How to Address Asymmetrical Breasts: Solutions and Options - Plastic Surgery

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What should I do if my breasts are uneven?


I am 20 years old and have asymmetrical breasts, with my right breast being fuller than my left by about one cup size.
I find the unevenness quite bothersome, as I feel that my bras never fit properly, and I am unsure what size to choose when buying bras.
If I don't wear a bra, one side appears higher than the other.
How can I improve this situation? Is plastic surgery the only option to achieve balance?

Meimei, 20~29 year old female. Ask Date: 2000/11/18

Dr. Luo Qihua reply Plastic Surgery


If you are satisfied with the size of your right breast, then you can proceed with breast augmentation on the left side, with the incision hidden in the armpit to minimize visible scarring.
However, if you feel that the right breast is too large, you would need to undergo breast reduction surgery on the left side, which will result in noticeable scarring on the breast.
It is advisable to consult with a plastic surgeon for further discussion.

Reply Date: 2000/11/18

More Info


Asymmetrical breasts are a common concern among women and can be caused by various factors, including genetics, hormonal changes, and developmental differences. It’s important to understand that breast asymmetry is normal, and many women experience some degree of unevenness. However, if the difference in size is significant and causes discomfort or self-consciousness, there are several options to consider for addressing this issue.


Understanding Breast Asymmetry
Breast asymmetry can manifest in different ways, such as one breast being larger or shaped differently than the other. This can be particularly noticeable when wearing certain types of clothing or undergarments. Factors contributing to breast asymmetry include:
1. Genetics: Family history can play a significant role in breast shape and size.

2. Hormonal Changes: Fluctuations in hormones during puberty, menstruation, pregnancy, and menopause can affect breast size.

3. Weight Changes: Gaining or losing weight can impact breast volume and shape.

4. Developmental Differences: Some women may naturally develop breasts of different sizes during puberty.


Options for Addressing Asymmetry
1. Proper Fitting Bras: One of the simplest solutions is to find a well-fitted bra that accommodates the size difference. Many lingerie stores offer services to help you find the right size and style. Consider using bras with removable padding or adjustable features to create a more balanced appearance.

2. Breast Forms or Inserts: If you prefer not to undergo any surgical procedures, breast forms or silicone inserts can be used to enhance the appearance of symmetry. These can be placed in your bra to create a more even look.

3. Exercise: While exercise cannot change breast size, it can help improve overall body tone and posture, which may enhance your appearance. Strength training exercises that target the chest muscles can also help create a more lifted look.

4. Cosmetic Procedures: If the asymmetry is significant and causes distress, surgical options are available. These include:
- Breast Augmentation: This involves the use of implants to increase the size of the smaller breast.

- Breast Reduction: If one breast is significantly larger, reducing its size can help achieve balance.

- Fat Grafting: This technique involves transferring fat from another part of your body to the breast area to improve symmetry.

5. Consultation with a Specialist: If you are considering surgical options, it is crucial to consult with a board-certified plastic surgeon who specializes in breast procedures. They can provide you with information on the risks, benefits, and expected outcomes of various surgical options.


Psychological Considerations
It’s also important to address the psychological aspect of breast asymmetry. Many women feel self-conscious about their bodies, and it can be beneficial to talk to a counselor or therapist if you find that your concerns about breast size are affecting your self-esteem or mental health.


Conclusion
In summary, breast asymmetry is a common issue that many women face. While it can be a source of concern, there are various options available to address it, ranging from non-invasive solutions like proper fitting bras and inserts to surgical interventions. It’s essential to weigh the pros and cons of each option and consult with healthcare professionals to determine the best course of action for your individual situation. Remember, the most important thing is to feel comfortable and confident in your body, regardless of its shape or size.

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