Options to correct breast asymmetry? (photo)

I would advocate for a breast lift and reduction on your larger side to match the dimensions of your smaller breast. Personally, I think I could achieve better symmetry with this simple approach, compared to a more complicated plan that involves augmenting both breasts.

Hi, thank you for sharing your question. If your goal is to be somewhere in between the two breast sizes, then I would recommend a reduction (which includes a lift) on the right side and an implant on the left side. The size of the implant will be based on your breast measurements and this decision can be made together with your plastic surgeon. I hope this helps.

If you’d like to be somewhere in between, a reduction can be performed on the larger breast and a small implant can be placed in the smaller one. If you want to match the size of the smaller one, then a reduction on the larger breast would be sufficient.

Your breasts are asymmetrical in volume, shape and position. The smaller breast at the nipple-areola complex is too low and pointing outward. You will need a breast lift on both breasts. I recommend lifting the larger breast and at the same time lifting the smaller breast and either performing fat transfer or small implant. The technique I recommend on the larger breast is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them 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. The technique I recommend on the smaller breast is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or a small implant can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Good morning,
I would recommend you lift and reduce the larger side to match the smaller side, and then place same size implants on both sides- this will give you the best overall symmetry and a breast size a little larger than your naturally smaller breast!

Thank you for the question. The in between size will require augmentation of the smaller breast, which can be achieved with an implant or fat transfer. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

This can be a difficult issue to treat well. I would generally recommend with starting with a reduction on the larger breast and giving it time to settle. If you are then still wanting an increase in size, an augmentation later on can give in increased in fullness. In addition, any touch up to the reduced breast could be done at that time.

You will need implants in BOTH breasts and a breast reduction/lift on the larger breast. This is the only way to get reasonable, but not perfect, symmetry.

Most symmetry and durability you can expect with reduction/lift of the larger breast to the size of smaller one and then augmentation of both breasts with similar size implants. In person consultation with a board certified plastic surgeon with good reputation in breast surgery is recommended. Good luck.

First of all, it is important to know that most breasts are asymmetric to some degree. It is critical to identify and quantify those differences before surgery. Correcting breast asymmetry must be personalized to the specific patient in terms of that person's goals and a detailed exam (breast footprint, i.e. where the breast boundaries are, skin type/volume, breast tissue type/volume, and nipple position). To achieve symmetric breasts that are smaller than the right and larger than the left is possible with the following strategy: right breast lift and small reduction, left breast augmentation with an implant or fat grafting.