Does me being overweight have anything to do with my uneven breast size?

Question

I am 19 years old, have uneven breasts, and overweight. Could my weight have anything to do with my uneven breasts? I don't remember having such a dramatic difference in cup size when I was in junior high. So I was wondering, if I lose weight, will they even out?

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your questions and photos.  Asymmetry of the breasts is not uncommon, and it is unlikely that there is connection between weight gain and your asymmetry.  I recommend that you be seen in person by a board certified plastic surgeon to determine what a weight loss goal would be for you.  Once you have gotten to your goal weight, you can assess the asymmetry of your breast and determine if you will need a cosmetic breast procedure.All the best,Dr. ResultsMiami, FL

Franklin D. Richards, MD · Answer

There are many variables to cause uneven breasts.Excessive weight loss or gain can be one of
them, however, at age 19 you could still be experiencing hormonal changes to
the breast and you may want to consider waiting another couple of years before
considering revision surgery to correct the asymmetry using breast
implants.

Steven Teitelbaum, MD · Answer

Breasts are made of glandular "milk-making" tissue and fat.  The glandular tissue remains the same whether one gains or loses weight.  The fat amount will fluctuate.  It may be that gaining weight resulted in more fat preferentially going into the larger breast.  My bet is that there will still be a visible asymmetry when you lose your weight.

George Volpe, MD · Answer

There are many factors that can go into breast asymmetry. This can include the amount of breast tissue that is milk producing tissue that you have may be different from one breast to the other. The positioning of the breasts on the frame can also differ as can the underlying muscle. The presence of stretch marks may also make a difference. And yes the amount of fatty tissues in your breasts can also play a role, especially if you are overweight. However remember if you are young that the breasts are still developing. If the difference is not too large, it is always wise to allow the breasts to fully develop, usually by age 21 or 22. If your asymmetry is significant, you may wish to attempt weight loss and also have a consultation with an experienced surgeon.

Jerome Edelstein, MD · Answer

Hello,Uneven breast volume or shape is very common. It is unlikely that weight gain has caused an asymmetry but it may make an existing difference more obvious to you. I recommend that you meet with a board certified Plastic Surgeon in person who will measure and recommend options for you. Sometimes, if the difference between breast sizes is large enough, your Plastic Surgeon may recommend two different sized implants. You will need to be seen in person to determine if this is the best option for you. All the best

Nelson Castillo, MD · Answer

Thank you for your question.  Most women have some degree of inherent asymmetry between their two breasts, whether in size, shape, or positioning.   As a result, it is unlikely that your weight caused the uneven breasts, but weight gain can increase the degree of asymmetry.  I would recommend you reach your goal weight, a weight that you feel comfortable at, and can maintain, and then judge your breast differences.  If they are significant enough that you would want some correction, then speak to a board certified plastic surgeon for an evaluation and discussion of your options.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  Most women will have some differences between one breast and the other.  This could be anything from size, breast fold position, height of the breast, nipple position, etc.  Sometimes, this is accentuated when the breast get larger as can happen with breast augmentation surgery or with weight gain.  You may find that some of the difference between the two breast will become less noticeable with weight loss, but you may always notice the two sides are different.  Surgery can be an option to help even the two sides out. For example, if you are happy with the size of your smaller breast, then liposuction of the larger breast is a straight forward way to get volume symmetry.

Glenn M. Davis, MD, FACS · Answer

It’s
not very likely that weight gain alone is the cause of your uneven breast
sizes. Between junior high and today at 19, your body has gone through a wide
range of changes, and all women naturally have some degree of asymmetry or
unevenness in their breasts. That said, gaining weight can increase cup size,
so it may just be that any unevenness is easier to see now that your breasts
have gotten larger. Regardless of your weight gain or loss, the asymmetry will
still be there. Again, this is perfectly normal, but if you're concerned the
size disparity is overly noticeable, there are breast enhancement procedures
that can help.

Richard Chaffoo, MD, FACS, FICS · Answer

Hi and thanks for your question. Weight does affect breast size so my recommendation is to lose the weight and then see a board certified plastic surgeon who can examine you and offer a surgical plan to address your aesthetic concerns. Best of luck!

Arian Mowlavi, MD, FACS (license on probation) · Answer

Uneven breasts are caused by fat versus gland composition of each of your breasts. For example, if one breast has more fat content than the other, weight gain will result in that breast becoming larger than the other. This can be corrected with multiple maneuvers and possibly even liposuction of the larger breast. A consultation would be very helpful to give you definitive recommendations.

Does me being overweight have anything to do with my uneven breast size?

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