25 Yr Old - Considering Breast Augmentation to Correct Asymmetry. Houston, TX

Hi all,

Longtime lurker, first time poster – for context, I’m 25, 5’8, 125 lbs, no kids. Ever since puberty I’ve been obsessing over the asymmetry in my breasts. My left breast is a small C and is fuller, while my right is a small B and perkier – and as I learned in my consultations, the difference is exacerbated by a very mild case of scoliosis. I’ve been thinking about breast augmentation for a long time, but still don’t know whether it’s actually worth doing. What I do know is that I would like to A) get dressed in the morning, B) bend over for a dropped pencil, and C) watch a topless scene from Game of Thrones without immediately thinking about the asymmetry, feeling super self-conscious, and wanting to pull my hair out.

Now that breast augmentation is a financial possibility for me, I’ve started to do a lot more in-depth research and have been to four in-person consultations with plastic surgeons in my area (Houston). I was originally interested in the Autologous Fat Transfer technique, but as I read more into this type of surgery, it became apparent this wasn’t really a viable option. From what I’ve read, it’s difficult to gauge in advance how much of the transferred fat the receiving breast will retain after surgery – plus – even if I were to end up with the same size breasts, there would still be a mismatch between the shapes/nipple position. Eventually I warmed up to the idea of implants. My ultimate goal is to achieve better symmetry while maintaining the most natural look and feel possible. The size increase is secondary – I’m looking for the smallest change available.

My biggest fear that keeps me hesitant about pursuing breast augmentation is the implants being too obvious or hard-looking/feeling. Right now, my asymmetry is only readily apparent to people who’ve seen me naked. I’d be extremely disappointed to spend thousands of dollars and undergo surgery if it meant my implants would (literally and figuratively) precede me.

Given everything above, here’s the quick summary of each plastic surgeon’s recommendation:

The first and second plastic surgeons suggested roughly the same approach: two different profile silicone implants (Mentor), under the muscle, under the breast fold incision (somewhere between 200-250 CCs for the larger breast, 300-350 for the smaller). The second PS noted there would still be a slight asymmetry in nipple position.

The third PS gave me a few different options:
1. Lipo to the larger breast to match the smaller breast. This would run the risk of giving the formerly larger breast a flatter appearance.
2. Lipo to the larger breast followed immediately by under the muscle saline implants
3. Just the saline implants
4. Do nothing!

The fourth PS suggested a periaeolar lift to the larger breast to help account for the difference in shape, plus two different profile gummy bear implants (Natrelle) inserted under the breast fold, using a dual plane technique (I hadn’t heard of this term before consulting with this PS – in this technique, the top 2/3s of the implant remain under the muscle, while the bottom third is above the muscle. Supposedly this results in a more natural teardrop shape).

I still want to do more research on each of these techniques, but if I decide to move ahead with augmentation, I’m leaning towards the fourth PS. Based on how he walked me through each suggested step of the procedure, it was apparent he was very experienced and detail-focused.

Anyway, thank you for reading if you’ve made it this far! I’m really grateful to everyone who’s shared their experience here, and it’s relieving to put my own wants and anxieties in writing.