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
"I saw Dr. Fernau about having a microneedling procedure to correct scarring. He was professional, friendly, and clearly explained the treatment details. Many thanks to Cindy (Aesthetician) who was great! She was conscientious and made me feel comfortable during all the treatments. Dr. Fernau and his entire staff were so friendly and made me feel welcome in the office. I would highly recommend Dr. Fernau and his team to anyone interested in having plastic surgery."- C.B. / Google / Mar 13, 2020
"Skin Care at Dr. James Fernau's office with Esthetician Cindy.I have been a client of Cindy for many years. She is amazingly knowledgeable of skincare and various skin treatments. She will no steer you wrong. She is honest and has the clients' best interest at heart. She puts you at ease and there is absolutely no intimidation with her. She produces results! I highly recommend Cindy!"- B.B. / Google / Mar 06, 2020
"Had a severely deviated septum from past injuries. Dr. Fernau fixed me up and my breathing is now great. His staff is fantastic, from Sheila to Josh - I felt valued and informed throughout the process, pre through post op."- D.W. / Google / Feb 27, 2020
"Thank you fellow reviewers!!! You are so right!!!! Based on your reviews, I chose Dr. Fernau for my injectable adventure. I was terrified because years ago I had a bad experience but from the initial contact with Josh I knew this was the right choice. Have you ever had fun making an appointment? Well Josh is super! His easy going manner, super personality and patience answering questions was beyond what would normally be expected. Upon arrival at the office, he made you feel welcomed like a friend, rather than one of many consumers. And that feeling continued as Amber, Dr. Fernau's Medical Assistant ushered me back to the office where she too exhibited patience and caring with all my questions and concerns. She also is a joy! When I met Dr. Fernau, he was thorough, patient, confident, caring and made my fears disappear. He answered all my questions without fatigue and I felt instantly comfortable. I can't explain the confidence I had in him after I met with him, and as it turned out, that confidence was well deserved. What I love about Dr. Fernau is that my injection outcome seemed as important to him as a major plastic surgery event. I am very pleased with the results and appreciate the time Dr.Fernau gave me over a few weeks to make sure everything turned out perfect! During the course of those visits I met with Sheila, who also is proficient in injectables. She is so pleasant and was also very concerned with a good outcome. I also met Cindy the Aesthetician, who was so gracious, speaking with me regarding other possible procedures down the line. Really, I couldn't be happier!!! Thank you Dr. Fernau for your excellence and your total office experience. I will be back. See you soon!"- C.M. / Google / Feb 25, 2020
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.