Breasts are frequently uneven. One breast is usually slightly larger than the other. The density and elasticity of the right breast tissue varies quite often in comparison to the left breast. This certainly has consequences for the breast augmentation with (stem cell-enriched) autologous fat: A more flexible and longer breast would be able to absorb more autologous fat than its tighter, shorter sister. However, this would make the unevenness even more obvious.
There are two options:
Either there shall be just one intervention performed in which the optimum evenness shall be obtained. In this case, the highest possible volume shall be filled into the shorter, smaller breast and a significantly lower amount of volume into the more flexible, longer breast. The result will show a moderate augmentation that is oriented on the breast with the smaller volume. Thereupon, the breasts are approximately identical and the patient is highly satisfied in most cases.
Or there are two interventions intended to be made from the start and the first intervention is focused on the maximum volume for both breasts. The larger breast may clearly be significantly enlarged than the smaller one, which emphasizes the unevenness. During a second intervention, approximately 6 months later, the smaller breast will then be solely filled to enable size compensation. This option is recommended, if an increase in volume is desired and a temporary unevenness seems to be acceptable.
DDr. Heinrich, MD