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What is asymmetry?
It has been said that only one woman in a thousand has symmetrical breasts, while the other 999 have asymmetry. The women whose photos appear on these asymmetry pages are examples of the 999 whose breasts are not symmetrical. Breasts can be asymmetrical in many different ways:

• Nipple-areola positions unequal (the most frequent)
• Different breast volumes
• Asymmetrical breast position
• Uneven creases under breasts
• Shape differences between the two breasts

How well can asymmetry be corrected?
The amount of correction of breast asymmetry that can be accomplished by augmentation depends upon the number of the asymmetrical features and their degree of severity. Minor asymmetry can be compensated for rather well. Severe asymmetry cannot be corrected without leaving considerable external scarring. The more features that are asymmetrical, and the greater the degree of those asymmetries, the less correction can be achieved by breast augmentation.

As is apparent from the photos, many women whose breasts and nipples are not symmetrical also have other physical discrepancies:

• Chest and rib contour asymmetry
• Curvature of the spine
• Posture imbalance
• Uneven shoulders

Nipple-areola positions unequal:
This is the most frequent inequality, and it is a rare woman whose nipples are symmetrically positioned. No matter what the nature of the asymmetry, there is no known breast augmentation technique that can move the nipples without an incision, which leaves a scar around the areola. As you will see from the photos, sometimes adjusting the breast volume and contours can help disguise the pre-existing asymmetry of nipple position, but in reality the nipple and areola cannot be relocated on the skin without the incision around the areola. None of the women on this page had their nipple-areola repositioned. From these photos it is apparent that enlarging the breast not only enlarges the areola, but it also magnifies the asymmetry, making pre-existing differences more noticeable afterwards. Even very small differences will become magnified. In the more dramatic cases of breast asymmetry, where one breast has simply not developed as much as the other, the nipple-areola on the less developed side will be much smaller and higher than the other breast. Even after augmentation, those differences in nipple-areolar position and size will remain. Those with nipples positioned unevenly in a lateral direction are noteworthy also: if the nipples are widely spaced on the chest before operation, they will remain widely spaced afterwards; if they are close together before, they will be close together afterwards. If one nipple is excessively too far to the side before, it will remain so after.

Different breast volumes:
Differences in breast size can usually be adjusted, by using slightly different volumes of saline fill in the two implants. However, there is a strong limitation to the ability to equalize the sizes: as explained elsewhere, each implant has a narrow range of optimal fill volume, and going outside that range will likely decrease the durability of the implant and shorten its longevity. Unfortunately, these ranges are not contiguous, the result being that some volumes cannot be realized. That in turn means that we are limited in our ability to equalize the unequal breast sizes, and very often have to accept some remaining size difference in order to avoid decreasing the durability of the implants.

Asymmetrical breast position:
Some women with unusually high breasts request that the implants be placed in a lower position to make the wearing of clothes easier for them. A drawback of doing so is that the nipples, which are not moved down, then look a little high. Examples can be seen on these pages, and those women who requested a major adjustment of breast position were well aware that the nipples would appear to be displaced.

Under-breast crease imbalance:
Differences in the position of the under-breast crease can be corrected reasonably well by breast augmentation. In contrast, differences in the shape of the under-breast crease are much more resistant to correction, particularly if one crease is quite sharply defined while the other is not very defined at all.

Shape differences:
Differences in shape can be corrected to a limited degree by breast augmentation. The amount of correction depends upon the extent of the problem. The more severe the shape difference, the less well it can be corrected.

An important reminder about upper pole definition:
As explained elsewhere on this website, the amount of upper-breast definition is specifically chosen by each woman. That is, each woman decides how sharply defined she would like her upper breast curve to be, i.e. how much of the very round look she desires. Each woman is informed ahead of time how much upper definition she is likely to achieve depending upon her anatomy and the following factors:

• The change in size she wishes to accomplish
• Her choice of placement over or under the muscle
• The shape of the implant

Because people do not have standardized tastes and preferences, the women seen on these pages may have less upper breast definition than you yourself would prefer, or may have more definition than you would like to see on yourself. Some women asked for the highly defined look, and others for the smoothly sloping look. In all of the patients shown here, the amount of upper breast definition was specifically chosen in advance by the woman herself.

About these photos

• patient control number,
• incision location (on this page primarily the navel),
• placement relative to the muscle (over or under),
• the volume of the two implants.

• Patient control number is 12345
• Incision was in the Axilla
• Plane was Under the muscle
• Volumes were Right=280 cc and Left=290 cc

09444 Navel Over R320 L310





17160 Navel Over R335 L345





21858 Navel Under R630 L630





22927 Crease Under R315 L315





30180 Navel Over R330 L330





30978 Navel Under R275 L300





33099 Navel Under R380 L390





33594 Navel Under R270 L270





34299 Navel Over R440 L450





34998 Navel Under R600 L630





35457 Navel Under R390 L380





35952 Navel Under R390 L370





36348 Navel Over R390 L390





36869 Navel Over R430 L430





37077 Navel Over R320 L330





37491 Navel Over R390 L390





37645 Navel Over R380 L390





38031 Navel Under R390 L370





38112 Navel Over R450 L450





39061 Navel Under R245 L230





40353 Navel Under R300 L300





40434 Navel Over R450 L450





41579 Navel Over R290 L300





42818 Navel Under R270 L255





42999 Navel Under R500 L480





43131 Navel Over R245 L235





43872 Navel Over R440 L440





43987 Navel Over R390 L380





44242 Navel Over R720 L720





44276 Navel Under R340 L330





44412 Navel Over R390 L390

An important cautionary instruction:
Each woman is a unique individual, and her decisions and her operation are unique to her. These photographs can be helpful for getting an idea as to what has been accomplished for other women. These photos must not be viewed as if this were a catalog from which to choose the details of ones implants and operation. A woman should not make any decisions about her own implant size, shape, incision, or muscle plane based upon these photographs. Only a consultation between the woman and her plastic surgeon can permit finalization of these important decisions.

No need to seek confirmation of the data:
Because the viewer is unable to discern the patients build, height, weight, frame etc, some patients may appear to have larger or smaller implants than they actually do. There is no need to point out to us that the appearance of any of these patients does not seem to be consistent with the data listed about her. The data are correct.

Please note that the information displayed is the only information that will be made available about these patients. As it turns out, additional information such as the patient age, height, weight, her bra size, the implant manufacturer and implant style, are actually less helpful to patients than one might expect. For that reason, any requests for such information will have to be declined.