Skip to content

Breast asymmetry surgery in Edinburgh

Evens out a difference in size or shape between the two breasts. The right operation might be augmentation, reduction, uplift or a combination, and we will tell you honestly which suits you.

Your consultants
Consultant measuring over a gown during a breast consultation
Anaesthetic
General
Surgery time
2-3 Hours
Hospital stay
Day surgery
Recovery
1-2 weeks off work, 6 weeks before strenuous exercise
Guide price
From £6,800

Contents

Who is an ideal candidate?

  • Notice a difference in breast size, shape or position that affects them in everyday life: choosing clothes, exercise, intimate moments, or simply how they feel.
  • Good overall health: Candidates should have good overall health, with no underlying medical conditions that could increase surgical risks or complications.
  • Realistic expectations: Candidates should have realistic expectations about the procedure’s outcomes and understand that achieving perfect symmetry may not always be possible.
  • Stable weight: Candidates should be stable in weight, as significant fluctuations in weight can affect the long-term results of the procedure.
  • Non-smokers: Candidates who are non-smokers or willing to quit smoking before and after the procedure to minimise surgical risks and promote optimal healing.

A consultation is a conversation, not a commitment to surgery. If we feel surgery is not the right answer for you — or that the difference is not significant enough to warrant the trade-offs of scarring and recovery — we will say so honestly.

What the procedure involves

Breast asymmetry correction is not a single operation but a choice among several, depending on the difference between your breasts and what you want to address. The right approach is decided in consultation, not in advance — and may be one of the following, or a combination of them:

Breast augmentation:

  • Rationale: Breast augmentation involves the insertion of implants or fat transfer to increase the volume and size of the breasts. This procedure is suitable for patients with one breast smaller than the other (breast hypoplasia) or those desiring larger breasts overall.
  • Implants: Silicone implants are commonly used to achieve symmetrical breast size. The implant type, size, and shape choice depend on the patient’s anatomy, preferences, and desired outcome.
  • Fat transfer: In cases where the size discrepancy is minimal, or the patient prefers a more natural approach; fat transfer involves harvesting fat from one part of the body (e.g., abdomen or thighs) through liposuction and injecting it into the smaller breast to achieve symmetry.

Breast reduction:

  • Rationale: Breast reduction surgery (reduction mammoplasty) is indicated when one breast is significantly larger than the other (breast hypertrophy). This procedure removes excess breast tissue, skin, and fat from the larger breast to achieve symmetry with the smaller breast.
  • Techniques: Various surgical techniques, such as vertical or anchor-shaped pattern breast reduction, may be employed depending on the amount of tissue to be removed and the desired breast shape. The surgeon will tailor the technique to minimise scarring and preserve nipple sensitivity.

Breast uplift (mastopexy):

  • Rationale: Mastopexy corrects sagging or droopy breasts, which can contribute to breast asymmetry. This procedure lifts and reshapes the breasts by removing excess skin and tightening the surrounding tissue to restore a more youthful and symmetrical appearance.
  • Techniques: Mastopexy techniques include periareolar, vertical, or full anchor-shaped incisions, depending on the degree of breast ptosis. The surgeon will choose the appropriate technique based on the patient’s breast shape, nipple position, and amount of sagging.

Combination procedures:

  • Rationale: In many cases of breast asymmetry, a combination of procedures may be necessary to achieve optimal results. For example:
  • Augmentation-Mastopexy: Combining breast augmentation with a breast lift is beneficial for patients who desire both increased breast volume and improved breast position and shape.
  • Reduction-Mastopexy: This combination is suitable for patients with one breast that is significantly larger and droopier than the other, aiming to achieve both volume reduction and breast lift.

What breast asymmetry surgery can and can’t do

Surgery can bring two quite different breasts much closer together. It cannot make them match exactly, and the right operation depends on what differs between your two sides.

It can

  • Bring the two breasts closer in size, shape and position.
  • Add volume to a smaller breast, reduce a larger one, or lift one that sits lower, alone or in combination.
  • Improve a tubular or constricted breast shape.
  • Make bras, swimwear and fitted clothes easier to wear without padding.

It can’t

  • Make the two sides identical. Breasts are sisters, not twins, and a small difference usually remains.
  • Be done without scars. Where they sit and how long they are depends on the operation, and your consultant will show you before you decide.
  • Stop your breasts changing. Weight change, pregnancy and age can bring back a difference over time.
  • Always be done in one operation. Some people need a second, smaller operation to fine-tune the balance.
  • Last for ever, where implants are used. Implants are not lifetime devices, and many people have them replaced or removed after about 10 to 15 years.

Your consultant will tell you at your consultation which of these apply to you.

What is the cost of breast asymmetry surgery?

Breast asymmetry surgery is not a single operation, so the cost depends on which surgical approach is needed for your case.

Combinations and procedures involving both breasts are quoted individually after consultation.

The full price for your individual case can only be confirmed after a face-to-face consultation with the consultant who will perform your surgery.

Free · anonymous

Questions before you book?

Ask anything about breast asymmetry correction, its recovery, risks or cost, any time and in plain language. If you would like, our team can contact you afterwards.

Start the free AI consultation

General information, not a substitute for a consultation.

Patients often ask

The free AI consultation on a phone

Quick answers

What is the cost of breast asymmetry surgery?

Cost depends on which surgical approach is needed for your case. Guide prices for each approach are listed in the Cost section above. The full price for your individual case is confirmed after a face-to-face consultation with the consultant who will perform your surgery, as the operation is tailored to what your case needs.

Can I spread the cost?
Yes. You can pay in full two weeks before your procedure, or spread the cost with interest-free finance through Omni Capital Retail Finance over 6 or 10 months, with a deposit of between 10% and 50%. There is no interest and no hidden fee, and most applicants get a decision straight away. We do not accept private medical insurance for cosmetic treatment.
Will the same surgeon plan, perform and review my breast asymmetry surgery?

Yes. The consultant who assesses you at your first appointment is the consultant who plans your operation, performs it, and follows you through every post-operative review. There is no handover between assessment and surgery, no patient coordinator, and no surgeon rotation.

How will my consultant decide which surgical option is right for me?

The decision is made together at consultation, after your consultant examines you and listens to what you want the surgery to address. Most patients with breast asymmetry will fit into one of four approaches — augmentation, reduction, uplift, or a combination — and the right one depends on the difference between your breasts, what each breast looks like in its own right, and what would be a meaningful improvement for you. Your consultant will explain the trade-offs of each option honestly, including which scars and which long-term considerations apply.

What is breast asymmetry?

Breast asymmetry is when one breast differs from the other in size, shape or position. Some degree of asymmetry is normal — most women have it — but for some patients the difference is significant enough to affect everyday life.

What causes breast asymmetry?

Breast asymmetry can be present from breast development, or it can appear or worsen later — typically after pregnancy, breastfeeding, significant weight change, or trauma to the chest area. In some cases the underlying cause is a developmental difference such as tubular breast deformity or Poland syndrome, which your consultant will explain at consultation if relevant.

How common is breast asymmetry?

Most women have some degree of breast asymmetry. For many it is mild and not a cause for concern. Patients who consider surgery are usually those for whom the asymmetry is significant enough to affect everyday life.

What surgical options are available for breast asymmetry correction?

Four approaches are most common: breast augmentation (using implants or fat transfer to add volume to the smaller side), breast reduction (removing tissue from the larger side), breast uplift / mastopexy (lifting and reshaping where one breast has dropped more than the other), or a combination of these. Your consultant will explain which approach — or combination — fits your case at consultation.

Can breast asymmetry be corrected without surgery?

No. Surgery is the only way to physically correct a structural difference between the breasts. Mild asymmetry can be camouflaged with padded or specialised bras, but this is concealment rather than correction. Your consultant will be honest at consultation about whether the difference in your case is significant enough to warrant the trade-offs that come with surgery.

Am I a candidate for breast asymmetry correction surgery?

Patients who notice a difference in breast size, shape or position that affects their everyday life, who are in good general health, and who have realistic expectations about what surgery can achieve are usually suitable candidates. The full assessment is made in person at consultation.

Can breast asymmetry correction surgery affect breastfeeding in the future?

It can, depending on which approach is used. Augmentation with implants generally does not affect breastfeeding. Breast reduction and uplift involve work near the milk ducts and can affect milk supply, though many patients are still able to breastfeed afterwards. If future breastfeeding is important to you, tell your consultant at consultation — it is one of the factors that informs which approach is recommended.

What are the risks associated with breast asymmetry correction surgery?

The risks depend on which surgical approach is used. Across all approaches, general risks include infection, bleeding, scarring, changes in nipple sensation, asymmetry recurrence over time, and where implants are used the specific implant-related considerations (lifelong maintenance, capsular contracture, rupture). Your consultant will go through the risks specific to your case in detail at consultation.

How long is the recovery period after breast asymmetry correction surgery?

Recovery depends on which approach is used. As a general guide, most patients take one to two weeks off work, avoid strenuous upper-body exercise for six weeks, and wear the support bra we fit before you go home day and night, usually for the first three months and then during the day until about six months; your team will tailor this to your operation. Final results take three to six months to settle fully as the tissues continue to refine.

Recovery from breast asymmetry surgery depends on which approach is used — augmentation, reduction, uplift or combination — and your consultant will give you a tailored timeline before surgery. As a general guide, most patients take one to two weeks off work, avoid strenuous upper-body exercise for six weeks, and wear the support bra we fit before you go home day and night, usually for the first three months and then during the day until about six months; your team will tailor this to your operation.

Bruising and swelling are at their most noticeable in the first ten days and continue to settle over the following month. Final results take three to six months to settle fully as the tissues continue to refine.

Throughout your recovery, your consultant remains personally involved. If anything concerns you between scheduled appointments, your consultant will respond directly and arrange to see you as often as needed until things are settled. There is no generic aftercare team between you and your surgeon.

What happens if I have concerns after my surgery?

Your consultant remains personally involved through your recovery. If anything concerns you between scheduled appointments, your consultant will respond directly and arrange to see you as often as needed until things are settled. You are not handed off to a generic aftercare team.

What should I look for in a plastic surgeon for breast asymmetry surgery?

Look for a surgeon on the GMC Specialist Register for plastic surgery, with genuine experience across the four common breast asymmetry approaches — not one whose practice is concentrated in a single technique. Ask whether the consultant who assesses you will be the consultant who performs and reviews your surgery (at Waterfront, they will). Look at before-and-after photos of the consultant’s own work; ask about scar placement; and use the consultation to gauge whether the conversation feels honest, with no pressure to book on the day.

Our breast asymmetry surgeons

You meet your consultant at your first appointment. The same consultant plans your treatment, carries it out and sees you afterwards.

Ms Ewa Majdak-Paredes

Consultant plastic surgeon

GMC Specialist Register (Plastic Surgery)BAAPS · BAPRAS · Board Certified in cosmetic surgery (ICSB)

Mr Ken Stewart

Consultant plastic surgeon

GMC Specialist Register (Plastic Surgery)BAAPS · BAPRAS · Board Certified in cosmetic surgery (ICSB)

Mr Omar Quaba

Consultant plastic surgeon

GMC Specialist Register (Plastic Surgery)BAAPS · ISAPS · Board Certified in cosmetic surgery (ICSB)

Mr Will Anderson

Consultant plastic surgeon

GMC Specialist Register (Plastic Surgery)BAAPS

Breast asymmetry

I had breast asymmetry, my left breast was significantly larger than my right. I was very self conscious, I could never wear certain outfits/tops as I felt it was too noticeable. This had been on my mind for over 15 years, I had seen two other plastic surgeons over the years prior to Omar. Omar provided me with the best solution by reducing my left breast to match my right. He was very honest and did not push me into my decision. I am now 6 months post op and could not be happier with my results. It has changed my life and now feel comfortable wearing anything I want! I would highly recommend Omar, he is an excellent plastic surgeon.

Ang
Sep 2024 Read on Trustpilot (opens in a new tab)

4.9TrustScoreout of 5

577 reviews

All reviews on Trustpilot

Risks, and how often they happen

Every operation carries risk. Here they are in three groups. The figures come from UK national guidance and published studies, averaged across many patients, so your own risk may be higher or lower. Your consultant will go through what applies to you, and every risk is in your written consent.

Expected Almost everyone, and they settle

  • Swelling and bruising, most noticeable in the first ten days and settling over the following month.
  • Discomfort for the first few days, eased by simple painkillers.
  • Changes in nipple or breast skin sensation, usually temporary.
  • Scars, their length and position depending on the operation, red at first and fading over the following year.

Uncommon Some patients, and some need further treatment

  • Bleeding that needs a return to theatre (haematoma), usually in the first day.
    Under 1 in 50lower with implants alone
  • Wound breakdown where the scars meet, after an uplift or reduction, which can need dressings for several weeks.
    About 1 in 20uplift or reduction
  • Capsular contracture, where implants are used. Scar tissue around the implant tightens and the breast feels firm or changes shape. It may be fewer with the nanotextured implants we use, and it may need further surgery.
    About 1 in 20over ten years
  • Implant rupture, where implants are used. The implant shell can wear and leak, often without symptoms, and the implant is then replaced or removed.
    About 1 in 20over ten years

Rare but serious

  • Loss of part or all of the nipple after an uplift or reduction, if its blood supply fails. Smoking raises this risk.
    Under 1 in 100
  • Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a rare lymphoma in the scar tissue around an implant, usually showing as late swelling of one breast. No UK case has been confirmed in anyone who only ever had smooth implants, and most cases have been with heavily textured implants. We use nanotextured implants from GC Aesthetics (Perle) or Motiva, whose surface is close to smooth.
    About 1 in 12,000implants sold in the UK, all types
  • A blood clot in the leg or lung (DVT or PE). We assess your risk and take steps to prevent it.
    Under 1 in 1,000
  • A serious reaction to the anaesthetic.
    Very rare

For the long term

  • A difference can come back. Weight change, pregnancy and age affect each breast in its own way.
  • Implants need checking and may need replacing. We offer a breast implant health check with ultrasound in one visit.
  • Breastfeeding. Implants do not normally affect it, but a reduction or uplift can. After a reduction that keeps the nipple attached to the tissue beneath it, studies found about three in four women who tried were able to breastfeed.
  • More on each operation is on our breast augmentation, breast uplift, breast reduction and uplift with implants pages.

More from BAAPS on breast augmentation, breast uplift and breast reduction.

Where these figures come from

Aftercare and recovery

Your recovery is led by the consultant who performed your surgery. A nurse reviews you at one week, and your consultant sees you again once everything has settled. Between appointments, our team are available whenever you have a concern — you do not need to wait for a scheduled review. Practical guidance on dressings, activity and returning to work is in our aftercare guide.

  1. Day of surgeryHome the same day with your written aftercare guide. Waterfront is a day hospital.
  2. Week 1Nurse review: wound checked, dressings changed, questions answered.
  3. Weeks 1–2Back to desk work. Gentle walking only.
  4. Week 4Light exercise in a supportive bra.
  5. Week 6Full exercise and heavy lifting, building up slowly.
  6. 6 monthsYour consultant reviews the settled result. Sooner if you need it.
  7. 12 monthsNurse reviews, dressing clinics and the treatment of any complications are included.

Typical timings. Your consultant and nurse will tailor them to you.

Detailed aftercare instructions
A nurse talking with a patient resting on the couch at a follow-up review

Written by

Mr Will Anderson, consultant plastic surgeon

Mr Will Anderson is a fully accredited Consultant Plastic Surgeon in Edinburgh on the GMC Specialist Register for Plastic Surgery (3679250). Having served as an NHS Consultant since 2008, he specialises in advanced reconstructive, cosmetic, and laser surgery. With global training and an MSc from University College London, he is renowned for his patient-centred care at Waterfront Private Hospital. He is a full member of BAAPS.