Young (18) but Uneven Breasts

In my opinion, you would need a lift and reduction on the right to roughly make them equal. Subsequent to this youcould udnergo bilateral augmentation with implants (saline due to your age) or consider fat grafting for a  subtle but autogenous tissue augmentaiton without implants. This may take more than one session.

Breast asymmetry is a very common problem for a lot of women. In your case this is compounded with asymmetry with involves both size and shape. I would also point out that you also have a tuberous or constricted breast deformity which needs to be corrected. There are numerous different ways your case could be done. I would recommend a combination periaeolar augmentation and mastopexy which will address both the size and shape issues. Make sure to visit with several doctors and spend time looking at their before and after pictures with examples of cases like yours.

A breast implant on the smaller side won't have the same shape as the larger side, which sags.  A combination of augmentation for the smaller breast and a reduction with peri-areolar lift on the larger side can improve the symmetry.  The reduction is useful because it lets you have a more similar sized implant on the two sides so they age and settle more similarly.  It is best to do this when you are at an ideal weight.  Changes in weight will change the result of the breasts.

Certainly you are a candidate for surgery.  I would probably recommend an implant on the left and either a lift alone or a lift and small implant on the right.  The areola can also be reduced at the same time. Now, realize that not only are no two breasts the same before surgery, as you can see in your case, they will not look the same afterward, but should alot  be better.

Breast asymmetry is very common and surgical correction is possible. In my view, a correction for you is actually a reconstructive procedure due to a congenital discrepancy in your breasts. Some insurance companies cover this type of reconstructive breast surgery. The correction often requires more than one operation. The areolar sizing is definitely correctable. I recommend that you seek a Board Certified Plastic Surgeon in your area with a lot of experience with breast reconstruction.

It is so apparent how much this has bothered you for years. I completely understand that you want your breasts to look more even, so you can just be confident with your body.  You should first know that you are not alone--this is actually a very common thing!  Second, it is fixable.  You can expect good results after the initial surgery, but you should also expect to need touchups (revisions) for final great results.  In addition, you may choose to have an implant as part of your breast surgery, and that would lead to more surgeries years later.

You have several options.  First, you might consider lifting the right breast and using an implant for the left breast enlargement.  Revisions here would likely include a touchup on the lifted breast as you continue to age and skin changes. You can expect more size match than shape match with this option.

Or you might consider breast lifting with fat grafting to both sides.  This would give you the benefit of having no implant to fuss over as time passes, and you'd have some fat removed from another area that you didn't want it.  This would still require more than one surgery, though, as you may need some external tissue expansion to get a better initial result on that left side.

Have several consults with members of the American Society of Plastic Surgery (please don't see a "cosmetic surgeon", just a plastic surgeon!).  Good luck!

You have breasts that are  very different in size and shape. Implants only correct the size mismatch and mastopexy correct the shape differences. If you get implant for the left and mastopexy for the right,your breast will age an sag different and in few  years you will have very different breasts again.

 I would recommend  bilateral mastopexy and fat grafting to even out the shape and the size for the first stage. If you desire bigger breast the second stage will require implants for the enlargement 3-6 months after. 

As you see there are very different treatment plans . The reason for this inconsistency is the complexity of your condition. Please get few consultation and chose a surgeon that you are comfortable with her or his treatment plan.

Dear Anon,

The condition that you have is a congenital breast deformity.  Of course, the condition was not present at birth since your breasts aren't present at birth.  However, the condition is programmed into your breast genes.  Some insurance companies will cover this type of breast correction.  Check with your insurance carrier if you have health insurance.  The correction can be complicated and might require a lift on your right breast and possibly tissue expansion on your left breast to enlarge it.  Consultation with a plastic surgeon will answer your questions and assist your insurance claim.  Good luck!

Your diagnosis is congenital breast asymmetry with left amastia, and right ptosis. I have corrected many of these breast issues and I always recommend multiple in person consultations. I recommend a 2 to 3 stages of surgery to achieve a good to great result. Cost in total approaches $20,000. Regards Dr. B from MIAMI 

I have many surgeries to fix uneven breasts for patients.  Breast revision surgery and breast assymetry surgery is my specialty.  We take care of many teenagers.  It appears that you would benefit from an implant on the left and a reduction on the right.  This can be done in a staged or one stage procedure.  Need to be examined by a Board Certified Plastic Surgeon who does many of these to know for sure.   the arealas could be made closer and be made to pretty much the same size. 

Cost depends on where you go.  Find a Board Certified Plastic Surgeon

Good luck,

Andrew Cohen, M.D.