17 Year Old with Noticable Asymmetry...are Implants an Option?

Hi, I am 17 (18 in November) and I have fairly bad asymmetry. My right breast is a medium/full B cup, but my left breast is about an A cup. Would implants be an option to correct this? Would I be a candidate at 17 years old? Thank you so much for any information!

Doctor Answers 15

17 Year Old with Noticable Asymmetry...are Implants an Option?

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In regards to timing of the operation, this will vary from one patient to another and is a decision that should be individualized. If you have reached your physical “maturity”, proceeding with surgery should not be a problem. Parenteral or guardian consent will be necessary for patients under the age of 18.
 At some point, seek consultation with board certified plastic surgeons who can demonstrate significant experience helping patients in your situation. Ask to see lots of examples of their work and communicate your goals clearly.  In my practice, I find the use of goal pictures helpful during this communication process.
 I hope this, and the attached link, helps.

17 year old with noticeable asymmetry...are implants an option?

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Hello! Thank you for your question. Breast augmentation is a procedure often sought by women to increase size, add upper pole fullness and projection along with improve shape and symmetry of her breasts. Women who have the breast augmentation done report increased self-confidence, self-esteem, and more comfortable with her body. In fact, it has been the most popular procedure in plastic surgery in the US for the past few years. Many surgeons use 18 years of age as the standard for when to offer the breast augmentation procedure to women. Maturity and the ability to make an educated decision for yourself of whether this procedure is the right one for you as well as factors regarding implant choice, size, incision placement, position of the implant, other adjunct procedures, etc are major factors. Having the maturity to understand all of the risks and benefits of the surgical procedure is also mandatory - thus, most are readily able to comprehend this at that age. 23 years of age is the FDA guideline for utilization of silicone implants.

Good communication between you and your surgeon of your expectations is warranted - choosing your surgeon wisely is the first step. Consult with a board certified plastic surgeon well-versed in this procedure. Research your surgeon's education, training, as well as ability to perform this procedure. See postoperative photographs and most importantly choose the one who you feel most comfortable with and competent to meet your expectations. Discussion of your wishes and having an honest and open dialog of your procedure is mandatory (e.g, implant type, incision, placement, lift, etc). I have found that photographs brought by the patient is helpful to get a visualization of the appearance you wish for in terms of size, shape, fullness, etc. In addition, your surgeon's pre and postoperative photographs should demonstrate a realistic goal for you. Once this has been accomplished, allow your surgeon to utilize his/her best medical judgment during the procedure to finesse the best possible result for you after preoperative biodimensional planning and fitting the right implant for your breast width.

Hope that this helps! Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Breast Enhancement Surgery

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The FDA says silicone implants should be saved for women above 22 unless they are for reconstructive purposes, if you think you fall into this category see a local board certified surgeon

Breast implants for significant breast asymmetry

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Yes, breast implants are one option for correction of developmental breast asymmetry.

Usually some combination(s) of breast lift, breast reduction, placement of breast implant, and/or correction of nipple asymmetry are needed to correct asymmetry. In a situation of a tightly constricted breast, tissue expanders are sometimes used.

It is very likely that your breasts will have to be redone as you get older or after you have children later in life. That might not be something you are thinking about now, but life happens.  Your body will change throughout your lifetime.

I also will tell you what I say to all my young patients considering breast implants.  Breast implants are a medical device. They are similar to a pacemaker, knee replacement, hip replacement, etc., in that they are not healthy living tissue. They do not regenerate and do not last forever. You will, if you live long enough, live to see the day that you have to have one or both of your implants changed.  And I hope you live to be more than 100 years of age, which would statistically mean, yes, at some point, your implants would have to be redone.

I hope this helps. Best of luck.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 214 reviews

Implant is necessary but is not all

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in significant asymmetric case, you need different size implants, however sometimes you might need tissue rearrangement on the other side to make volume and shape of both sides symmetric as much as possible.

M. Ryan Khosravi, MD, FACS
Los Angeles Plastic Surgeon

Correction Of Breast Asymmetry With Implant

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You certainly could have your breast asymmetry corrected at age seventeen by having an implant placed in your smaller breast.  It would have to be a saline implant at your age since the FDA has mandated that silicone implants cannot be used at your age.  The other caveat is that you should wait until your breast size has been stable in both breasts for 6-12 months.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Can breast augmentation correct breast asymmetry/

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Breast asymmetry is fairly common. The degree and tpe of asymmetry will determine what has to be done to correct it. Without photos it is not possible to say what has to be done. At times only implants have to be used. At other times lifting and/or reduction have to be considered. You should go seek a consultation with a Board Certifiied plastic surgeon and, then, you will be informed as to what may be the procedure of choice for you. Good luck!

Implants to correct asymmetry

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Yes, implants are certainly an option to correct asymmetry and 17 is not too young in my opinion particularly if you have been stable at your current size(s) for some time. There is no one procedure that is right to correct asymmetry so you need to see a board certified plastic surgeon who can discuss your options with you. At 17 you will need your parent or guardian to sign any consents with you so you may want to involve them from the start. Good luck to you.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon

Breast implants can help correct assymmetry

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Breast assymetry is a common indication for breast implants.  Different size implants can be placed in each breast or in only one breast.  Also, with saline implants any increments of size can be put into the implants within limits.  Therefore, saline implants are ideal for correcting size discrepancies between the two breasts.  Depending on whether the larger breast has drooping, or ptosis, a lift may be needed to achieve the best symmetry. 

James Tang, MD
Houston Plastic Surgeon
3.4 out of 5 stars 18 reviews

Breast asymmetry

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Certainly, it would be easier to counsel you face to face in order to perform an examination and correlate the exam findings to your concerns. If you are still 17, you will need your parent or legal guardian with you for a consultation.

That being said, I will speak in general terms about asymmetry. Many patients present with breast asymmetry and it can be corrected, or at least improved upon, with a combination of techniques depending on the needs of the patient. If you are looking for breast augmentation, asymmetry can be dealt with by selecting different size implants, or reducing the tissue of the larger breast, or performing a lift on one or both breasts, depending on the exam findings. If the breasts are very large to begin with, breast asymmetry can be corrected by a breast reduction, taking asymmetric amounts of tissue away in order to make up the difference. Based on the information you posted, it does not sound like you have excess tissue, and there is a good chance you do not have significant ptosis (overhang) of the breasts, so augmentation with different size implants or adding a small lift if one side hangs a little more than the other, may be the answer.

Obviously, I suggest you discuss your concerns with your parents, or you can wait until you are 18 (although it might still be a good idea to discuss your concers with your trusted family members, who can provide you support and another pair of eyes/ears in evaluating your decision to consider cosmetic surgery). I recommend consultation with a board certified plastic surgeon.

Good luck!


Tim Sayed, MD, MBA, FACS
Newport Beach Plastic Surgeon
5.0 out of 5 stars 22 reviews

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.