Breast Asymmetry

Q: I have slightly asymmetrical breasts. When I originally told my plastic surgeon, he said the asymmetry was minor, and that he did not recommend using two different sized implants. At my pre-op appointment, he said that we could use 304 and 339 natural style 15 implants to try to even them out. I am worried about having implants with different dimensions. I want to call him and ask him if we can just do the same size implants on both breasts. What do you think?

Thanks for posting your picture. From observing your picture, you appear to have size asymmetry (right breast bigger) and submammary crease asymmetry (right crease lower, bottoming out).

For symmetry purposes, I would recommend a larger implant on the left side (25cc more), and raise the right submammary crease. Not raising the crease will worsen the bottoming-out after surgery.

I have been in practice for over 30 years, and my preferred implants are smooth, round, moderate profile saline implants. One of the many advantages of these implants is the easy flexibility of size asymmetry correction.

Another important note: your cleavage is wide with irregularity. The most predictable way to achieve nice and symmetrical cleavage is by sub-areola incision, which allows easy dissection under direct vision and feel. A submammary incision is simply too far to reach to your upper cleavage.

Always consult with experienced, board-certified plastic surgeons who operate in an accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery to make sure they are numerous, consistent, and attractive, with nice cleavage, perkiness, symmetry, and a natural look.