Should I get different implant sizes if I have one smaller breast, pre-op? (photos)

It may be a good idea to ask your surgeon for their advice. Express your concern about the size asymmetry, and your surgeon may recommend that two different sized implants are used.

Hello,
You have nailed some of the issues down. Your breasts are far apart so you have a danger of not being satisfied with your cleavage due to the nature of your breasts. Your left one is large than the right but to figure out how much exactly using a computer measurement would be the best way to go. I would discuss the asymmetry with your surgeon and get his/her opinion. The issues I have with different sizes is that the implant will always stay the same but your breast tissue will change, drop etc so the diff in asymmetry may always be there just in a different manner. perfect symmetry may be unattainable but finding something that makes sense to you.

Hello before the surgery decide to put different sizes of implants impossible during the surgery we need to put sizer implants for look than we can decide but also even you put different sizes your assymmetri will continues.

When performing breast augmentation in women with different sized breasts, the choice is always to use the same size implants in both breasts, versus using a larger implant in the smaller breast. Sometimes, the volume symmetry looks better with different sized implants, but it creates other aspects that look uneven. Talk to your surgeon more specifically about what he/she feels like your outcome would be with either approach so you can make an informed decision. Hope that helps. Best of luck!

Dear Luminous718529,
breast asymmetry can be corrected with different size implants. Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. Based on your supplied images alone, I would recommend different size implants to improve/narrow the volume discrepancy between your two breasts. Hope this helps.

I don’t think your breasts are different enough in size to justify different size implants I e seen enough cases where people with different size implants end up with worse asymmetry then they had before

I would suggest discussing this with your surgeon. He/she can bring a sizer to try to see which implant will be the closest match.

Hello, thanks for your question and photos. As you may know, it's a regular practice to repair asymmetry with different sizes on both sides. In your case, any asymmetry seems not to be very important, and 410cc will look the same. Only after an in-person physical exam, it's possible to determine it. Good luck!

If you place the same sized implants in each breast you will have the same amount of asymmetry after surgery as you do now. Selecting differently sized implants is an option to improve asymmetry, but it is an educated guess by your surgeon as to what size difference would be best. The size difference you are speaking about-30 cc- is equivalent to two tablespoons of volume. Your surgeon will help you decide what is recommended for you.