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 just finished day seven of my post-surgery checkup with Dr Fernau, and here’s my personal experience. Upon arrival of my consultation, I was greeted by the friendliest staff. Every one of them helped in my progression, aided in my treatments, calmed my anxiety, and exceeded my expectations. Scheduling surgery and getting the medications for the operation were straightforward. As for the surgery, the instructions were clear, the procedure explained, and questions answered. The results were beyond what I expected. Dr Fernau is exceptionally passionate about his work and cares for his patients. The open communication that Dr Fernau has with his staff is what creates such a successful business model and positive outcomes for his patients. After surgery I had difficulty walking, and one of the staff members helped my wife with taking me home. The compassion, dedication, and excellence that I experienced with Dr Fernau and his staff give me the pleasure of providing the highest of recommendations."- C.M. / Google / Nov 24, 2019
"I highly recommend Dr. Fernau! If you are looking for a surgeon who cares about his patients and pays attention to detail, look no further. He is extremely talented and precise in everything he does. He is a leader in patient safety and recovery. He takes every measure to assure a good experience from start to finish. He is up to date on the techniques, technology and the latest developments in this field. He is meticulous and treats his patients like family. After my initial consultation with Dr. Fernau I knew he would be the one I would trust for my own care, and after the ensuing experience with him and his staff I was convinced he is the only one I would also trust to care for my family."- A.B. / Google / Nov 13, 2019
"I was very nervous about having any type of surgery let alone plastic surgery. I researched several doctors and had 3 consults. I am so very pleased with my results and with the entire process. Dr. Fernau was amazing. He explained everything and took the time to answer my questions. He has an eye for detail and strives for perfection. Highly, highly recommend. I felt safe and secure with him as my surgeon. Follow up with so easy and timely. Overall the procedure had very little pain or down time. Would do it again."- S.W. / Google / Oct 10, 2019
"I was very nervous about having any type of surgery let alone plastic surgery (breast reduction). I researched many doctors and had 3 consults. I am so very pleased with my results and with the entire process. Dr. Fernau was amazing. He explained everything and took the time to answer my questions. He has an eye for detail and strives for perfection. Highly, highly recommend. I felt safe and secure with him as my surgeon. Follow up was so easy and timely. Overall the procedure had very little pain or down time. The results are amazing. Wish I would have done it years ago. Would do it again. And would go with Dr. Fernau a thousand times over."- C.S. / Facebook / Oct 10, 2019
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.