My Daughter Has a Size A Left Breast and a Size D Right Breast She is 19 What Surgery Should Be First Implants or Reduction?

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A cup D cup uneven

15 Doctor Answers | Asked by sniffles59

Doctor Answers (15)
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Marked asymmetry.

IT would be helpful to see photos in attempting to provide a useful answer. Both a reduction and an enlargement will probably be needed for best symmetry. It is unlikely that a A size breast can be made to look like a natural D size breast. On the same wavelength, a D size breast cannot be reduced to a A size without risking loss of nerve and blood supply to the nipple and areola. Most surgeons would probably recommend doing both procedures at the same setting. When your daughter... more

A cup Breast on One Side, D cup Breast on the Other

Whenever there is a great amount of volume discrepancy, there are several options including breast lift on the larger side and breast augmentation on the smaller side. In other cases, a breast reduction on the larger side with breast augmentation on the smaller side may be appropriate. There will always be some degree of difference in breast shape, because the smaller breast will always appear as though it has a tighter look.

Which operation.

Thanks you for posting this question. Surgery of this type, performed in order to create the best symmetry, typically involves operating on both breasts at the same time. Careful consideration of the amount asymmetry can only be evaluated appropriate during a consult with a physical exam. Best wishes, Dr. Aldo.

Aldo Guerra, MD

56 reviews

Scottsdale Plastic Surgeon

Surgery

Tough to answer this without some photographs. The likelihood is she will need a combination of both augmentation and lift or reduction

Breast asymmetry

I think that an exam in person is essential to make a proper evaluation. If all things are normal anatomically except for the one breast being very small, she could possibly have an augmentation of the smaller breast and depending upon her desire and the appearance of the larger breast she coudl have something done to reduce the larger breast.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Treatment of Poland's syndrome (absent or small breast and normal breast).

This sounds like a variant of Poland syndrome, and surgery for this may be covered by insurance in some cases. The absence of normal breast development (and pectoralis muscle, also sometimes associated with hand abnormalities) on one side (A cup) with a normally-developed opposite side (D cup) is usually corrected by performing a (small) breast reduction/full breast lift on the larger breast to create the desired size and proportion, and at the same operation performing submuscular... more

Treatment of breast asymmetry A cup and D cup

Hi,I am sorry to hear about your 19 years old daughter.She must be having tough times with herself and with boy friends.I am sure augmentation on one side and reduction at the other to aim to get C up can be performed as one stage surgery.This is just a suggestion and not a consultation without more information or images on her.I wish her good luck.

Size A left breast and size D right breast. Which breast do you correct first?

Breast asymmetry is very common ranging from mild to severe. It would be helpful to see actual photos of your breasts but I would most likely perform both an augmentation of the left breast as well as the reduction of the right breast in 1 stage.Most cases lend themselves to very good correction of the asymmetry when performed by an experienced Board Certifiesd plastic surgeon. Good luck!

Treatment of breast asymmetry

Developmental asymmetry is truly a complex problem. It is also a circumstance that insurance companies do not cover, which is tragic. The treatment plan will depend upon several factors including your daughter's inclination and your pocketbook. If reduction is covered by insurance, then you may want to reduce the larger breast first and then augment both. This can be performed either in one or in staged procedures. You must understand that it will never be possible to achieve identical... more

Breast Asymmetry

Both breasts should be done at the same time to avoid 2 anesthesias. I would reduce the larger side first and then, at the same procedure, augment the smaller size to match the reduced side. I do this all the time in reconstruction after mastectomy. Hope this helps.