18 y/o with noticeably uneven breasts. (photo)

Question

I'm 18 y/o. I wear a size 36 DD. My left breast is about a cup size larger than my right (one is about a DD the other a D) . I'm unsure if i should get surgery or wait and see if they even out. What should I do?

Jerome Edelstein, MD · Answer

Asymmetry is the norm for women, since no two breasts are ever alike, however if you find this embarrassing and it's taking a toll on your self esteem, then you can consider a reduction in the larger one or an implant in the smaller one to balance them out. However, keep in mind that your breasts continue to develop throughout your life, and you may experience noticeable changes until about 19-20 years old.

James N. Romanelli, MD, FACS · Answer

It is unlikely that the size difference will "even out" over time.  Having said that the size difference you show is pretty common.  Most women do not have surgery for that.  You would need to be very motivated to decide on surgery.  And you would have to be ready to accept that you will have scars on your breasts in order to reduce the larger breast and lift the smaller breast.You would want to be sure that the scars would not bother more than the difference in size.Best of luck!

Paul W. Papillion, MD · Answer

Hello, it is very unlikely that they will even out over time. Asymmetry is very common. There are a few options to correct the size discrepancy including reducing the size of the right breast alone, enlarging the left breast alone, or reducing the size of both breast. I would recommend thinking about the what size and appearance you would like your breast to have...and that will help guide you in your decision for what type of procedure to undergo. Thanks

Richard L. Zeff, MD · Answer

Asymmetry is very common and only occasionally requires correction. In your case a modest reduction of the larger breast would probably make you more comfortable, but you should never expect identical breasts.  All surgeons have different criteria regarding what age is appropriate for this type of surgery.  Waiting never hurts.

William B. Rosenblatt, MD · Answer

This is a very common issue women deal with all the time. Most women probably just deal with it and do nothing. If it really bothers you, then a small reduction lift on the right and just a lift on the left can make them more even. They will NEVER be exactly the same size.

Robert Stroup, Jr., MD, FACS · Answer

I agree, and your photo clearly demonstrates, that your right breast is larger and hangs lower than your left.  It is hard to predict exactly how time will affect this problem.  However, if you were to tell me your breasts haven't grown for >1 year, I would have to say the problem is not going to get any better.  If, however, your breasts are still evolving, things could get better.  Once the situation is stable and unchanging, andr if the problem bothers you enough, you could consider correction with a unilateral breast reduction with or without some treatment of the left breast.

Tae Ho Kim, MD · Answer

Your breasts will not change in size.  Therefore your right breast will remain larger than the left. Already you have ptosis of your breasts, which means that your nipple has descended below your breast fold. This will only get worse as you get older.  While it is not necessary to do anything, if your quality of life is affected by the asymmetric size of your breasts, I would advise you to get a breast reduction on the right and a breast lift (or reduction) on the left.  Obviously more breast tissue would be removed on the right to match the size of your left breast if breast reduction is done on both breasts.  I would seek a plastic surgeon board certified by the American Board of Plastic Surgery.  Good luck!

Manuel Marte, MD · Answer

Thanks for posting the photo. Based on your pictures, therea few options to do in this case: reduce the size of the right breast alone, enlarging the left breast alone, or reducing the size of both breast. I recommend a lift both with a reduction on the right, of course with a size that you prefer in this case. Hope this help.

Dean P. Kane, MD, FACS · Answer

It is natural
to have asymmetry of the breasts. Just like other features of the body like
your ears, hands and feet, one side is not a perfect mirror image of the other.

This is not bad unless it upsets you. You may consider many options with the
recommendations of a caring, well experienced and Board Certified Plastic
Surgeon.

These options include:

1.Allow them to
settle and mature (depending on your age, of course),
2.Enlarge the smaller breast bigger to match the larger augmented breast,
3.Reduce both or the larger one to gain better symmetry,
4.Lift and, reduce or enlarge the breasts to make them more even.

I hope this has helped. All the best!

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

Thank you for your question and photo.  The breast asymmetry which you have is very very common and many women.  No woman has perfectly symmetrical breasts.Based on your photograph I do not think your asymmetry is severe.However if it bothers you after you reach 21 you can consider a plastic surgery procedure to make your breasts more symmetrical.However this will involve visible scarring.Another option would be to wait until you're finished having children to see how the final appearance of your breast takes shape.  That would be a more appropriate time to consider any surgical procedure.For more information on correcting breast asymmetry please read the following link:

18 y/o with noticeably uneven breasts. (photo)

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