What can I do for my asymmetrical breasts? (Photo)

Question

I’m looking for a surgeon that can help me with my asymmetric breasts. I had a breast lift on one breast and 475cc implants put in by a surgeon i met here on real self and now my boobs look terrible again. I need help! What do I do? Who do I go to?

Gerald Minniti, MD, FACS · Answer

No, you didn't really get a lift, you got a circumareolar lift, which was totally inappropriate for your needs then and now. It is not a surprise that you went with a doc on this website. Being on this RealSelf does NOT ensure a good doc. RealSelf markets itself as a place for patients, but it's just another entity that values revenue via doctor's payments over real patient advocacy. This is why you don't need another wrong procedure like the 'bellasomma method'. What you need is a true mastopexy or breast lift, hopefully performed by an expert breast surgeon. No more gimmicks or controversial techniques that yield poor results.

Alan Gonzalez, MD, FACS · Answer

Thanks for your question and showing your pictures, @goddesszuri. Your concern is understandable. Consider going to multiple board certified plastic surgeons and hearing several options before choosing a doctor you trust. Best whishes!

Richard Baxter, MD · Answer

The main issue I see is rather significant sagging, and if you have already had a lift that didn't last then your tissues are telling us they need additional support. An internal bra with Galaflex mesh along with a full breast lift on both sides would be my recommendation.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery.  You had extremely poor work performed.  You definitely can have an excellent result with an experienced, artistic plastic surgeon. you would definitely need suturing of the pocket-capsulorrhaphy, and if you are implants are on top of the muscle, they need to be placed below the muscle.  Also, you would need a full lift-mastopexy which would also make your areolas much smaller. Best wishes to you.

Gary M. Horndeski, MD · Answer

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. The areolas can be reduced to a more appropriate size. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

There is no doubt you should have a breast lift with areolar reduction. Implants in addition could be placed at the same time or later. Fortunately this can be corrected but might require two stages.

Daniel Barrett, MD · Answer

Dear goddesszuri,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 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

Connie Hiers, MD, FACS · Answer

You need a full lift, possibly even a small reduction, on the side with no implants and reducing the implant and lift on the other side.  Your breasts are too large for your frame and tissue.

Jason Pozner, MD · Answer

You need a real mastopexy (lift) to get any result. I would redo the lift - full anchor and galaflex to support the implants. Maybe new implants depending upon their age. Your tissue cannot support the implants - needs help - thats what the Galaflex is for

Darryl J. Blinski, MD · Answer

Thanks for posting your photos. In my over the Real Self internet opinion you will need 2 separate surgeries to obtain results. Start with stage 1: full lifting with exchange of implants. Fee $10,000. Stage 2: any reduction of excess areolae tissue and touch up lift Fee TBD. Best to seek vitual or in person opinions only.

What can I do for my asymmetrical breasts? (Photo)

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