Most people have different or asymmetric breasts. In some cases, the size difference is pronounced so the correction is desired. The best method depends on a number of factors, including how you want to eliminate this asymmetry. The smaller breast can be augmented, in order to look like the other one, or the bigger breast can be reduced. Both methods, augmentation or reduction, are often performed.

The following information will guide you in order to make the right choice. For your case, we recommend that you contact your specialist to get the specific indication.

During the first consultation, you and the specialist will discuss the changes you want to make to your body. Your physician will explain the different options for you, the surgical procedure and the risks, the existing limitations. Aspects with regard to anesthesia, surgical facilities and costs will also be presented.

Your physician will start with a complete investigation of your medical history. They will provide you with directions for preparation for the intervention, including eating and smoking issues, pre and post intervention medication.

You have at this stage the opportunity to ask any question about the intervention. The information you get from a physician about the intervention, risks and benefits is the key to making the right decision.

How to correct breast asymmetry: Breast asymmetry can be solved by either breast augmentation of the smaller breast or breast reduction of th bigger breast:

Breast augmentation: In this procedure, the surgeon will make an incision either in the submammary ditch or around the areola. Then they will lift the breast tissue, create a “pocket” in the chest area, either above or under the muscles, and place the implant in this pocket. The patient can choose from a variety of types and forms of implants.

Breast Reduction: In this procedure an incision will be made in the form of an anchor, the base of the anchor being in the submammary ditch. Excess fat can also be removed by liposuction. By closing the incision, removing adipose tissue and excess skin, the breast will decrease on the breast taken as a mark. If it is considered that there is no need to remove a large portion of the skin, the incision can only be made around the nipple, the advantage of this method being the scarcely visible scars.

How long does the intervention last: The duration of the intervention depends on the chosen procedure, the body anatomy, the incision technique and the type of anesthesia. The surgery may take about 2 hours.

How long does hospitalization last: Hospitalization depends on the factors listed above. Breast augmentation and reduction generally does not require long periods of hospitalization. You can leave after a few hours or the next day. This depends on your doctor’s decision to supervise you and the extent of your intervention.

How painful this intervention is

In the case of breast augmentation: Breast augmentation with an implant will stretch the tissues and can be painful. This is especially when the implant is positioned under the muscle and in the case of women who have not had children. The pain is felt more in the first 48 hours, decreasing in the coming days and is tolerable due to medication. Despite the initial discomfort, most patients are happy with the results of surgery. When you wake up from anesthesia you will feel tired, weak and numb. It is important to follow prescription medications given by your doctor. You will need the help of a close person to drive you home and support you in the coming days. Your physician can prescribe you antibiotics and anti-inflammatory drugs.

In the case of breast reduction: Even if the incisions are quite large in this case, they are positioned in less sensitive areas. Thus, the pain can be controlled by analgesics. At first, you will feel uncomfortable when you walk, get out of bed, or perform any activity that involves breast movement.

After surgery: Your breasts will be dressed around the scar area and supported by a bandage. You may also have drainage tubes that will remove excess liquid from the incision.

If the skin on the breast is dry, you can use a moisturizing cream, with the indication that the scar area should be kept dry.

Recovery Period: On discharge you will receive instructions on changing the dressing and keeping the incisions clean, sleeping and resting position, lifting your hands, breathing exercises and breast massage. In the next 24-48 hours you will feel tired and the breasts will be swollen. Drink lots of fluids and follow the prescribed medication. If your work does not require physical effort, you will return after a week. If it requires physical effort, the period will be longer. Avoid exercise for 6 weeks. The stitches will be removed at 7- 14 days, the scars will be hard and pink for at least six weeks, then they begin to heal completely. The breasts will remain swollen between 3 and 4 weeks after surgery, they will be sensitive to touch and movement. Avoid lifting and pushing with your hands for 2 weeks; for a full recovery you need a period of up to 2 months.

Tell your doctor if:

  • the pain increases, you bleed, or the scar area gets red;
  • you have head, muscle aches or dizziness, general malaise, fever or vomiting sensation;

These symptoms can be the sign of an infection and it is mandatory to see your physician! Respect the doctor-appointed dates for postoperative controls.

The right candidates for intervention are those who:

  • have 18 years old
  • are not pregnant and do not breastfeed
  • have a good state of health
  • are emotionally stable
  • have realistic expectations
  • have such an intervention for the first time

People who choose breast reduction should be aware that surgery will leave permanent scars.

Risks and limitations

All surgeries involve a range of risks and complications, which may include (but not limited to) infections, an unsatisfactory result, bleeding, adverse reactions to anesthesia and even the need for retouching.

Breast augmentation

The most common postoperative complications are infection, hematoma, capsular contracture, breast desensitization, implant repositioning.

Breast reduction

In this situation complications are rare, but there is a significant loss of blood, given the extent of the intervention. There may also be longer periods of scarring. If you follow all the instructions of the surgeon, these risks can be completely diminished.