Breast asymmetry can be caused by a variety of factors, including growth during puberty, weight fluctuations, pregnancy, and medical conditions. Surgery is often used to treat noticeable differences in breast size or shape, but carries risks such as scarring and complications.
Breast asymmetry is a disorder characterized by one breast that is significantly larger or smaller than the other. A number of factors contribute to unevenly sized breasts. Doctors usually treat breast asymmetry with surgery.
Most women don’t have perfectly symmetrical breasts. The differences between the breasts are usually subtle and do not significantly affect a woman’s quality of life. Breasts that are noticeably different in size or shape can cause significant emotional and self-esteem issues.
Breast asymmetry occurs for a variety of reasons. Unevenly placed breast implants, previous surgical procedures, or faulty cosmetic surgery can lead to asymmetry. Growth during puberty and weight fluctuations also contribute to differences in breast size, as do pregnancy and breastfeeding.
Several medical conditions also cause breast asymmetry. Poland syndrome, for example, is a condition that appears in adolescent girls. It is characterized by a lack of pectoral muscles and the absence of breast development on one side of the body. The nipple or areola may also be absent. Other conditions include scoliosis, or curvature of the spine, and scleroderma, an autoimmune disease of the connective tissue.
Cosmetic surgeons treat breast asymmetry by enlarging one breast or reducing the other so that the two sides are proportionate and evenly matched. Breast reduction surgery reduces the size of the largest breasts. It usually takes two to four hours and is done while the patient is under anesthesia. The surgeon makes a T-shaped or anchor incision on the underside of the breast. He removes excess breast tissue and repositions or resizes the nipple as needed to match the other breast.
Breast enlargement or augmentation surgery enlarges the size of smaller breasts. This procedure usually takes less than two hours and is also performed under anesthesia. The surgeon makes a small incision in the nipple, under the breast, or in the armpit. He or she inserts an implant and aligns it as closely as possible to the size and shape of the other breast.
Breast asymmetry surgical procedures carry the risk of complications, and many doctors do not perform breast surgery on women under the age of 18, depending on the type and severity of the disorder. Both procedures will leave scars on the breasts and the scar tissue can thicken. Other risks include leaking implants, loss of sensation in the nipple, and possible infection or bleeding. Breast asymmetry surgery does not usually result in perfectly matched breasts, but it can increase a woman’s self-esteem and satisfaction with her body.
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