My 19 year old daughter has one deformed breast that is not growing. What can be done to help her?

Question

my daugther has deformed breast one breast is not growimg she is nineteen what can be done to help her

Jerome Edelstein, MD · Answer

She can see an experienced board certified plastic surgeon for a physical examination, which can then help her determine what treatment would be most suitable. Many cosmetic breast surgery options are available depending on the concern. Best of luck to your daughter!

John Nguyen, MD, FACS · Answer

First, I would recommend a consultation with a local plastic surgeon.  Breast asymmetry is fairly common in women, especially during the developmental stage of a young woman.  Breast augmentation with different implant sizes may be necessary.  It is difficult to make any specific comments without seeing at least photos.  If one breast is actually constricted, it may require a tissue expander first to allow for the placement of an appropriately sized implant at a later time.  Good luck and be safe.John T. Nguyen, MD, FACS, FICSDouble Board Certified Plastic Surgeon

Edward J. Bednar, MD · Answer

Photos would be helpful in determining the degree of asymmetry.  I have performed this type of procedure on patients that young where fat grafting and / or implants and/or lift made for a very nice result

Kenneth Hughes, MD · Answer

I would recommend an exam by a plastic surgeon to determine the options.Find a 
board certified plastic surgeon  who performs hundreds of breast 
augmentations and breast lifts each year.  Then look at the plastic surgeon's website 
before and 
after photo galleries to get a sense of who can deliver the results.
	Kenneth Hughes, MD Los Angeles, CA

Jaime Campos Leon, MD · Answer

Thank you for the question.To best help her, a physical examination will be needed to determine which procedures and techniques would be best for her case.Dr. Campos

M. Mark Mofid, MD, FACS · Answer

It is not unusual to have asymmetry in the breast. 
Though most women have a slight difference from side to side it is not
uncommon to be one or more cup sizes different.  Depending on the
size and shape of both breasts, corrective surgery is possible. The
recommendation on the approach for surgery can only be made after an
examination during a consultation.  After the examination a plastic
surgeons may recommend one of multiple approaches such as a unilateral
augmentation, bilateral augmentation with different size implants or
unilateral reduction with bilateral implants.

Barry M. Weintraub, MD, FACS · Answer

Asymmetric breast development is not uncommon.  Most
women’s breasts are slightly asymmetric.  Gross asymmetry, however, can be
corrected either with an implant alone in the undersized breast, reduction
and/or lift of the oversized breast, or a combination of both.  When your
daughter has reached full developmental maturity, surgery can effectively
symmetrize her.

Karol A. Gutowski, MD, FACS · Answer

Some asymmetry in breast size in common. If this is causing your daughter a concern, she has some options. The larger breast can be made smaller or the smaller breast can be made larger with a breast implant or with her own fat. Make an appointment with a Board Certified plastic surgeon for a more formal evaluation.

Daniel Del Vecchio, MD · Answer

In patients with congenital breast asymmetry, fat transplantation is an ideal solution.  Fat is liposuctioned from the flanks or thighs and is processed and transferred to the small breast, matching it in size and shape to the opposite breast.  We first reported and published on this as a method of breast reconstruction and I have attached a link for you.  I have also attached a youtube link for a patient with severe breast asymmetry.  Additional breast cases for severe congenital asymmetry can be seen at bostonbreastcenter.Best Regards,Dr Del Vecchio

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  Your daughter situation is not unusual as many patients have failure of one or both breasts to develop fully.  A breast augmentation on one side can possibly achieve symmetry.  Choose your plastic surgeon very carefully and find one at a major Medical Center who has experience treating pediatric patients with micromastia or agenesis of the breast.

My 19 year old daughter has one deformed breast that is not growing. What can be done to help her?

Answers (15)

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