What specialists would be best for concerns regarding PCOS, ability to breastfeed, and hormone balancing?

Great question!  First its important to understand that breasts are more like sisters and not twins, most patients breasts are not symmetrical.  Looking at your photos, although there is obvious asymmetry, are not considered abnormal and have developed normally.  There are some patients that are much worse so don't beat yourself up about it and there is nothing you can do, our body just develops differently.  With that said, breast implants will not affect your ability to breastfeed - also understand that even patients without breast implants can have issues breastfeeding as well, again just human nature.  Breast implants will not affect your ability to become pregnant either.  As far as stretch marks go, there is always a chance you can get them.  I actually published a research paper about breast augmentation and its association with stretch marks a few years ago, I would encourage you to read it to get some information on it - just click on the link attached.Best of luck and hope this information helps!- Dr. Roger Tsai  @DrRogerTsaiBoard Certified Plastic Surgeon

If placed behind the muscle and with an incision along the fold, there should be no interference with breast feeding. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with. Finally, make sure your surgeon is a Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS).
Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Your breasts are asymmetrical in volume, shape and position.  Augmentation alone will not solve your problem.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices and half are removed by 9.5 years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Breast implants will not affect your ability to breast feed.  Stretch marks can be made worse but this is unusual. In most cases they appear less than before the surgery.  In terms of a referral for a PCOS MD, I would ask your primary care or GYN doctor

Thank you for sharing your question and photographs.  In general if a woman was going to be able to breastfeed prior to implants, she should be able to breastfeed after implants as well.  Implants rarely can create new stretch marks but typically only make the ones you already have appear more prominent as a result of the increased volume, but this diminishes as your healing progresses.  Hope this helps.

For general health questions, your gynecologist could be a good place to start. Implants in general do not usually create new stretch marks. Not all women are able to breast feed. In my experience, placing the implant behind the muscle, women who were able to breast feed were still able.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and AuthorRealSelf Distinguished Hall of Fame Inductee

In general breast implants do not have an impact on breast feeding.  For example, if you were able to breast feed before having breast implants, then you should be able to breast feed afterwards as well.As for the stretch marks, it depends a lot on how big you go and how much you are going to stretch the skin.  Commonly what happens is that the stretch marks become more apparent because they are becoming stretch out again and tend to become more red.  Once the healing has happened and the implants have settled, the stretch marks will usually lighten up and the redness will resolve.Hope that helps.

Dear MissAj123,
based on your photos, it looks like you have tuberous breasts.Tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery