Breast Lift Success: Correcting Asymmetry at 38 in Houston

Breast Lift Success Story Series by Dr. Sam Sukkar, MD | Case Study #3332

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This is part of our series featuring real patient transformations at The Clinic for Plastic Surgery. Each case study provides an in-depth look at actual procedures, recovery experiences, and results from Houston patients who’ve undergone breast lift surgery with Dr. Sam M. Sukkar.

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Three months post-op, Madison* stood in front of her mirror for the first time without automatically adjusting her posture to hide her left side. For years, the 38-year-old had developed subtle habits, crossing her arms a certain way, choosing specific necklines, positioning herself strategically in photos.

The asymmetry between her breasts had become more than a physical concern; it had shaped how she moved through the world. But after combining a breast lift with augmentation, those compensatory patterns finally disappeared.

*The patient’s name was changed to protect their privacy. All medical details and photographic before and after results are from actual Patient Case #3332. Individual results may vary based on body type, surgical approach, and adherence to post-operative instructions.

Madison’s* Path to Breast Lift Surgery

The Asymmetry That Changed Everything

Madison came to my Houston practice with a concern I see more often than many patients realize: significant breast asymmetry. While most women have some degree of natural difference between their breasts, Madison’s* case involved noticeable drooping (ptosis) of her left breast that created both aesthetic and emotional challenges.

During our initial consultation, she described how the asymmetry had gradually worsened over the years. Shopping for bras meant choosing the size that fit her larger left side, leaving the right breast with gaps and poor support. Swimsuit season brought anxiety rather than excitement. Even intimate moments carried a layer of self-consciousness she couldn’t shake.

Madison’s* primary goals were straightforward: she wanted balanced, symmetric breasts that looked natural and proportionate to her frame. She wasn’t seeking dramatic size changes, she was a full D cup and comfortable with that general size range. What she wanted was correction of the ptosis on the left side and overall breast lift results that would restore her confidence.

Addressing Pre-Surgical Concerns

When planning any breast procedure, particularly one addressing asymmetry, several concerns naturally arise. Madison expressed specific worries during our consultations:

Will the results look natural? This was her top priority. She’d seen breast surgeries that looked “overdone” and wanted to avoid that outcome entirely. I explained that achieving natural-looking symmetry requires precise measurements, careful implant selection, and tailored surgical techniques, not a one-size-fits-all approach.

How noticeable will the scars be? Scarring is an inevitable part of any breast lift with augmentation procedure, but scar appearance varies significantly based on surgical technique, incision placement, individual healing characteristics, and post-operative care. I walked Madison through my approach to incision placement and scar management strategies.

Can asymmetry truly be corrected? Madison had lived with this imbalance for so long that she questioned whether complete correction was possible. I showed her before-and-after photos of similar cases, explaining that while perfect symmetry is rarely achievable in nature, significant improvement was absolutely within reach through strategic surgical planning.

Tailoring the Breast Lift Approach for Madison’s* Unique Needs

The Dual-Strategy Procedure Plan

Madison’s* case required a nuanced approach that went beyond standard breast lift surgery. To address her specific asymmetry pattern, I designed a customized plan combining multiple techniques:

1. Asymmetric Breast Lift (Mastopexy)

• Greater lift performed on the left breast to match the right breast position
• Anchor-pattern incision technique for maximum correction of ptosis
• Areola repositioning to achieve symmetric placement
• Removal of excess skin and tissue redraping for improved contour

2. Breast Augmentation with Size-Differential Implants

• Larger implant placed on the right breast to match the natural volume of the left
• High-profile silicone implants selected for natural feel and projection
• Submuscular placement for optimal tissue coverage and natural appearance
• Careful size calibration to ensure balanced final result (D to C cup transition)

The strategic reasoning behind this combined approach centered on addressing both the positional asymmetry (drooping) and the volumetric difference between Madison’s* breasts. Simply lifting both breasts equally wouldn’t have corrected the fundamental size discrepancy. Conversely, using identical implants would have perpetuated the volume imbalance.

By performing a more extensive lift on the left breast while using a strategically larger implant on the right, we could achieve the symmetry Madison had been seeking. This represents the type of customized breast surgery approach that comes from years of experience, understanding that textbook techniques must be adapted to each patient’s unique anatomy.

Why This Combination Delivered Superior Results

After more than 25 years in plastic surgery and thousands of breast procedures, I’ve learned that asymmetry correction demands flexibility in surgical planning. Madison’s* case exemplified several principles that guide my approach:

Individualized Assessment: During consultation and pre-operative measurements, I documented the specific differences between Madison’s* breasts, not just cup size, but nipple position, breast base width, degree of ptosis, and skin quality. These measurements informed every surgical decision.

Staged Decision-Making: While we planned the general approach pre-operatively, final implant sizing was confirmed intraoperatively using sizers. This allowed real-time assessment of symmetry and proportion while Madison was on the operating table.

Conservative Correction Philosophy: Rather than over-correcting or creating unnaturally large breasts, I aimed for balanced, proportionate results that would age gracefully. Madison’s* transition from a full D to a C cup reflected this philosophy, sometimes less volume with better position creates more appealing aesthetics than adding size.

Comprehensive Tissue Management: The breast lift procedure involved careful preservation of blood supply to the nipple-areola complex, meticulous tissue redraping, and strategic use of internal sutures to create lasting support. These techniques, refined over decades of practice, contribute significantly to both immediate results and long-term outcomes.

This multi-faceted approach represents the intersection of surgical science and artistic vision, where technical precision meets aesthetic judgment to create results that look and feel natural.

Madison’s* Recovery Experience After Breast Lift Surgery

The First Two Weeks: Managing Early Healing

Madison’s* early recovery unfolded much as I’d prepared her to expect. The first 72 hours brought the expected discomfort, not excruciating pain, but a tight, sore sensation across her chest, particularly around the incision sites. The combination of breast lift and augmentation meant her body was adapting to both the new breast position and the presence of implants.

She followed the critical early recovery protocols diligently:

• Strict compression garment wear to minimize swelling and support healing tissues
• Head-elevated sleeping position (30-45 degrees) to reduce swelling
• No overhead reaching or lifting to protect incision lines
• Prescribed pain management taken on schedule rather than waiting for discomfort to escalate
• Early gentle walking to promote circulation while avoiding chest strain

During her first follow-up appointment at day 5, we removed the surgical dressings and I evaluated her incision healing. Even at this early stage, the symmetry improvement was visible, though swelling obscured the final result, the balanced breast position was already apparent.

Weeks 1-2: Transitioning to Normal Activities

By week two, Madison had graduated from prescription pain medication to over-the-counter relief as needed. The tight, swollen feeling gradually eased, though she remained aware of the surgical changes to her body. She returned to desk work on day 10, managing her energy levels carefully and avoiding any movements that stressed her chest.

This phase required patience. While Madison could see improvement daily, she was eager to assess her final results, understandable, but premature. I reminded her that breast lift recovery unfolds over months, not weeks, with swelling taking 6-12 weeks to substantially resolve.

Months of Transformation: Watching Results Emerge

Weeks 3-4: Regaining Functionality

Around the three-week mark, Madison noticed a significant shift. The persistent tightness diminished. She could shower without assistance and dress herself comfortably. Most importantly, she started recognizing her new breast shape beneath the residual swelling.

At her one-month follow-up, we discussed several positive developments:

• Incisions were healing excellently with minimal redness
• Swelling had reduced by approximately 60-70%
• Breast position had settled into a more natural appearance
• Implants were beginning to “drop and fluff” as the tissues relaxed
• She’d resumed most normal activities except heavy lifting and vigorous exercise

Months 2-3: Final Results at the Three-Month Mark

Madison’s* three-month post-operative visit revealed the transformation we’d worked toward. Her incisions had healed beautifully, the breast lift scars were still slightly pink but already beginning to fade through the normal maturation process. With consistent scar care, I expected them to continue improving over the coming year.

More importantly, the symmetry correction had succeeded. Her breasts now sat at matched heights with balanced volume and projection. The left breast, which had exhibited significant ptosis pre-operatively, now aligned perfectly with the right. The differential implant sizing had corrected the volume discrepancy without creating an overdone appearance.

Madison reported feeling completely comfortable in any clothing, from fitted tops to swimwear. The self-consciousness that had shadowed her for years had lifted along with her breasts.

Three-Month Post-Operative Results

Madison’s* outcome at three months post-surgery demonstrated the effectiveness of a carefully planned asymmetry correction approach. The measurable changes included:

• Cup Size Transition: From D to C cup, achieving her goal of balanced, proportionate breasts
• Symmetry Achievement: Left and right breasts now matched in position, volume, and projection
• Improved Contour: Elimination of ptosis on the left breast with enhanced upper pole fullness bilaterally
• Natural Appearance: Results that looked like well-positioned natural breasts rather than obviously augmented ones
• Excellent Scar Healing: Incision lines healing favorably at the three-month mark with continued improvement expected

Beyond these objective measurements, Madison experienced the emotional transformation that often accompanies successful breast lift and augmentation procedures. She no longer approached clothing choices with resignation or photographed herself from calculated angles. The asymmetry that had influenced countless daily decisions simply no longer factored into her life.

Why This Correction Succeeded

Several factors converged to create Madison’s* excellent outcome:

Accurate Pre-Operative Assessment: Detailed measurements and analysis of her asymmetry pattern allowed precise surgical planning. Understanding not just that asymmetry existed, but its specific characteristics, guided every technical decision.

Flexible Surgical Strategy: The combination of asymmetric lift with differential implant sizing addressed both the positional and volumetric components of Madison’s* asymmetry. A rigid, standardized approach would have left residual imbalance.

Technical Precision During Surgery: Achieving symmetry requires meticulous attention to measurement and positioning during the procedure itself. Small differences in implant pocket creation, tissue removal, or suture placement can impact final symmetry significantly.

Patient Compliance with Recovery Protocols: Madison followed post-operative instructions faithfully, which contributed substantially to her healing quality. Proper garment wear, activity restrictions, and wound care all influence final outcomes.

This case represents the type of outcome possible when patient and surgeon collaborate effectively, when technical skill meets careful planning, and when realistic goals guide the entire process. Madison’s* three-month result captured the natural-looking symmetry she’d sought, with continued refinement expected as healing progressed toward the one-year mark.

Frequently Asked Questions About Breast Lift for Asymmetry Correction

Can breast lift surgery correct significant asymmetry like Madison’s* case?

Yes, breast lift surgery can effectively address asymmetry, but the approach must be customized to your specific pattern of imbalance. In Madison’s* case, one breast required more extensive lifting while differential implant sizing corrected the volume difference. During consultation, I assess exactly what’s causing your asymmetry, whether it’s positional (drooping), volumetric (size difference), or both, and design a surgical plan that addresses your unique anatomy. Significant improvement is achievable in most cases, though absolute perfect symmetry is rare even in women who’ve never had surgery.

How long do breast lift and augmentation results last when correcting asymmetry?

The structural improvements from breast lift and augmentation, corrected position, enhanced support, and balanced volume, can last many years, typically 10-15 years or more. However, your breasts will continue to age naturally, influenced by gravity, weight fluctuations, hormonal changes, and skin elasticity. The breast implants themselves aren’t lifetime devices and may eventually require replacement. Maintaining stable weight, wearing supportive bras, and protecting skin health through sun protection and moisturization can help preserve your results longer.

Will the scars from breast lift be noticeable?

Breast lift surgery does create permanent scars, but their visibility varies significantly based on surgical technique, your healing characteristics, and scar care practices. I use refined incision techniques designed to place scars in less visible locations, typically around the areola, vertically down from the areola, and along the breast crease. Madison’s* scars were healing nicely at three months and will continue fading over 12-18 months. Most patients find that the improved breast shape and symmetry far outweigh concerns about well-healed scars, which are typically concealed by bras and swimwear.

Ready to Write Your Own Breast Lift Success Story?

Madison walked into my Houston office carrying years of self-consciousness about her asymmetric breasts, avoiding certain clothes and constantly aware of her imbalance. Three months after her customized breast lift and augmentation, she’d reclaimed the confidence to wear whatever she chose, photograph herself from any angle, and simply forget about the asymmetry that had shaped her daily decisions for so long.

Your concerns might differ from Madison’s*. Perhaps you’re dealing with post-breastfeeding changes, wondering about combining procedures, or trying to understand which surgical approach would address your specific anatomy. But the common thread is this: You deserve to feel confident and comfortable in your own body. Your breasts should enhance your confidence, not diminish it.If breast asymmetry, ptosis, or loss of volume is affecting your quality of life, transformation is possible.

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About the Author – Meet Dr. Sam Sukkar, MD

Dr. Sukkar earned his Doctor of Medicine (M.D.) degree from Louisiana State University School of Medicine in 1992 after graduating summa cum laude with a Bachelor of Science in Microbiology. He then completed an intensive General Surgery Residency at the University of Texas Hermann Hospital before being selected for a highly competitive Plastic Surgery Fellowship at Northwestern University in Chicago, one of the most prestigious training programs in the country.

With more than 20 years of experience, Dr. Sukkar is a Diplomate of the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS). He is also an active member of the American Society of Plastic Surgeons (ASPS) and the Houston Society of Plastic Surgery (HSPS). His dedication to innovation and continuing education has solidified his reputation as a leading expert in aesthetic surgery, specializing in breast surgery, body contouring, facial procedures, and non-invasive treatments.

Dr. Sukkar’s expertise has been recognized by Houston Magazine, naming him one of Houston’s “Top Docs for Women,” and he has been featured among RealSelf’s America’s Top Doctors. Committed to his patients, he prioritizes personalized care, ensuring every individual feels informed, comfortable, and confident in their aesthetic journey.

Contact Dr. Sukkar today to schedule a consultation, visit DrSukkar.com to learn more, or call us directly at (281) 940-1535.

Cover Image Illustration by: Dr. Sam Sukkar, MD, The Clinic for Plastic Surgery.