Asymmetry

Correcting Uneven Breasts

Dr. Loftus has extensive experience in correcting breast asymmetry, which is why women from everywhere come to Dr. Loftus for their procedures. On this page, she will give you insights on the approach to correct uneven breasts.

All women have breast asymmetry to some degree. One breast may be higher, larger, or shaped differently than the other. The nipples may be uneven in size, shape, position, or height. The breast crease is often asymmetric in position or shape. Your surgeon will probably point these asymmetries out to you prior to surgery. It is important that you recognize them and understand that, with the exception of breast size discrepancy and possibly breast crease position, most asymmetries will not be improved or corrected as a result of breast augmentation. And, all of this is fine because all women have unevenness to some degree.

However, if your breasts have more than nominal asymmetry, you will undoubtedly want this addressed and corrected during your breast surgery. This page will address some of the ways in which your asymmetry may be corrected.

Options to Treat Breast Asymmetry

• Have implants of different sizes placed. Be aware that because the implants will have different diameters, you may be introducing a new asymmetry. But, if your breasts vary in size by more than 20 ml, this is the best option.


• Have identical implants placed and filled to different volumes (if selecting saline). This option is most appropriate for volume discrepancies of less than 20 ml, and can only be achieved with saline implants, as silicone implants are pre-filled. Silicone volumes can not be altered by the surgeon. Dr. Loftus does not generally recommend this option because the difference of 20 mL will be imperceivable once both breasts are implanted; and failure to optimally overfill saline implants will increase the risk of deflation.


• Have identical implants placed on each side. Your present size discrepancy will be less noticeable when both breasts are larger. This is best for asymmetries less than 20 ml which do not bother the patient. Note that regardless of the option you select, your size discrepancy will be less apparent after surgery, as both breasts will be larger.

For breasts that are markedly asymmetric, there will almost certainly be nipple height asymmetry as well, with the nipple of the larger breast being lower than the nipple of the smaller breast. In these cases, Dr. Loftus recommends that first, you must decide your desired breast size. Do you want both breasts smaller than the small breast or larger than the large breast? Would you rather have both breasts match the size of one of your existing breasts? Or would you want them somewhere in between? Regardless of what you choose, a combination of augmentation, lift, and reduction can be applied to improve your symmetry—often with amazing results.