Several factors can contribute to the appearance of asymmetrical breasts. Age, pregnancy, genetics, breast skin laxity, the position of the nipple, and a difference in volume can result in breasts that appear uneven. I perform breast surgery to improve symmetry and produce the patient’s desired breast size.
The type of asymmetry that affects the patient will determine the treatment approach. First, I will decide if there is an asymmetry in each breast’s volume and if there is an asymmetry in the breast tissue or nipple location. Second, I will discuss the patient’s very personal cosmetic goals to determine what type of results she wishes to achieve. Some patients would like to even out the breasts, not go any larger; some patients may want to increase both breasts’ size. Still, others will want to reduce the size of the breasts. I will base my treatment approach on the patient’s anatomy and aesthetic preferences.
Different Sized Implants
When the breasts appear asymmetrical, many patients assume that different sized implants will treat the condition. However, this is not always the case. This approach is indicated when one breast is larger than the other in terms of volume. We will increase the amount of filler material in the implant to be placed in the smaller breast to balance out the breasts’ size. Before undergoing breast augmentation surgery, we will work with the patients to determine their ideal breast size.
Breast Lift Technique
In many cases, especially in older women and women who have experienced pregnancy, the breasts appear uneven because the skin is sagging at different rates. In one breast, the skin may have stretched, and the nipple drooped downward a little more than in the other breast. This can certainly play a role in the uneven appearance of the chest area. In these cases, the patient may require breast lift surgery to tighten the skin and reposition the nipple. I am skilled in performing the crescent, peri-areolar, circumvertical lollipop, and standard breast lift techniques.
Women with large breasts may also notice a difference in the size of the breasts or the degree of ptosis affecting each breast. If the patient desires a smaller breast size and improved symmetry, we will perform a breast reduction procedure. The patient’s breast reduction treatment plan may include liposuction, vertical lollipop reduction, or the standard deduction. In breast asymmetry cases, liposuction is indicated when the patient only requires the removal of excess breast tissue; the patient must have healthy skin that will contract to complement the new breast contour. The vertical lollipop and standard reduction are recommended when excess breast tissue and skin must be removed to reduce the breasts’ size and create more symmetry.
Contact our San Diego practice to schedule a consultation to learn which is the best possible surgical approach to improve the appearance of asymmetrical breasts.
*The content in this blog is developed to spread the awareness towards plastic surgery. Our blog is not intended to serve as a replacement for an actual in-office consultation with Dr. Marin. As such, the information within this blog reflects the unique cases of our individual patients.