What surgery will I need to correct my uneven breasts? (photos)

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hi, thank you for sharing your question. You don't need a lift, but may benefit from differentially sized implants and an areola reduction. It is difficult to make a proper assessment with this picture but an in person evaluation with a board certified plastic surgeon will be able to give you all of your options.

The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Hello, thank you for your question. This is a common question. A breast implant will take what you have as existing breast tissue and make your breast size larger. Breast implants do not change the shape or size of your areola or lift your natural breast tissue. If indeed you would like to have the shape of your breast tissue change and areola smaller than a mastopexy would accomplish both of those concerns. I would suggest having a consultation with your plastic surgeon prior to making any decisions. Feel free to check out our website for more information about breast augmentations and mastopexies.

Good afternoon,
You are an excellent candidate for a donut mastopexy to reduce your areolas and tighten your skin and a submuscular augmentation. You may choose saline or silicone gel, depending on your preference, even though it sounds like you may lean towards saline. We would determine the exact size and profile when I measure your chest, we review photos together, and you have an opportunity to try on the implant sizers here in the office.

Dear Bricheese24,
it is hard to tell for sure without an examination. Based on your photo, it looks like you would benefit from different-sized implants. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Just based on you one sideways photo, you do not have tubular breasts. I would suggest meeting with a board certified plastic surgeon and discussing your options for an augmentation and lift.

From the limited photo it appears you may benefit from a conservative lift which would include a reduction of the areola. Implants can be added as well to improve symmetry and shape. The best recommendation will come from an examination. Schedule a consultation with a board certified plastic surgeon near you to learn more.

Thank you for your question. First of all I only have 1 picture of one breast so it is hard to determine what the other breast looks like. Having said that, surgery of a tuberous breast deformity is a highly specialized procedure. The tuberous breast can be augmented but it is quite different from augmentation of a normally developed breast. The surgeon could use a series of sizers intraoperatively to achieve reasonable symmetry of the 2 breasts. The nipple areolar complex could be reduced to a diameter of 42 mm without much difficulty, judging from the 1 photo that I see here. There is a wagon wheel technique which was originally described by Dr. David Hidalgo which utilizes a Gore-Tex suture. A permanent suture is preferable to prevent stretch back of the scar in large areolas. Hope this helps.

Thanks for your question. It is difficult to say based on the photo you provided if a breast lift is warranted- especially on the left side. It doesn't appear that you would need a lift on the right side. Please consult a board certified plastic surgeon for a better understanding of your options.
Best of luck!