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Breast asymmetry is a common condition among women. It occurs when one breast is larger than the other. In most cases, the size difference between the two breasts may be so subtle that it isn’t noticeable to anyone other than you. In more severe cases, however, one breast may be significantly larger – even a full cup size or more. In these cases, corrective breast surgery may be necessary.

An extraordinary surgical team: Drs. Romanelli, Low, and Layliev

Long Island, NY plastic surgeons Dr. James Romanelli, Dr. Yee Cheng Low, and Dr. John Layliev consult with women about the options available to correct breast asymmetry to create a balanced, beautiful outcome. Depending on the complexity of the case and the aesthetic desires of the patient, several approaches may be considered, including breast augmentation with implants or natural fat transfer, a breast lift, or breast reduction. The result is a symmetrical, natural appearance.

Why choose us?

If asymmetrical breasts have been a problem for you, leaving you feeling less confident, you have every right to resolve the condition – but you want the results to be as you envision. Our team of board-certified plastic surgeons employs the most advanced techniques and are among the most accomplished breast surgeons in the state. For beautiful breasts that are even in size and a more confident life, we invite you to meet with us and discover a plastic surgery practice known for achieving superior results in these custom surgeries.

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Surgical technique for uneven breast

It is better to perform breast asymmetry correction by making the larger breast smaller (reduction) rather than making the smaller breast larger (augmentation). Our approach with breast asymmetry surgery will depend on our assessment and recommendation after evaluating your unique condition. Sometimes, several techniques may be incorporated during the surgery. Depending on the condition, nipple repositioning may be needed to match the proportion with the new breast size, shape, and appearance. There are also cases in which a secondary surgery may be necessary to fine-tune the shape and volume of the breasts. The plastic surgeons at North Shore Cosmetic Surgery may incorporate one or more of the following techniques below:

Breast implants

Some patients may have a mild case of asymmetry, where the placement of breast implants can help even the shape and size of the breasts. Both silicone and saline implants are options. When asymmetry is diagnosed, a variation in the CCs of an implant will be used between the two breasts. This approach is quite common and produces excellent results. For breast implants alone to resolve the asymmetry, you must have good skin tone and limited sagging.

Breast reduction

If you choose to have the larger breast reduced, it will involve removing excess breast tissue, fat, and skin until both breasts are even in size and appearance. This is often the right approach when the breasts are severely asymmetrical. If the breast to be reduced is unusually large, a breast lift will supplement this procedure, resulting in a more attractive breast appearance.

Breast lift

Depending on the form of the breasts, one or both breasts may require a lift. The procedure involves trimming away loose, sagging skin and lifting the remaining skin by closing the incisions with fine sutures. This approach results in breasts that are more proportionate with one another, as well as offering a more youthful, firm look.

Fat transfer

You may prefer a natural increase in breast size with a fat transfer procedure. This approach uses fat harvested from a donor site on your body and transfers the purified fat into the breasts by injection. The fat is injected gradually in layers to ensure the look is smooth, without wrinkles or uneven pockets.

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During and after surgery

Regardless of the corrective surgery you need, your surgery will be performed under some form of anesthesia, as an outpatient procedure. The recovery period varies depending on the surgical approach employed. Following the treatment, you will be able to get up and walk around, but you must limit activity for a couple of days. Most women return to their routine within seven to ten days and hold off on engaging in vigorous exercise for four to six weeks. Results following breast surgery to correct asymmetry are gratifying and can help restore self-confidence, especially when wearing tight-fitting clothes or garments that reveal cleavage.

Woman posing with her hands on her neck


Is this common?

Surprisingly, breast asymmetry is a common condition. While breast implants alone can produce even beautiful results, the other surgeries mentioned on this page may be the ideal approach for symmetrical breasts. Patients who decide to have a corrective surgery feel they no longer have to worry or feel anxiety about having limited clothing options to hide the asymmetry.

How bad is scarring?

When it comes to any cosmetic procedure that requires incisions, scarring is ultimately a part of the process. Corrective surgery for breast asymmetry may include a breast lift in which excess skin is removed. In these cases, the scars are hidden, so they are not visible in a bra, swimsuit, or plunging neckline. If implants are placed, the incision lines are invisible, based on the location, such as in the natural fold of the breast or the armpit. For many, the results of this surgery to create even, natural-looking breasts is far more critical than worries about scarring.

Why do I have asymmetrical breasts?

There are many factors that can contribute to breast asymmetry, but the exact cause remains unknown. Hormonal changes, injuries on the chest area, or breastfeeding can be contributors to asymmetrical breasts. There is also a condition called juvenile hypertrophy that causes one of the breasts to become severely out of proportion to the smaller breast.

Create balance and symmetry

If you have uneven breasts and are interested in cosmetic breast surgery, we invite you to call our Melville, NY plastic surgery office, and learn about the options available. Our team of skilled and experienced plastic surgeons will provide a thorough exam and custom treatment plan specifically for you.

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We invite you to discover the premier Long Island cosmetic surgery center and schedule a private consultation. Call us or contact us online to arrange a time that is convenient for you.

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