Uneven Breast - Reduction Lift w/ Implants?

Hey, im 24 years old with 2 kids. I am 5'0 and 98 pounds and have uneven breast. one is a size a and one is a small c. I went to a consult 2 years ago and dr said I would need a reduction in my larger breast and a upliFt along with 400 cc silicone under musclu to achieve a 32 or 34 c? would I really need a reduction lift and implants?

Doctor Answers 25

Reduction and lift?

Asymmetry is the norm for women, since no two breasts are ever alike, however if you find this embarrassing and it's taking a toll on your self esteem, then you can consider a reduction/lift in the larger one or an implant in the smaller one to balance them out. You don't need both an implant and reduction unless you're trying to achieve a particular breast size.  

Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Breast asymmetry

I believe your best bet is a 150cc implant on the right and approximately a 350cc implant on the left. You will also benefit from a breast lift on the left to raise the areola and decrease its diameter. Good luck.

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 50 reviews

Asymmetry is best treated with a combination of implants and a breast lift.

You need a reduction on the right side, of course.  Then implants on both sides.  400 cc might be slightly large for a C cup size.  Maybe 360 on the left and 300 on the right.  The only question is whether to perform a lift on the left breast even though it does not really need it.  The benefit is in producing more symmetrical areolae (a lifted breast has a distinct areolar margin).  But definitely do not consider having just implants or just lifts or you will be disappointed.  Insist on viewing a number of before and after photos of patients with breast asymmetry like you before going ahead.  And a vertical technique is best.  Yes, under the muscle.  Saline and silicone gel both work nicely.  I've attached a link to my website.  Check out patient R.Z.  She is the fifth patient as you scroll down.

Eric Swanson, MD
Kansas City Plastic Surgeon
4.7 out of 5 stars 56 reviews

Breast asymmetry treatment

Thank you for posting your photos.  As you know, you have a significant breast asymmetry.   In addition to your right breast being larger than your left breast, the right breast sits differently and has an entirely different shape.   In essence, the right and left and apples and oranges.    But your presentation is quite common.  It requires interventions to address your asymmetries.  I breast lift/reduction will be require on your right.  In addition, a much smaller implant on your right may be required.   Your left side with require a much larger implant.  Keep an open mind for a possible secondary touch up procedure to fine tune your results.   Please visit with a board certified PS who is very experienced with cosmetic breast surgery in the asymmetric patient to learn more about your options.  Best wishes. Dr. Basu Houston, TX

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 209 reviews

One breast small the other large naturally

There is a significant discrepancy between your breast. Your desire to bea a certain size will dictate the plan. It is not uncommon to lift of reduce one side and place an implant in the the smaller side. Your particular case is not straightforward to a consult with a board certified plastic surgeon would be the best course of action.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 34 reviews

Breast Implants and Lift for Uneven Breasts

Breast Implants and Lift for Uneven Breasts

As other surgeons have said, your decision depends on which breast you like best.

The right breast can be reduced and lifted but you will still need a small implant on the left to match the reduced right breast.

If you prefer the larger right breast you will definitely need a large implant on the left. However the left will never match the sagging of the right side so and right breast reduction will be required.

Breast asymmetry and implants

I think the first thing is to determine which side you like better and what is the result you are trying to obtain. Obviously to improve the symmetry, you would need to do something to both sides. If you like the right side better, then perhaps a  lift and an implant is a good option. This would put your nipple in better position and give you superior pole fullness (implant does this), on the left side you could have an augmentation using a sizer first. This may help your surgeon better match the right side. If however, you would like the right side smaller, you could have a reduction on it and then an augmentation on the left side to match. Unfortunately, although plastic surgeons aim for symmetry, a bit of asymmetry is only natural and to be expected. I think the most important thing for you is to decide which side you like better and what is the outcome (size) you are looking for. 

Margo Herron, MD
Medford Plastic Surgeon
5.0 out of 5 stars 15 reviews

Breast asymmetry

What kind of procedure you need will depend on how you want to look afterwards.  If you like the size of the right breast, then you will most likely need right breast lift and left breast augmentation with/without lift.  If you like your left breast, then you will only need right breast reduction.  Think about which side of breasts you like better.  Please remember that although we (plastic surgeons) strive to achieve the best result and symmetry, you will have some asymmetry after the surgery as well.  Best wishes.

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews


Some of your answer lies in you deciding your comfort with the size of your right breast.  To me that breast does not look overly large and it likely needs more of a lift than a reduction.  In cases like yours I'm inclined to want to end up with an implant in each breast as I think that yields a result that feels and reacts more similarly.  Once the decision about size/shape is made regarding your more normal right breast, then we can discuss how to get your left breast to match or, at least, come close.

Scott E. Newman, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 42 reviews

Breast asymmetry

Thanks for submitting your photos they help to understand the asymmetry.  In answer to your question you must first decide which side you like better?  Would you rather be larger or smaller breasted.  The choice will determine which surgery will accomplish the goal.  Any surgery comes at the price of scars and/or an implant.  I would suggest a second opinion on this topic.  Good luck.

Rodger Wade Pielet, MD (in memoriam)
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.