I'm concerned about my uneven ribs & bone in center of breast. I'm 32A wanting a C. What would you recommend for me? (photo)

Thank you for your question, rib and chest wall asymmetry are very common in the general population. When this asymmetry is significant, careful planning especially with the aid of Vectra 3-D imaging is extremely helpful preoperatively. Based on your description and your photo, you seem to be a very good candidate for breast augmentation using Sientra shaped silicone breast implants. Please look for a board-certified plastic surgeon with expertise in this procedure. 

Absolutely! You are a candidate for breast augmentation and camoflauging the slight differences.  You need someone who is specialized in complex breast cases.  Do your research and look at lots of pictures.  Good Luck!

Thanks for your question.You are not at all alone. Most women considering breast augmentation have a variety of asymmetries that we take into account at surgery.Common asymmetries:Chest wall/rib/sternum-  There are often bony asymmetries.Muscle-- the dominant pectoral muscle is usually thickerBreast volume- Commonly differentSkin- Breast often sag differentlyNipple height- Often different especially after child bearing.I see each of these asymmetries every day. Generally they fall under the category of what I call " normal natural asymmetries".Some asymmetries are best addressed, some are best left alone if the treatment may draw more attention to them.In my own practice I call thinking about these asymmetries "balancing breasts", with the goal to make the breasts as close as possible. You must also be realistic, while we strive for perfect symmetry breasts are rarely identical before or after surgery. The old saying is true-- Breasts are sisters, not twins.Share your concerns with your plastic surgeon and he or she should be able to give you a sense of the trade offs, options, and what can be realistically accomplished.Best wishes.