Treatment of Breast Asymmetry Breast asymmetry is condition I see frequently. It is usually quite mild and addressed by making slight alterations in breast augmentation, breast lift or breast reduction. When breast asymmetry is more severe (more than one cup size difference between breasts), the treatment is more challenging. Every case is different and it requires at least a couple of visits to formulate a treatment plan. In extreme cases, augmentation for one side and reduction for the other may be recommended for achieve balance in breast size. Over time, however, the reduced side will age differently than the augmented side and the shape can become increasing asymmetrical. Also, if a patient gains or loses weight, has children or goes through menopause, the size and shape of both altered breast can change. Patients with severe breast asymmetry will often require several procedures over the years to help maintain their symmetry. In some patients, I recommend doing the initial correction in two stages. The first stage equalizes the breast size and shape, even if it means making the larger breast “too small” like the small breast and then, after a couple of months, augmenting both sides with breast implants. This is a relatively new approach and it may help decrease the number of revision procedures needed over the years. If you have breast asymmetry, take comfort in knowing that this is a fairly common problem and surgery can almost always improve symmetery.