EXPERT Q&A

Q: Can you treat asymmetry in the breasts with augmentation alone?

What our experts say:

It depends on the case, but we’re very forgiving when it comes to asymmetry. In general, our brains forgive asymmetry unless it’s severe because everyone has it. Asymmetry can be more complicated in that it may have to do with the way the chest wall is built so that the ribs may be more prominent on one side than the other. Very frequently the patient isn’t even aware of it. In the vast majority of patients, asymmetry can be greatly reduced by using different sized implants, but what is important for patients to realize is that we are reducing the asymmetry, not perfecting it. While our goal is perfection, that’s not really achievable.

C:\fakepath\NEA NB53 Rapaport V2

Dr. David P. Rapaport

Plastic Surgeon

New York, New York

Each breast augmentation is different, thus each case is individualized.  In cases with asymmetry, as long as it is relatively mild and can be camouglaged by volume or dimension of the implant, the asymmetry can ususally be corrected with augmentation alone using differing implants between the two breasts.  The limitation in doing this however, is that the formula is not always one of simple volume adjustment.  That is to say, just because one breast may have 50 cc more volume than the other, doesn't mean the correction can be accomplished easily by just using a 50 cc larger implant.  Because implants have not only volume to consider, but also three dimensions - width, length, and height (with round implants width and "length" are really the same), you will often see differences in these variables even if the volume adjustment corrects the difference in volume.  For example, even though the volume in a bra is now equal when a 350 cc implant is on the right and a 400 cc implant is on the left, the left breast may now project outward more and appear fuller or it may be wider than the right, and this creates its own asymmetry.  Thus, the correction of asymmetry with implants alone requires a keen artistic eye and good analytic judgment on the part of the surgeon.  In addition, this does nothing to correct any asymmetry in the position of the nipples.  In order to do that, one must usually add some type of lifting procedure too, at least to the lower breast/nipple.  Usually in cases of mild nipple asymmetry it either improves sufficiently with augmentation alone, or the patient and I decide to accept the mild asymmetry as a reasonable trade-off for a less complicated procedure.  Not every asymmetry NEEDS to be conrrected; you are really the boss when it comes to that.

Grzeskiewicz Nb37

Dr. Joseph Grzeskiewicz

Plastic Surgeon

San Diego, California

Each breast augmentation is different, thus each case is individualized.  In cases with asymmetry, as long as it is relatively mild and can be camouglaged by volume or dimension of the implant, the asymmetry can ususally be corrected with augmentation alone using differing implants between the two breasts.  The limitation in doing this however, is that the formula is not always one of simple volume adjustment.  That is to say, just because one breast may have 50 cc more volume than the other, doesn't mean the correction can be accomplished easily by just using a 50 cc larger implant.  Because implants have not only volume to consider, but also three dimensions - width, length, and height (with round implants width and "length" are really the same), you will often see differences in these variables even if the volume adjustment corrects the difference in volume.  For example, even though the volume in a bra is now equal when a 350 cc implant is on the right and a 400 cc implant is on the left, the left breast may now project outward more and appear fuller or it may be wider than the right, and this creates its own asymmetry.  Thus, the correction of asymmetry with implants alone requires a keen artistic eye and good analytic judgment on the part of the surgeon.  In addition, this does nothing to correct any asymmetry in the position of the nipples.  In order to do that, one must usually add some type of lifting procedure too, at least to the lower breast/nipple.  Usually in cases of mild nipple asymmetry it either improves sufficiently with augmentation alone, or the patient and I decide to accept the mild asymmetry as a reasonable trade-off for a less complicated procedure.  Not every asymmetry NEEDS to be conrrected; you are really the boss when it comes to that.

Grzeskiewicz Nb37

Dr. Joseph Grzeskiewicz

Plastic Surgeon

San Diego, California

Board Certified Plastic Surgeons that perform Breast Augmentation in your area.

Dr. German Newall

6.7 mi

Houston, TX

Plastic Surgeon

Dr. Rolando Morales, Jr.

6.7 mi

Houston, TX

Plastic Surgeon

Drs. Peter Chang & Ankur Mehta

6.9 mi

Sugar Land, TX

Plastic Surgeon

Dr. Henry Mentz

8.8 mi

Houston, TX

Plastic Surgeon