whether you wish to improve both sides.  Your options are best discussed after a consultation with a board certified plastic surgeon and may involve, implants,  lifts and or reductions in any combination. The results can be very satisfying but do your homework first.  Your question about insurance coverage is difficult.  Very few insurance carriers cover the surgery you are seeking.  The only way to know is to send a detailed letter to the insurance company explaining the nature of your condition and the corrective surgery required. They will respond with a "determination" of benefits. Good Luck,Beverly Friedlander. MD

Thank you for the question and pictures. I would suggest that, once your “medical workup” has been completed (and you have achieved a long-term stable weight if you are not there already), that you seek consultation with well experienced board-certified plastic surgeons. Ask to see lots of examples of their work achieving the types of outcomes you would be pleased with. Then, it will be important for you to communicate your goals carefully. Depending on your goals, some variation of breast reduction/lifting plus/minus breast augmentation surgery will likely be recommended. You may find the attached link, dedicated to breast asymmetry concerns, helpful to you as you learn more. Best wishes.

there are a few different options to discuss with a board certified and experienced plastic surgeon. the choice you elect would be a product of an inperson exam and discussion of options. at the very least, the right side would probably require a mastopexy procedure. you may also consider an augmentation of the left side. more than one surgery may be needed to wind up with the best possible outcome. hope you will be able to proceed for i am sure a vast improvement could be accomplished for you. best of luck.

Hello and thank you for having the courage to ask the question.Although I am based In Sydney. Australia, I still wanted to respond so that you know there many women out there with a similar problem, which causes them much anxiety and embarrassment. In my 20 years of Specialist Practice I have seen many.The situation can usually be vastly improved. It requires a high degree of skill and expertise, but from patients' reports back, they are really delighted with the results.I would suggest a visit to a Plastic and Reconstructive Surgeon. Let him examine you and discuss with you your options and suggestions.And I wish you well with your journey.