We show that long-range surface plasmons (LRSPs) are supported in a physically asymmetric thin film structure, consisting of a low refractive index medium on a metal slab, supported by a high refractive index dielectric layer (membrane) over air, as a suspended waveguide. For design purposes, an analytic formulation is derived in 1D yielding a transcendental equation that ensures symmetry of the transverse fields of the LRSP within the metal slab by constraining its thicknesses and that of the membrane. Results from the formulation are in quantitative agreement with transfer matrix calculations for a candidate slab waveguide consisting of an H(2)O-Au-SiO(2)-air structure. Biosensor-relevant figures of merit are compared for the asymmetric and symmetric structures, and it is found that the asymmetric structure actually improves performance, despite higher losses. The finite difference method is also used to analyse metal stripes providing 2D confinement on the structure, and additional constraints for non-radiative LRSP guiding thereon are discussed. These results are promising for sensors that operate with an aqueous solution that would otherwise require a low refractive index-matched substrate for the LRSP.