Many people have one breast larger than the other and it is not uncommon to put in two different size implants to compensate for this. However, if silicone implants are used, the base of the implant will also be a different size, so placing two different size implants can actually make the breasts asymmetrical. This needs to be addressed before the procedure and a decision to do so is made by you.

Published on Jul 11, 2012

Most patient's breasts are different as far as size. With saline it is easier to balance rather than silicone. It is probably a number of factors such as the width of the breast, among other things!

Published on Jul 11, 2012

It is very common for one breast to be larger than the opposing side. Furthermore, they are often positioned slightly differently on the chest wall. In your case there is a difference of opinion concerning which is the larger and which is the smaller. First, that must mean that the difference is slight. Second, in my experience, the patient knows best because she lives with the asymmetry. That having been said, you will have to depend on the surgeon to make any necessary adjustments during the surgery. This is best done using temporary implants called sizers which will lead to the understanding of the incremental differences. This is turn leads to the choice of the permanent implants.

Published on Jul 11, 2012

It just goes to show you, if you go to 3 different doctors, you'll get 4 different opinions!

Breast asymmetry is very common and totally normal. It is very important for your plastic surgeon to carefully examine, measure and take photos of your breasts to help achieve the best result. Of course, the "eye" and measurements can vary a bit which may be contributing to the confusion.

Also, the volume of your breast is only one factor...other considerations are the base diameter and the positioning of your breast on your chest wall.

This is the best time, well before surgery (especially not after surgery) to be sure that both you and your plastic surgeon have a full and mutual discussion to optimize your outcome.

Published on Jul 11, 2012

Asymmetry is the rule, not the exception. They are "sisters" not "twins."

Outside of volumetric analysis via 3D imaging software, volume approximations are subjective. One doctor may feel one breast is larger than another, while another may appreciate the opposite.

Ultimately, the decision to address asymmetry is up to the patient. However, if 2 surgeons gave 2 differing opinions it is very likely that the asymmetry is subtle. So subtle, that it is basically a coin flip as to which is actually larger. Additionally, there can be confounding factors such as shape, position on the chest and ptosis/sagging.

With regards to your particular situation, in light of the subtlety of the differential you should be fine either way. If using a larger sizer on the left restores some balance, I would recommend trusting your surgeon's judgement.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Published on Jul 11, 2012