American Society of Plastic Surgeons
For Medical Professionals
 
bplange
8 months ago
Answered

Question

Hi I am 24 years of age , and I have severe differences in my breast . My right breast is bigger than my left Nd I want surgery to fix it but my problem is that I do not want any implants . I just want it fixed naturally without any silicone or saline . . What is the best option for me?

Procedure: Breast Reconstruction
Type: Question

Replies 5

Debra Johnson
ASPS Surgeon
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If the smaller breast is okay in size, then you could have a reduction on the larger breast to get them close to the same. A reduction will leave scars, but you would be even. If you like the larger breast size, you could consider fat grafting to the smaller breast. Fat grafting is less predictable and might have to done more than once if there is a big size difference. You also have to have a donor area (abdomen, thighs, flanks etc.) where you have some excess fat that could be liposuctioned and transferred to the breast. Use the Find-a-Surgeon link to see board-Certified plastic surgeons near you and schedule a consultation.

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Karol Gutowski
ASPS Surgeon
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It may be possible to fix this without implants. In some case, I've done this by doing a breast reduction or lift on the larger side. In other cases, moving some of your own fat to the smaller breast may do the job. An in-person evaluation is best. Learn more about my Chicago practice at DrGutowski.com

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Daniel Allan
ASPS Surgeon

You don't say how much larger the right is than the left. It is normal to have some discrepancy, as one of your feet, hands, ears is probably larger than the other. If the difference is significant, a reduction would improve the situation but the trade-off is the scarring. Women who are having a breast reduction because of the problems associated with very large breasts readily accept this but this is not your situation.

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Nelson Castillo

Thank you for sharing your question. Unfortunately without a full series of photographs, or an in-person examination, it is difficult to offer advice. In most cases improved symmetry can be achieved with a lift and or breast reduction to better size the larger breast to the smaller. Fat grafting may also be an option to further refine results. Seek out a series of consultations so that you can get the best treatment advice.

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Andrew Rosenthal
ASPS Surgeon

I am sorry you are struggling with this but there are often good options without using implants. There are different conditions that can lead to breast asymmetry. The most important thing in plastic surgery, like any other medical specialty, is to make the correct diagnosis. Once you make the correct diagnosis, then come up with the right plan-- right for the problem and right for the patient taking their desires into account. Asymmetric reduction with fat grafting is probably the best option, but it would be important for you to see a board certified Plastic Surgeon to make sure that is the option that is right for you and your specific situation.

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