I'm sorry, but I need more context or specific
Hello Doctor...
I am a 19-year-old female...
I have noticed that my breasts are not the same size...
there is even a noticeable difference...
and the larger side hurts when pressed down...
However, I have self-examined and found no lumps...
Why could this be happening? Could the difference in breast size be related to my habits? (I often use my right hand for work) Could you please provide me with a complete answer? Thank you...
jessie, 10~19 year old female. Ask Date: 2002/09/25
Dr. Luo Qihua reply Plastic Surgery
Answer: The development of breasts in girls begins at puberty, and due to good nutrition, many girls in Taiwan may start developing as early as twelve or thirteen years old.
However, some girls may not begin to develop until they are seventeen or eighteen years old due to genetic factors.
It is uncertain when your breasts began to develop, and they may still be in the process of development.
Even after full development, it is common for breasts to be asymmetrical in size.
Regarding the breast that is larger and experiences tenderness, even if you did not find any lumps during self-examination, it is advisable to consult a breast surgeon.
If necessary, they may arrange for you to have a breast ultrasound or mammogram.
If no cause can be identified, regular follow-ups with the breast surgeon will be necessary.
Breast size is not affected by the dominant hand.
If you require a more comprehensive answer, please consult a breast surgeon for further explanation.
Orthopedic Surgeon Dr.
Luo Qi-Hua.
Reply Date: 2002/09/25
More Info
Breast asymmetry is a common concern among young women, and it can be influenced by a variety of factors. As a 19-year-old female, it’s important to understand that breast development can vary significantly from person to person, and it is not unusual for one breast to be larger or shaped differently than the other. This natural variation is often due to hormonal influences, genetics, and even lifestyle factors.
1. Hormonal Changes: During puberty, the breasts undergo significant changes due to hormonal fluctuations. Estrogen and progesterone play crucial roles in breast development, and these hormones can affect the growth of breast tissue differently on each side. This is particularly relevant during your teenage years when your body is still developing.
2. Genetics: Family history can also play a role in breast size and shape. If your mother or sisters have experienced breast asymmetry, it is likely that you may have a similar experience. Genetic predisposition can influence not only the size but also the density and composition of breast tissue.
3. Lifestyle Factors: Your daily habits can also contribute to breast asymmetry. For instance, if you predominantly use one side of your body for activities (like using your right hand for work), it may lead to slight muscular imbalances that can affect the appearance of your breasts. However, this is usually minimal and not a primary cause of significant asymmetry.
4. Breast Pain and Sensitivity: You mentioned experiencing pain in the larger breast when pressed. This could be due to several reasons, including hormonal changes related to your menstrual cycle, which can cause breast tissue to swell and become tender. Additionally, if there is any inflammation or irritation in the breast tissue, it could lead to localized pain. It’s important to monitor this pain; if it persists or worsens, consulting a healthcare professional would be advisable.
5. Self-Examination: It’s great that you are performing self-examinations. Regular self-checks can help you become familiar with your breast tissue and identify any changes. While you mentioned not finding any lumps, it’s essential to continue monitoring for any new changes in size, shape, or texture. If you notice any unusual changes, such as a new lump, persistent pain, or changes in the skin or nipple, you should seek medical advice.
6. When to Seek Help: If your breast pain continues or if you have concerns about the asymmetry, it’s a good idea to consult a healthcare provider. They can perform a clinical examination and may recommend imaging studies, such as an ultrasound, to rule out any underlying issues.
In conclusion, breast asymmetry is typically a normal variation and can be influenced by hormonal changes, genetics, and lifestyle factors. While it is usually not a cause for concern, being attentive to your body and seeking medical advice when necessary is always a good practice. Remember, every woman’s body is unique, and variations in breast size and shape are common.
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