Pittsburgh plastic surgeon, Dr. James Fernau, offers numerous cosmetic breast surgeries for women desiring shapelier breasts. Some women visit our plastic surgery office because they wish to correct breasts they feel are “uneven”. 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 the patient. In more severe cases, however, when one breast is a full cup size or more different in size than the other, a corrective breast surgery may be necessary. Depending on the complexity of the case and the aesthetic goals of the patient, a number of procedures may be considered, including breast augmentation, a breast lift, or breast reduction. The goal is to create a symmetrical, natural appearance.
"If you want to be treated like family and get world class treatment at a very very reasonable cost this is the place to be. Thanks a lot doctor, and you wonderful staff. The best experience I have had at any doctor's office."- P.G. / Facebook / Sep 02, 2015
"Excellent, Talented Surgeon - Dr. Fernau performed a rhinoplasty, septoplasty, and otoplasty on me. I am extremely happy with the result. In addition to being extremely talented, he is also very big on patient safety and I would recommend him 1000%. The office staff were always very kind and willing to answer any questions."- Anonymous / Vitals / Feb 26, 2019
"Dr. Fernau and his staff are amazing! In June 2018 I had a no drain lipoabdominoplasty and the results are better than I ever could have imagined. During the consultation, I was given the options based on what I wanted to accomplish and Dr. Fernau was very honest with me in which procedures would get me the best results. In deciding to go through with the tummy tuck, Sheila was a wealth of knowledge in going over the paper work and preoperative procedures. On the day of the surgery at Trinity Hospital (and their staff was amazing too!), I was nervous, but knew I was in good hands because of how thorough and meticulous Dr. Fernau was before we went into the room for surgery. After surgery I couldn't believe how good I felt and already looked! The recovery process was much better than expected (I never took a pain pill!). I was walking pretty much normal after a week and back to normal activities within 6 weeks. My life has changed completely due to this procedure and the wonderful results thanks to Dr. Fernau. I am continuing to workout and watch my diet and after 5 months post-op I am down 20 pounds and look like a whole knew person! I highly recommend Dr. Fernau and his staff. They are truly AMAZING!"- A. / Google / Nov 26, 2018
"No drain tummy tuck with amazing results - Dr. Fernau and his staff are amazing! In June 2018 I had a no drain lipoabdominoplasty and the results are better than I ever could have imagined. During the consultation, I was given the options based on what I wanted to accomplish and Dr. Fernau was very honest with me in which procedures would get me the best results. In deciding to go through with the tummy tuck, Sheila was a wealth of..."- M. / RealSelf / Nov 26, 2018
"Very happy with my results - I had a Labiaplasty with Dr. Fernau and I'm very happy with my results. He and his staff are great and he just very thorough in expaining your procedure. He truly cares about his patients and their satisfaction with his work. I highly recommend him!"- Anonymous / Vitals / Nov 16, 2018
It is more ideal to perform the procedure by making the larger breast smaller (reduction) compared to making the smaller breast larger (augmentation). The approach with breast asymmetry surgery depends on the surgeon’s assessment and recommendation once the patient is evaluated. Sometimes, several techniques may be incorporated during the surgery at once. Depending on the condition, nipple repositioning may also be done so that it is not out of proportion. There are also cases in which a secondary surgery may be necessary to fine-tune the shape and volume of the breasts.
Some patients may have a mild case of asymmetry where the placement of breast implants can help even out the shape and size of the breasts. Both silicone and saline implants are options. In cases where asymmetry is diagnosed, a variation in the CCs of an implant will be used. This is quite common and produces nice results. If breast implants alone will solve the asymmetry, the patient must have good skin tone and limited sagging.
If the patient opts to have the larger breast reduced, it will involve removing excess fat and skin until both breasts become event. This is generally the case for breasts that are severely asymmetrical. If the breast to be reduced is particularly large, a breast lift will supplement this procedure resulting in a more lifted breast appearance.
Depending on the form of the breasts, one or two breasts may be treated with a lift. The procedure involves trimming away loose, sagging skin and lift the remaining skin by closing the incisions with fine sutures. This may result in breasts that are more proportionate with one another.
There are patients who prefer a natural increase in breast size to an implant. These patients may benefit from the fat transfer method. This approach uses fat harvested from a donor site on the patient’s body and reinstates the purified fat into the breasts by injection. The fat is injected gradually in layers to ensure that there is no appearance of wrinkles or uneven pockets.
Regardless of the corrective procedure that is chosen, it will be performed under general anesthesia at an accredited surgical facility. The recovery period varies depending on the surgical approach taken. In general following breast surgery, patients are able to get up and around but must limit activity for a couple of days. Most patients are back to a normal routine within 7-10 days and exercise will be gradual at about 4-6 weeks. Results following breast surgery to correct asymmetry are gratifying for most patients and can help bring back self-confidence, especially when wearing tighter fitting clothes.
Breast surgery to correct asymmetry will vary depending on the technique use. The costs can range from $5,500 to $8,500 depending if liposuction is performed, or a lift, or the use of implants. If implants are used, there is about a $1,000 price difference between the saline and the silicone versions.
Plan Your Procedure
- Average Cost
- $5,500 - $8,500
- Recovery Time
- 7-10 Days
- Average Procedure Time
- 2-4 Hours
- Post-op Follow-up
- 4-6 Weeks
- Procedure Recovery Location
Breast Asymmetry FAQs
Is This Common?
Surprisingly, breast asymmetry is a common condition. While breast implants alone are able to produce even, beautiful results for many patients, the other surgeries mentioned on this page can also create symmetrical breasts that last a lifetime. 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 will be visible. If implants only are used, the scars will be hidden depending on the incision location (for example, under the natural fold of the breast, or within the armpit). For many, the result of this surgery to create even, natural looking breasts become more important than the scarring.
There are many factors that may contribute to breast asymmetry, but the exact cause remains unknown. Hormonal changes, injuries on the chest area, or breastfeeding are believed to 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.