A Discussion about Breast Asymmetry

Understanding Breast Asymmetry

As you know, no two breasts are perfectly symmetrical on any woman, but at times, the asymmetry is significant enough to warrant surgery. Interestingly, breast asymmetry deformity tends to be fairly consistent in its appearance.

Usually the smaller breast is narrower, has a smaller areola (nipple/areolar complex) and minimal ptosis (droop), and often the inframammary fold (the fold under the breast) on that side is higher.

By comparison, the larger breast tends to have a larger areola, may have a lower inframammary fold, and tends to be somewhat droopy or ptotic, as well as wider.

Surgical Options for Correcting Breast Asymmetry

The treatment for this deformity is somewhat variable but usually involves an implant and/or fat grafting on the smaller side and a lift or reduction on the larger side. Sometimes an implant is placed on both sides and only one side has a lift (mastopexy).

Risks and Possible Complications

I will refer you to the augment discussion which summarizes the procedure and risks for an augment, but basically these are bleeding, infection, deflation and encapsulation, although most of these are rare.

The complications for the lift or reduction are also summarized by separate letters, but would be wide scars, possible change in nipple sensation (although rare), and recurrent droopiness to a greater or lesser degree.

Smoking and Surgical Safety

Smokers heal poorly in terms of infection and wound breakdown, and you are advised not to smoke for at least one month before and after surgery. Nicotine screening may be necessary the day of your surgery. IF THE TEST IS POSITIVE, YOUR SURGERY WILL BE CANCELLED.

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Let’s Talk Through Your Options

Every patient’s journey is unique. During your consultation, we’ll take the time to understand your goals, answer your questions, and create a plan that feels right for you. Schedule your consultation today.

Additional Information


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