Congenital breast asymmetry — when one breast differs in size, shape or position from the other — is a condition that’s often first noticed during puberty. It's normal for almost all young women to experience a subtle variation in breast growth as they go through puberty, and most instances of asymmetry typically balance out over time.
However, the asymmetry can be more pronounced or permanent for some people and cause emotional discomfort or self-consciousness. Our expert plastic surgeon, Omar Beidas, MD, FACS, is here to answer common questions about breast asymmetry and explains surgical options to help women restore their confidence.
Diagnosing Congenital Breast Asymmetry
Since nearly all women experience some degree of asymmetry, it’s important not to jump to any conclusions that surgery is needed — because in many cases, it isn’t. Dr. Beidas explains. “Generally, when we use the diagnosis of congenital breast asymmetry, we refer to women who have a significant degree of asymmetry — like two different cup sizes or very different shapes — meaning that one breast developed in a much different shape or volume than the other.”
Smaller variations in size aren’t generally a cause for concern as these are considered within the realm of expected variations. Your doctor may recommend surgery if the difference is more apparent. Dr. Beidas continues, “I’ve seen some cases so severe that one breast was an ‘A’ and the other a ‘D’ cup.”
Most often, congenital breast asymmetry is inherited at birth and becomes obvious during or after puberty. “If a woman has completed puberty, it’s considered a permanent condition and is unlikely to correct naturally,” explains Dr. Beidas. “Generally, breasts stop developing around age 16 to 18.”
If you feel any of the above describes you and your condition is bothersome, reach out to your doctor to help you get you on track for the support you need.
Current Treatment Options for Congenital Breast Asymmetry
Surgery is the only way to offer a permanent solution for congenital breast asymmetry. There are a couple of options to consider.
When it comes to the surgery itself, patients can choose between breast implants or fat transfer, each coming with its own set of pros and cons. Dr. Beidas explains, “Depending on the chosen treatment, multiple rounds [of surgery] may be necessary and we can typically address one side or both, depending on the patient’s anatomy and ultimate goals.”
Breast implants are a good option for many patients, but they don’t usually last a lifetime. Dr. Beidas continues, “[For patients who choose implants], there are guidelines to monitor for a rupture. Given the young age of many of these patients, there is an almost certain chance they will need an implant exchange later in life.”
The alternate option, fat transfer, uses your own fat tissue to augment the breasts. “This technique generally requires two surgeries in your teenage years but will last a lifetime and not require any additional monitoring or replacement,” says Dr. Beidas.
Recovering from either procedure is a similar experience. He adds, “The recovery process is very straightforward, with most patients returning to work or school within two weeks.”
Your doctor can help you navigate your options and answer your questions so you can decide which path is ideal for you.
When to Consider Surgery
If you notice your breasts are developing disproportionately, a good time to begin talking with your doctor about it is around age 16 or 17. However, if you’re still developing, it may be best to delay surgical care until you’ve stopped growing.
“While it’s considered a ‘cosmetic’ surgery, most women with congenital breast asymmetry suffer from psycho-social distress because of the condition,” Dr. Beidas shares. “Studies show that women who undergo surgery see an improvement in their psychological stability and improved self-esteem.”
The most important thing for people with congenital breast asymmetry to remember is that help is available. “It’s especially crucial for parents to be supportive of their children and offer help if their child has congenital breast asymmetry and needs care,” shares Dr. Beidas. “Our office is here to support you in your journey as we have helped many other patients in the past.”
Helping You Find Your Confidence Again
We understand that navigating congenital breast asymmetry may feel uncomfortable; however, know you’re never alone and that we are sensitive to your feelings and needs. Our skilled team of plastic surgeons is dedicated to helping you feel like your best, most confident self. Request an appointment to learn more today.
