25, no children, & difference in symmetry, do I need a breast lift? (Photo)

Question

I always had quite perky breasts growing up and in my earlier twenties, but now at 25 with no children i’ve noticed my breasts are sagging and there is a significant difference in symmetry - one has sagged much more than the other and sits a lot lower on my chest. Please advise.

Joel Patrick Maier, MD · Answer

A bilateral breast lift will provide a lifted, tight and proportionate breast that will also address your asymmetry. You will need to consider nipple sensation and breast feeding as they can be affected by the procedure. You will also have standard "anchor" type of breast scars. I hope this helps, thank you for sharing! See attached for an example case.

Daniel Barrett, MD · Answer

Dear Thriving862337,
based on your photo, it looks like you have a significant asymmetry and you will probably need reduction of larger breast in order to make them symmetrical. 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

J. Timothy Katzen, MD, FACS · Answer

Dear Thriving862337,
Thank you for your question about whether a breast lift is appropriate for addressing asymmetry at 25 years old, without having children.
Breast Lift for Asymmetry:
If breast asymmetry is a concern for you, a breast lift (mastopexy) can be an effective solution.
Types of Breast Lifts Suitable for You:
360° Peri-Areolar Mastopexy or Lollipop Mastopexy are recommended options, especially if you prefer not to have breast implants. Both involve an incision around the areola and removal of some skin to lift and equalize the breasts.
In summary, a breast lift can be a viable option to correct asymmetry at your age. It’s important to consult with a plastic surgeon to determine the best approach for your specific needs.
Wishing you the best in making your decision.
Sincerely,
Dr. Katzen

Cem Berkay Sinaci, MD · Answer

Hello, You have good volume on your breasts. In this case I would recommend a breast uplift without implant on both sides. you have at least 3 cm of difference on nipple levels and that can be corrected during the lift as well as the volume. An inverted-T with a short horizontal scar looks appropriate.

Mahira Tanovic, MD · Answer

Hello,
This is a great question. I do see what concerns you, from your photos. Please keep in mind that this is normal, and many individuals have a discrepancy in breast size! You may opt to have a breast lift to symmetrize the breasts, as well as address the concerns of sagginess. 
As always, an in-office consultation is required to really examine your breasts and your own unique anatomy, as well as discuss the procedure and any questions you may have.
Best,Dr. Tanovic

Thomas Trevisani, MD · Answer

In person exam is essential as well as review of photos- all views. Based on limited photos- it appears that you would benefit from a breast lift with slight reduction on a larger side to balance out the asymmetry. I suggest that you seek an experienced Board Certified PS

Luis A. Mejia, MD · Answer

Dear Thriving862337, thanks for sharing your concern and pictures. Best option could be breast lift with implants to correct Symmetry and sagginess.Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Leila Kasrai, MD, FRCSC · Answer

Symmetry can be improved with a breast lift. The dropper breast can be altered to better match the shape of the perkier one.

Lane Smith, MD · Answer

If the asymmetry bothers you, you could opt for a benelli lift on just the one breast or you could augment both depending on your preferences. If you would like to go over your many options, feel free to reach out for a consultation. Smith Plastic Surgery 702-838-2455.

Donald Groves, MD · Answer

Hello and thank you for your question. From the pictures you have provided, you have some striae (stretchmarks) present on the upper poles of both breasts, mild ptosis (drooping) on the right breast with more significant ptosis on the left, as you mentioned. From just the one picture and without a side view it is difficult to determine much more here. Ultimately though, you would definitely benefit from a mastopexy (breast lift) to help improve the symmetry of your breasts. There is not a significant amount of skin redundancy on the right, so you could likely get away with a vertical incision pattern ("lollipop" scar) on the right, and would likely need an inverted T incision pattern on the left to take out the additional skin ("anchor" scar). If you are happy with the size of your breasts in a bra, then the volume is not an issue, and the primary focus of surgery would be on resecting skin and symmetrizing the breasts- so you're aware, it would be considered a cosmetic procedure, so insurance would not cover the surgery. 
With all that said, it is difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the single photo you have provided. I recommend for you to come see me or another plastic surgeon for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

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25, no children, & difference in symmetry, do I need a breast lift? (Photo)

Answers (16)

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