Breast asymmetry ranks among the most common concerns women bring to a plastic surgeon’s office, and is also one of the most undertreated. Many women assume uneven breasts simply come with the territory, something to accommodate rather than address.
The reality is that modern plastic surgery offers highly effective solutions, and the right approach depends entirely on your anatomy, your goals, and your history.
What are the Best Options for Fixing Uneven Breasts?
Dr. Tenley Lawton, a female plastic surgeon and breast surgery expert in Newport Beach, evaluates asymmetry as a structural problem with several possible solutions. The three primary approaches are breast augmentation, breast lift, and a combination of the two.
Breast Augmentation
When one breast sits noticeably smaller than the other, breast augmentation can correct the difference. Dr. Lawton places different-sized implants in each breast to bring both sides into better balance. This approach works well for patients whose primary concern centers on volume rather than position or shape.
Augmentation also suits women who want to correct asymmetry while adding overall fullness. Implants come in a range of profiles and sizes, giving Dr. Lawton precise control over the final outcome.
Breast Lift
When breasts differ in position, shape, or degree of sagging rather than size alone, a breast lift addresses the underlying structural issue. A mastopexy repositions breast tissue, reshapes the breast mound, and raises the nipple to a more youthful position. Performing the lift differently on each side allows Dr. Lawton to create symmetry that augmentation alone cannot achieve.
Combination of Augmentation and Lift
Many patients benefit from both procedures together. A breast lift plus implants corrects position and adds volume simultaneously, producing a balanced, natural-looking result for women whose asymmetry involves differences in both size and shape.
Dr. Lawton frequently performs this combination and tailors every aspect of the surgical plan to each patient’s unique anatomy.

