The first thing to recognize is the asymmetry, preoperatively. They can be asymmetry of the nipple height, breast volume, breast width, inframammary fold height, or even the distance from your nipple to the fold. There are different techniques to address each of these problems, and of course, it also depends on whether you are having a lift, a reduction, or an augmentation. Most women I see don’t realize that they have asymmetry when they come and see me for a consultation. However, it is very common and I usually have to point it out to them on their photos. Your surgery will get your breasts to be more alike, but there is still often some minor differences after the operation. You’ll often hear people making the comparison, the breasts are more like sisters than twins, and this is very much the case.