Right Breast is Larger Than my Left Breast. What Are My Options?

I am 17 years old and when I started purberty, my right one grew faster than my left one. Since then, thy are two cup sizes different. Is there anything I could do now to help even them out? I also have discovered a light brown patch under my right breast nipple. It seems like a hickey, but it isn't because it's been there for some time. Does anyone know what it might be?

Doctor Answers 10

Many options available for assymetry.

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Breast asymmetry is an extremely common problem amongst women. In most cases, this is relatively minor and women aren’t bothered by it. Occasionally, it can be severe and treatment is necessary.A multitude of options can be used to treat this problem.These may include breast reduction, breast lift, breast augmentation or various combinations of these procedures.
It’s important to realize every patient is unique.They have specific aesthetic goals and unique anatomic findings.The specific treatment for any individual patient will depend entirely upon these issues.In most cases, the goal of symmetry is most easily accomplished with a bilateral procedure.Occasionally, a unilateral procedure will suffice, but this is unusual.
When the goal is to make the smaller breast larger, the simplest solution is a unilateral breast implant.Unfortunately, if the size differential between the two breasts is small, there may not be a small enough implant to correct the problem.Under these circumstances, bilateral breast augmentation may be necessary.If sag is present, a breast lift may be necessary as well.
In some cases, the larger breast may be the primary concern.Under these circumstances, a unilateral breast reduction may be necessary.Occasionally, it’s necessary to perform a procedure on the opposite breast for symmetry.These might include a lesser breast reduction, breast lift, breast augmentation or breast lift in combination with breast augmentation.
Every patient needs to be considered individually.The treatment plan should be appropriate for their anatomy and aesthetic goals.If you’re considering correction of breast asymmetry, it’s important that you meet with a board certified plastic surgeon that can discuss your aesthetic goals in greater detail and determine which options is best for you.

Correcting breast asymmetry

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No woman's breasts are identical in size and shape. Every woman has asymmetric breasts, and it's just a matter of how much of a difference there is. If you don't want to reduce the size of the larger one then adding volume to the smaller one with an implant would be the alternative. However, I recommend you wait a few years before considering surgery.    

Breast asymmetry

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Everyone is asymmetric to some degree.  The most important thing to discuss with your plastic surgeon is whether your left breast is constricted.  Your surgeon will be able to determine this during your exam.  The breasts can be very close in size, but it is often impossible to make them exactly the same.

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 9 reviews

Breast asymmetry

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Your situation is more common than you probably realize.  The good news is that you have options to help bring your breasts into better symmetry.  The larger breast can be reduced to more closely match the other, or the smaller breast can be augmented via an implant to make it closer in size to the larger breast.  I would recommend a consultation with a Board Certified Plastic Surgeon to help you evaluate these options.  The brown patch under your breast could be many things.  A visit to a dermatologist may help you with a diagnosis on that.  Good luck!

Mennen T. Gallas, MD
Katy Plastic Surgeon

Uneven or asymmetrical breasts

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Breast asymmetry is very common so don't feel that you are different. The solution from a surgical standpoint will depend on what volume you prefer. If the smaller volume is your preference then a reduction of the opposite breast would be necessary. If the larger volume is your preference then an augmentation with an implant probably would be required on the smaller side. Whether or not a reshaping procedure such as a breast lift would be dependent on your exam. I suspect that the pigmented area could be a pigmented mole or a portion of the areolar than formed outside of the nipple area. However, if it is something new or has changed in any way it should be seen by a dermatologist and possibly biopsied.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.4 out of 5 stars 19 reviews

Breast growth

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Each breast can grow differently, and they may stay that way. If you are not happy with the way they look, you can have a consultation with a  plastic surgeon to have surgery to correct the asymmetry.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Correcting breast asymmetry.

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Thank you for your question.


First and foremost you should know that breast asymmetry is extraordinarily common.  Many many women have significant asymmetry and this is normal.  There are a variety of options to correct asymmetry depending upon your goals.  In cases of asymmetry the natural breast  tissue can be altered, such as in breast lift and reduction.  In some cases if needed breast implants can be used to help improve upon asymmetry.

It is important that you see a board certified plastic surgeon so that you can learn your options and their consequences.  Your surgeon can also evaluate the lesion that concerns you.  It is something that cannot be diagnosed without photographs and is best seen in person.


Good luck.



Adam Tattelbaum, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 115 reviews

Options for correcting breast asymmetry

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All women have slight asymmetry between the left and right breast. When there is a large asymmetry, the options are 1) Reducing the larger breast to match the smaller breast, 2) Enlarging the smaller breast to match to the larger breast, 3) combination of both with or without lift.  It will depend on how large/small your breasts are as well as how they are shaped and how large you want to be.  You should wait until your breast size has stabilized.  Please visit with a board-certified plastic surgeon to discuss your options.

Breast Asymmetry

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Thank you for your question.

Yes, there are many options to help with breast asymmetry.  I would suggest visiting with well experienced plastic surgeons who can discuss all of your options with you and also show you examples.  Your options would be possible breast augmentation, possible breast lifting, possible breast reduction and/or some combination of the procedures.

It would be best discussed after a physical examination and best for the surgeon to know the goals you would like to achieve with the surgery (show photos of what you like).

Best wishes.

Treatment for asymmetry...

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Treatment for uneven breasts falls into one of three categories:

1. Make the large one smaller

2. Make the small one bigger

3. A combination.

Depending on your size, one of my favorite approaches is to make the breasts symmetric in volume and incisions and then augment both with the same size implant. The approach will of course depend on your anatomy. I cannot tell you about the brown patch without a photos. Good Luck


Brian Klink, MD
Vacaville Plastic Surgeon
5.0 out of 5 stars 100 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.