Natural Look for Uneven Breasts - Type of Surgery?

What surgery would you suggest for me? I clearly have asymmetric breasts and I would like to know what surgery you would advise? I have realistic expectations and know that its not possible for 100% asymmetry. Im looking for a natural look that will even out my breasts the best they can be.

Doctor Answers 32

Surgery for uneven breasts

Thank you for your questions and for your photograph.

There are different ways to approach uneven breasts.  Given your photograph, I would recommend a lift and slight reduction on the right breast so that it looks more like the left breast.  If you if you tried to correct this with implants alone the left breast would be firm and gravity defying, but the right breast which has more natural volume and droop would still have laxity and would not behave or look the same as the left.

Addressing the right breast only, without implants would give you a much more even starting situation whether one day you chose to add implants or not.

In an ideal situation a patient would have the same amount of natural breast tissue and same amount of implant volume.  While smaller differences can be tolerated larger differences tend not to look as good.

I generally believe that an implant on one side only never looks good.  The non implanted side never looks or behave the same way.

I hope this helps in your decision-making process and I wish you the best.

Washington DC Plastic Surgeon
5.0 out of 5 stars 105 reviews

Uneven breasts

Thank you for your question. It appears from your pictures that you have nipple and size asymmetry. If this is the case you will need a slightly larger implant on the smaller breast and a breast lift to achieve symmetry. If you like the size of your right breast then you will only need an implant on the left side.  It could be that the left breast has some constricted breast tissue and this will need to be released at the time of the surgery probably with a dual plane approach. Good luck and I recommend that you visit with a board certified plastic surgeon who has extensive experience with breast asymmetry.

Mark Deutsch, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 32 reviews

How to Fix Uneven Breasts

  1. First decide if you like one of your breasts as it is now.
  2. If you like the right breast, then you would benefit from a Spectrum implant placed in the left. This is a postoperative adjustable implant from Mentor.
  3. If you like the left breast, then you would need a reduction of the right side.
  4. If you do not like either breast then decide what you want, larger, smaller, or in between.

An experienced plastic surgeon can do a variety of things to make your breasts more symmetrical, but they will never be identical. Be sure to sit down and discuss your options with several different surgeons and choose the surgeon you are most comfortable with.

Good luck.

Suresh Koneru, MD
San Antonio Plastic Surgeon
4.5 out of 5 stars 19 reviews

Best way to approach breast asymmetry

I think the best way to approach correcting breast asymmetry is to have realistic expectations as to what can be achieved. Although no one can expect to achieve perfection, realizing that significant improvement can be achieved should be the goal.

Sometimes, breast asymmetry is approached in a staged fashion. First you should decide which breast you like best and discuss with your plastic surgeon how you can best get your opposite breast to match. This may require an implant, reduction, lift, or augmentation with lift. Sometimes, it is easier to correct one breast to best match the other, even if this is not the breast you like best. Other times, you may need to have both breasts addressed.

Because there are so many variables and options, I would recommend scheduling a consultation with a board certified plastic surgeon for an evaluation and to discuss your options. This is the best way to see what can be accomplished and to make sure you are comfortable with your surgeon as well as the proposed surgery.

Good luck!

David A. Robinson, MD
Munster Plastic Surgeon
4.7 out of 5 stars 42 reviews

Uneven Breasts

A breast augmentation should be able to fix uneven breasts, although the exact method required for proper correction would require an in-person consultation and assessment.  You may require a breast lift, different types of implants, or perhaps simply a size correction of the existing implants.  Best of luck!

Suzanne M. Quardt, MD
Palm Springs Plastic Surgeon
4.2 out of 5 stars 16 reviews

Breast symmetry

Is not uncommon for patients to have the breast asymmetric.  When they are completely different,  it is possible to use different sizes of implants to achieve a better result.  Depending on what you are looking size wise,  it is possible to have 2 different implant sizes to achieve this.  

Roberto Gonzalez, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 6 reviews

Natural asymmetry correction

Greetings badhabit, 

Most women have one breast that’s bigger than the other just like they might have a leg or arm that’s slightly longer than the other. (And by the way, when you have your next pedicure, look and see if your toes exactly match!) The point is that it’s rare for the human body to be symmetrical. However, in some women the difference in breast size and shape is more noticeable, and this is where a breast augmentation and/or a breast lift can be a big help. 

It is very common to use two different implant sizes to adjust for the difference in natural breast tissue. In cases like yours, one breast may need a lift while the other one does not. Interestingly, breasts often heal from surgery differently too!

You have a few options available based on what you want to achieve. I encourage you to see multiple board certified plastic surgeons who will work with you during your consultation to explain and show you the reasons he makes certain recommendations. Make sure they can show you many examples of cases similar to yours where they have achieved great results!

William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 51 reviews

How to fix asymmetrical breasts and achieve a natural result.

Thank you for your question.  I believe that for patients with severe breast asymmetry, the most important conversation between surgeon and patient is that which describes what the patient's expectation of the procedure is.  Most patients are asymmetric and because the goal is symmetry improvement, I never promise patients symmetry perfection.  Depending upon the severity of asymmetry, sometimes breast asymmetry cases are approached in stages.  

I think that the first question that you should ask yourself is which breast do you like best?  Once you've made this decision, the discussion with your plastic surgeon becomes how to best match your least favorite breast to it.  Sometimes this only requires utilizing two implants of different sizes and other times it requires a reduction, lift, augmentation or some combination of these procedures.  

I would strongly recommend consulting with a board-certified plastic surgeon who is well experienced in breast procedures.  At the time of your consultation, your options, anatomy and cosmetic surgery goals will be thoroughly discussed and the best plan of action can be proposed.  I hope you find this helpful and best of luck!

Stephen T. Greenberg, MD
Woodbury Plastic Surgeon
3.9 out of 5 stars 59 reviews

Breast asymmetry options

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
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 and nipple position.I would visit with a board certified plastic surgeon to discuss your options in more detail.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 reviews

Combine implants with a one sided lift to correct asymmetry

A larger implant on the small side and a lift with a small implant on the right side can give you a natural look and also correct the asymmetry. To assist in the planning and to give you an idea of what to expect, I would use Vectra 3D imaging to plan the procedure. This would allow us to determine which size implants would provide the best correction as well as give you an idea of what the results may be. I hope this is helpful. Here is a link with more information about asymmetry and 3D imaging.

Christopher J. Ewart, MD
Augusta Plastic Surgeon
4.8 out of 5 stars 45 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.