Board Certified
Plastic Surgeon
Since 1989

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.

Breast Asymmetry

Q: I had a revision surgery one year after the initial augmentation. I am now almost four weeks post op and am completely asymmetrical in size. The swelling has not gotten worse, but has not gotten better by any means. Is this normal? Should I be concerned?

Posting of front and side view pictures would have been very helpful.

It is difficult to opine without seeing your pictures or examining you. However, “I am completely asymmetrical in size” one month after surgery reflects something wrong with your recovery. If you have saline implants, one might have deflated; if you have silicone implants, you might have a hematoma.

In any event: yes, you should be concerned! Contact your surgeon as soon as possible for assessment, as it may be possible to take appropriate action (if determined by your surgeon).


*Individual results are not guaranteed and may vary from person to person. Images may contain models.