Serious difference in size of each of breast

I'm 15 years old. I'm a 38D in my right breast, but I'm about a 38C in my left breast. It's very noticeable, and at first it only bothered me because of how they appear, but now since they're very uneven it's starting to hurt my left shoulder and back area. I know it's normal for one breast to be bigger than the other but not this much bigger right? I also know that there can be an exception with age if there's a breast deformity. What would be considered a deformity and would this possibly be considered one? They have been this size since I was about 13. Even though I'm under the age of 18 is it still possible for me to do something surgically about it? Please answer.

You have a condition which is not uncommon and very treatable. At your age the breasts have not yet finished their development. Consequently, if possible I would try to delay having anything done until the development is complete. That will prevent having something done and then possibly needing a revision later after complete breast development.

That having been noted, I have treated a number of young women in your situation. For these women waiting was not really an option. The amount of asymmetry was enough to be noticeable in their clothing and especially in their swimwear. Because of this they were not able to participate in normal recreational activities at the lake, beach etc without being excessively self conscious and surgery was justified to allow them to continue a normal lifestyle.

There a number of treatment/surgical options. Discuss your concerns in detail with your parents and if they agree, seek out a board certified plastic surgeon for a consult. You're already on the right track by looking the ASAPS website. All the plastic surgeons who are ASAPS members are board certified in plastic surgery and have demonstrated a particular interest in cosmetic surgery. Although your situation is not strictly cosmetic, the experience and skills needed for cosmetic breast surgery are invaluable in being able to get you a pretty result.

Best wishes!

Alexander G. Nein MS, MD
Alexander G. Nein MS, MD
2400 Patterson StNashvilleTN37203US

Alexander G. Nein MS, MD

2400 Patterson Street, Suite 202, Nashville,
TN, 37203, US

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You are correct that sometimes large differences in breast size is considered a condition called Breast Asymmetry. Sometimes these differences can result in back pain, neck pain, difficulty with clothing choices and daily activities such as exercise. Although you are young, it would be reasonable to see a Board Certified Plastic Surgeon with your parents to be evaluated for a possible future procedure to correct the asymmetry. In order to make the breasts more even, sometimes the smaller breast is enlarged with an implant or the larger breast is reduced with surgery. Sometimes both of these procedures are required and even sometimes a lifting procedure is performed if one side droops more than the other. The timing of the surgery will depend on your growth status and whether you and your parents feel you are ready. The good news is most of the time the symmetry is improved enough that you can look even in clothing and bathing suits. Patients who have these procedures are typically very satisfied

David L. Mobley MD, FACS
David L. Mobley MD, FACS
2255 S Tamiami TrailSarasotaFL34239US

David L. Mobley MD, FACS

Sarasota Plastic Surgery,
2255 S. Tamiami Trail, Sarasota, FL, 34239,
US

You are correct in that breasts are generally not symmetric. However prior to performing surgery for asymmetry it is best to make sure the breasts are no longer increasing in size. Generally that means no change in size for 1 year as surgery will not "prevent" your breasts from growing. Once your breast size is stable, options include making the larger side smaller (with a reduction) or increasing the smaller side (with an implant). Meeting with a plastic surgeon can help you determine which option would work best for you. After deciding how you want to proceed, your request could be submitted to insurance to see if they will cover the cost of the surgery or you would need to pay for the procedure.

Hope this helps. Good luck ...

Dr. Luong

Jacqueline A. Luong MD
Jacqueline A. Luong MD
6545 France Ave SEdinaMN55435US

Jacqueline A. Luong MD

6545 France Avenue S., Suite 350, Edina, MN,
55435, US

In cases of size difference between the breasts, it's best to wait until the breast growth is complete before one considers surgery to fix the problem. In most patients, breast growth is complete by 18 years of age, but in some cases, it will not be. If you go 1-2 years without a change in your breast size, then your growth is probably complete. If it's noticeable, then it's probably worth learning more about your surgical options. If the asymmetry is small, it's often not considered a big enough problem to warrant surgery (no two breasts are exactly alike anyway).

Reza Momeni MD, FACS
Reza Momeni MD, FACS
1 Diamond Hill RdBerkeley HeightsNJ07922US

Reza Momeni MD, FACS

1 Diamond Hill Road, Berkeley Heights, NJ,
07922, US

Thanks for your question. As you begin/continue to develop it is likely that things will continue to evolve and become more alike. Once you are 18, it reasonable to assess and see if there is enough of an asymmetry to consider surgical correction. No one will want to do anything prior because there is still a chance things can change. If surgery was done prematurely and things changes for the worse, this might be hard to correct. This size is not enough however to cause symptoms usually. Insurance will not cover a reduction unless there is quite a lot to remove.

M. Scott Haydon MD
M. Scott Haydon MD
4701 Bee Cave RdWest Lake HillsTX78746US

M. Scott Haydon MD

4701 Bee Cave Road, Suite 202, Austin, TX,
78746, US

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Yes, marked breast asymmetry is considered a deformity, especially with symptoms. See a board certified plastic surgeon with your parents. You will have to accept the problems that go with the procedure including perhaps problems in future breast feeding, but most are very willing to do so. I have done many young girls like you over the years and all have been very grateful.

Robert T. Buchanan MD
Robert T. Buchanan MD
209 Hospital DrHighlandsNC28741US

Robert T. Buchanan MD

209 Hospital Drive, Suite 202, Highlands,
NC, 28741, US

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My experience is that insurance will not cover this because they deem it cosmetic. It is best to see a Member of the Aesthetic Society for an examination and more information.

Robert Whitfield MD, FACS
Robert Whitfield MD, FACS
7200 Wyoming Springs DrRound RockTX78681US

Robert Whitfield MD, FACS

7200 Wyoming Springs, Suite 1400,
Round Rock, TX, 78761, US

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