I'm 20. I have moderate breast asymmetry of one cup size difference (A vs. B cup). I want to correct this but saline feels unnatural to me and I don't want to end up feeling worse about my body. I consulted with a surgeon who said they would need a 100cc implant in the smaller one but it was impossible to order an implant in either saline/silicone of that size. Is this true? Also, can I get silicone because this is more corrective and not a basic augmentation? Do I need 2 implants for sure?
Silicone in a Woman Under 22? (photo)
Doctor Answers 9
Have a question? Ask a doctor
Moderate asymmetry and the use of silicone under 22 years of age.
Moderate asymmetry is a common condition in breast surgery. If you are happy with the current size of your right breast, then implant correction alone of the left may be considered reconstructive, although insurance clearance may be difficult. Silicone implants are not approved in cosmetic cases for women under the age of 22. However, if determined to be reconstructive in nature by your plastic surgeon then the use of silicone is acceptable. Other options include adjustable salines or fat grafting.
Silicone, saline, or fat
Most plastic surgeons and patients would describe your asymmetry as moderate. Your options are as you have stated to have the smaller one filled or to have both of them filled asymmetrically. The "filling" options include saline implants, silicone implants, and fat grafting. You like the size of your larger breast and would like to maintain that size you may want to entertain the idea of fat grafting to the smaller breast. Just like silicone in patients younger than 22 there are not unanimous consensus about its use. If you do not have a family history of breast cancer and would be willing to get a pre-operative breast imaging study just for a baseline, fat grafting to the smaller breast may be a viable solution for your asymmetry.
All the best,
Dr Remus Repta
You might also like...
Options in breast augmentation foe assymetry
You can have silicone implants fully understanding that the FDA approval is for 22 years and older and the fact that the warranty becomes void. Having said that, I think you are discounting saline implants. If you dont desire a large size and they are filled appropriately, they are the better choice for you. You can address assymetry better with saline implants as they are adjustable. Moreover, they can be placed though the belly button without any scars. Another option that you may be a candidate for Is fat transfer to the left breast. You would have to be examined to get a full history and potential donor sites that would give you symmetry. This would be my first choice recommendation to you if you are happy with the size of your right breast. Best of luck.
Silicone under age 22 is off-label use
I completely agree with my colleague from Minneapolis.
While the FDA recommends that silicone only be used in women over age 22, there is nothing illegal or wrong about it being used in properly informed, appropriate candidates between ages 18 and 22 if after careful discussions this is their preference. It would simply be considered "off-label" use of the implant.
Physicians use medications "off-label" all the time. The simplest example is Botox- which is truly only FDA approved for use on wrinkles between the eyes- but which is used daily by thousands and thousands of plastic surgeons and dermatologists for wrinkles in other locations, for excessive sweating, and even for headaches!
I do think that to get your very best outcome you will need to have an implant in both sides, but don't necessarily agree with your initial recommendation that you definitely need a 100cc implant. I personally believe that choosing the implant before surgery is a mistake...
My best recommendation for you is that you find the best, most talented surgeon you can- someone you like and feel you can trust, and then visit for a consultation. Remember that the goal is to keep you safe and for you to achieve the best appearance you can- find the best surgeon (not the best price, or the scar you like, or the implant you think you want) and your chances of achieving these goals will be higher.
Silicone under 22
The FDA recommends the use of silicone implants in women over 22. I adhere to that recommendation. If you want to wait to have silicone that is fine.
Silicone in a Woman Under 22
I would recommend an adjustable saline implant on your left side
This will allow you to accurately determine the correct size for symmetry
Your breasts may also grow further in the next year so you can adjust the volume
It is always possible to later convert to gel if you want,but at least you will know what the correct size is
Silicone breast implants under 22
The FDA allows silicone gel filled implants for women under 22 to correct severe breast asymmetry...the definition of severe should be determined by your plastic surgeon and you...there are silicone gel implants of 125 cc...this is only 1/2 a shot glass larger than 100 cc.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.