Q: Dr. Eppley, I have breast asymmetry with two completely different sized breasts. One is like a B cup and the other one is more like a D cup. I’m a thick girl so I would probably want a lift, a smaller areola, and reduction in size on the bigger breast maybe down to a C cup. I know the other one will need an implant but my frame is too large for something like a B cup. I want both breast to be a C cup. I just want to finally be happy with my breasts and not hiding them all the time. Please let me know what you think this would take as far as cost and down time. Thanks.
A: The most difficult challenge in cosmetic breast surgery is management of the significantly asymmetric breasts. This is because one invariably will require some form a reduction/lift and the other one will need a breast implant. This also places scars on one breast and not the other and one breast will have an implant while the other one won’t. What this implies is two important concepts. First, breast symmetry can be improved and made a lot better but it is not attainable to have perfect or close symmetry between the breasts. Secondly, the difficult in trying to match the breasts with two different procedures indicates there is a high probability of the eventual need for a revision of the initial surgery for the best result possible. Expect to pay for total costs in the range of $ 7500 to $8500 for the initial surgery.
Dr. Barry Eppley