Introduction & Background

Breast reduction surgery is a procedure designed to decrease the size of large breasts that may cause physical discomfort, emotional distress, or health problems. For many women, excessively large breasts can lead to a variety of issues, including back, neck, and shoulder pain, rashes, posture problems, and even difficulty in performing certain physical activities.

The decision to undergo breast reduction surgery is often motivated by a desire to improve physical health, self-esteem, and overall quality of life. The procedure may be performed for both cosmetic reasons as well as to address health concerns.

Causes of Excessively Large Breasts

Excessively large breasts may develop due to a variety of causes:

1. Genetic Factors: One of the most common causes of large breasts is heredity. If your mother or grandmother had large breasts, you are more likely to develop them as well.
2. Hormonal Changes: During puberty, pregnancy, and menopause, women undergo hormonal changes that can lead to breast enlargement. Conditions like polycystic ovary syndrome (PCOS) may also contribute.
3. Obesity: Overweight individuals may experience an increase in breast size due to the accumulation of fatty tissue. While fatty tissue is common in breasts, an increase in body fat may disproportionately enlarge them.
4. Medications: Certain medications, such as those used for hormone replacement therapy, antidepressants, or birth control, can increase breast size as a side effect.
5. Congenital Factors: Some women may be born with disproportionately large breasts, which can cause discomfort or emotional distress from an early age.

Indications for Breast Reduction Surgery

Breast reduction surgery is indicated when large breasts interfere with a person’s daily life, cause physical or emotional discomfort, or lead to health problems. Common indications include:

1. Chronic Pain: Persistent pain in the back, neck, or shoulders due to the weight of large breasts.
2. Postural Problems: The weight of large breasts can lead to slouched or hunched posture, which can cause muscle strain.
3. Breast-Related Skin Issues: Rashes or skin irritation underneath the breast, especially in the crease where the skin rubs together.
4. Difficulty in Physical Activity: Excessive breast size may make it difficult to engage in physical activities like running, yoga, or sports.
5. Emotional Discomfort: Feelings of self-consciousness or embarrassment about breast size can affect one’s body image and mental health.
6. Physical Limitations: Difficulty fitting into clothing or participating in activities due to the size of the breasts.

Symptoms of Excessively Large Breasts

People with excessively large breasts may experience several physical symptoms, including:

1. Back, Neck, and Shoulder Pain: The weight of large breasts can cause significant pain in the back, neck, and shoulders due to muscle strain and poor posture.
2. Headaches: Tension headaches can occur from the strain on neck muscles.
3. Breast-Related Skin Irritation: Constant rubbing between the breast and skin underneath can lead to chafing, rashes, or fungal infections.
4. Numbness or Tingling: Large breasts may place pressure on nerves, leading to numbness or tingling sensations in the arms or chest.
5. Difficulty Finding Well-Fitting Clothes: A large bust size can make it difficult to find clothes that fit comfortably, which can cause frustration and emotional distress.

Prevention Strategies for Large Breasts

While there are limited ways to prevent naturally large breasts, the following lifestyle strategies may help:

1. Maintain a Healthy Weight: Since excess fat can contribute to large breast size, maintaining a healthy weight may prevent further breast enlargement.
2. Exercise: Regular physical activity, especially exercises that strengthen the back, shoulders, and core, can help alleviate some of the discomfort associated with large breasts.
3. Proper Posture: Maintaining good posture can reduce the strain on the back and neck, preventing some of the discomfort associated with large breasts.
4. Early Intervention: If you notice your breasts growing disproportionately during puberty or another hormonal change, seek medical advice early to explore options for management or prevention.

Myths and Facts About Breast Reduction Surgery

Myth 1: Breast reduction is only for women.

• Fact: Men can also undergo breast reduction surgery if they suffer from a condition called gynecomastia, which causes excess breast tissue growth.

Myth 2: Breast reduction leaves noticeable scars.

• Fact: While some scarring is inevitable, modern surgical techniques minimize visible scarring, and the benefits often outweigh the cosmetic concerns.

Myth 3: Breast reduction can affect your ability to breastfeed.

• Fact: Most women can still breastfeed after a breast reduction, although it may depend on the extent of the surgery and individual circumstances.

Myth 4: Breast reduction is purely cosmetic.

• Fact: Many women undergo breast reduction for health reasons, including chronic pain, skin irritation, and physical limitations.

Myth 5: The procedure is very painful and requires long recovery.

• Fact: Most patients report moderate pain after surgery, but it can be managed with medication, and recovery typically takes a few weeks.

Treatments and Therapy for Large Breasts

Medication-Based Treatments

• Pain Relievers: Over-the-counter medications like ibuprofen or acetaminophen can help manage the pain associated with large breasts.
• Hormonal Treatment: In some cases, doctors may recommend hormone therapy to balance hormone levels and potentially reduce breast size.

Surgical Treatments

1. Breast Reduction Surgery: The most effective treatment for excessively large breasts. It involves removing excess tissue, fat, and skin to create smaller, more manageable breasts.
2. Liposuction: For some patients, liposuction alone can be used to reduce the size of breasts, especially if the enlargement is primarily due to fatty tissue.

Physical Therapy and Rehabilitation

• Post-Surgery Rehabilitation: After surgery, patients often undergo physical therapy to help with posture, flexibility, and strengthening exercises. This aids in faster recovery and helps prevent complications.

Lifestyle and Behavioral Interventions

• Ergonomic Adjustments: Proper posture and ergonomically designed seating at work or home can reduce strain on the back, neck, and shoulders.

Alternative and Complementary Medicine

• Massage Therapy: Gentle massage can help reduce tension in the muscles of the back and shoulders.
• Acupuncture: Some women report relief from pain through acupuncture, although its effectiveness for breast-related issues may vary.

Psychotherapy and Counseling

• Mental Health Support: For individuals emotionally affected by the size of their breasts, therapy can help improve self-esteem and body image.
• Support Groups: Joining a support group with other women undergoing breast reduction can provide comfort and advice.

Immunizations and Vaccines

• Preventive Care: Regular check-ups and maintaining overall health can help prevent infections, especially post-surgery. Vaccinations, including flu and tetanus shots, may be advised.

Stem Cell Therapy

• While still in experimental stages, stem cell therapy holds potential for helping with tissue regeneration and healing in post-operative recovery.

Gene Therapy

• Though gene therapy has been explored for various conditions, it is not yet applicable to breast reduction.

Top 20 FAQs About Breast Reduction

1. What is breast reduction surgery?

Answer:
Breast reduction surgery, or reduction mammoplasty, is a procedure that removes excess fat, tissue, and skin from the breasts to reduce their size. It is done to alleviate physical discomfort and improve appearance.

2. Who is a good candidate for breast reduction?

Answer:
Good candidates for breast reduction are individuals experiencing physical discomfort (e.g., back, neck, or shoulder pain), emotional distress, or difficulty with physical activities due to large breasts. They should be in good overall health, have realistic expectations, and be non-smokers.

3. How long does the surgery take?

Answer:
Breast reduction surgery typically takes 2 to 4 hours, depending on the complexity and the amount of tissue being removed. The procedure is usually done under general anesthesia.

4. What are the risks of breast reduction surgery?

Answer:
Some risks include infection, scarring, changes in nipple sensation, blood clots, and asymmetry. In rare cases, complications such as excessive bleeding or poor healing of incisions can occur.

5. Will I experience pain after the surgery?

Answer:
Pain and discomfort are common after breast reduction surgery but can usually be managed with prescribed pain medications. Most patients experience soreness and swelling, which typically subside within a few weeks.

6. How long is the recovery period?

Answer:
The initial recovery period lasts about 1 to 2 weeks, during which patients should avoid strenuous activity. Full recovery can take about 6 to 8 weeks, but it may vary depending on the individual.

7. Can breast reduction affect my ability to breastfeed?

Answer:
While most women can still breastfeed after breast reduction, there is a possibility of reduced milk production. The ability to breastfeed depends on the extent of the surgery and whether the milk ducts or nipple were affected during the procedure.

8. Are there non-surgical options for reducing breast size?

Answer:
Non-surgical options include weight loss, as excess body fat can contribute to large breasts. Some hormonal treatments or medications may also impact breast size, but they are not guaranteed to work.

9. How can I prepare for breast reduction surgery?

Answer:
Preparing for surgery involves a physical examination, blood tests, and medical imaging. Patients should avoid smoking, certain medications (like blood thinners), and may need to arrange for post-surgery care and transportation home.

10. What is the cost of breast reduction surgery?

Answer:
The cost of breast reduction surgery varies depending on location, surgeon’s experience, and the complexity of the procedure. On average, it can range from $5,000 to $10,000, but many insurance plans may cover it if it is deemed medically necessary.

11. Will the scars be visible after surgery?

Answer:
Scarring is a normal part of the healing process after breast reduction, but skilled surgeons can minimize the visibility. Scars are usually located around the areola, vertically down the breast, and along the breast crease. They fade over time but may be permanent.

12. Can men undergo breast reduction surgery?

Answer:
Yes, men can undergo breast reduction surgery, particularly if they have a condition called gynecomastia, where excess breast tissue develops due to hormonal imbalances. The procedure is similar to that of women but typically involves less tissue removal.

13. How soon will I see results after surgery?

Answer:
Patients usually see the results immediately after the surgery, with significantly smaller breasts. However, swelling and bruising may obscure the final outcome, which fully becomes visible after about 3 to 6 months.

14. What type of anesthesia is used during the procedure?

Answer:
Breast reduction surgery is typically performed under general anesthesia, meaning the patient will be asleep and pain-free during the procedure. In some cases, local anesthesia with sedation may be used, but this is less common.

15. Will my breasts return to their original size over time?

Answer:
Once the excess tissue is removed, the size of the breasts should remain stable. However, weight changes, pregnancy, or hormonal shifts can influence breast size over time.

16. Can I get a breast lift along with breast reduction?

Answer:
Yes, breast reduction surgery often includes a breast lift (mastopexy) to reposition the nipple and tighten the skin, enhancing the shape and appearance of the breasts. A lift can be done simultaneously with the reduction procedure for better results.

17. How should I care for my breasts after surgery?

Answer:
Post-surgery care includes wearing a supportive bra, taking prescribed medications, avoiding heavy lifting or strenuous activity, and following the surgeon’s guidelines for cleaning and dressing the surgical sites. Keeping follow-up appointments is also essential.

18. Can I return to work right after the surgery?

Answer:
Most patients can return to work within 1 to 2 weeks, depending on the type of work. If the job is physically demanding, a longer recovery period may be needed. Lifting, bending, or strenuous activities should be avoided during the initial recovery phase.

19. What happens if I gain weight after breast reduction?

Answer:
If you gain weight after breast reduction, your breasts may enlarge again since they contain fatty tissue. It’s essential to maintain a healthy weight to keep the results of the surgery. Regular exercise and a balanced diet can help maintain the outcome.

20. Is breast reduction covered by insurance?

Answer:
In some cases, breast reduction surgery is covered by insurance if it is deemed medically necessary. This typically requires proof of chronic pain, skin irritation, or other health issues related to the size of the breasts. Cosmetic breast reduction, however, is usually not covered.

Conclusion

Breast reduction surgery offers significant relief for individuals experiencing discomfort from excessively large breasts. It can provide both physical and psychological benefits by improving quality of life and boosting self-esteem. The procedure is highly effective in addressing chronic pain, postural problems, and emotional distress, with a relatively fast recovery time. However, it’s essential to understand the potential risks and carefully consider all treatment options.

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Introduction & Background

A breast lift, also known as mastopexy, is a cosmetic surgical procedure designed to raise and firm the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. As women age, or following significant life changes such as pregnancy, breastfeeding, weight fluctuations, or genetics, the breasts may lose their youthful shape and elasticity. A breast lift restores the breasts to a more youthful position and shape, enhancing the overall appearance of the breasts.

This procedure can be performed independently or in combination with breast augmentation (using implants) for added volume. It’s important for individuals to understand both the physical and emotional aspects of the procedure, as well as the recovery process and potential risks.

Causes of Sagging Breasts

Breast sagging, also known as ptosis, can occur due to various factors:

1. Aging: As women age, the skin loses elasticity, and the breast tissue naturally becomes less firm and begins to sag.
2. Pregnancy and Breastfeeding: Pregnancy causes the breasts to enlarge and then shrink back down after childbirth, which can stretch the skin. Breastfeeding can exacerbate this effect.
3. Significant Weight Loss: Losing a significant amount of weight can result in a loss of volume and skin elasticity, leading to sagging.
4. Genetics: Some women may be genetically predisposed to having breasts that naturally sag due to the way their skin and tissues respond to gravity and aging.
5. Hormonal Changes: Hormonal fluctuations during menopause or certain medical conditions can also contribute to breast sagging.
6. Gravity: Over time, gravity can affect the breast tissue, especially for women with larger breasts.

Indications for Breast Lift Surgery

While many women choose breast lift surgery for aesthetic reasons, several indications point toward considering the procedure:

1. Loss of Breast Shape and Firmness: If the breasts have lost their youthful shape and firmness due to aging, pregnancy, or weight loss, a breast lift can restore volume and contour.
2. Nipple Position: A breast lift is indicated when the nipples point downward or fall below the inframammary fold (crease of the breast).
3. Asymmetry: If one breast has a lower position than the other, a breast lift can help to restore balance.
4. Sagging: Breasts that sag or droop may not only affect appearance but can also cause physical discomfort, including back and shoulder pain. A breast lift can provide relief in these cases.
5. Improved Clothing Fit: Some women may choose a breast lift to enhance how clothes fit, making them more comfortable and flattering.

Symptoms of Breast Sagging

Breast sagging is generally identified visually, but some common symptoms include:

1. Downward Pointing Nipples: When the nipples face downward or below the breast fold, it is a sign of sagging.
2. Increased Breast Tissue: Loose, excess skin can result in a drooping appearance and the feeling of “deflation.”
3. Back and Shoulder Pain: Larger, sagging breasts can contribute to postural problems and discomfort in the back and shoulders.
4. Discomfort While Wearing Certain Clothing: The shape and position of the breasts may lead to difficulties wearing certain clothing or feeling uncomfortable in swimsuits or bras.

Prevention Strategies of Breast Sagging

While some degree of breast sagging is inevitable with age or following pregnancy, there are several ways to minimize the effects:

1. Wear a Supportive Bra: Wearing a well-fitting bra with proper support, especially during physical activities, can reduce the strain on breast tissue.
2. Maintain a Healthy Weight: Avoiding rapid weight gain or loss can help maintain breast shape and prevent skin from stretching.
3. Exercise: Strengthening the pectoral muscles underneath the breasts can provide extra support and improve overall breast appearance.
4. Avoid Smoking: Smoking can reduce skin elasticity, leading to premature aging and sagging.
5. Use Moisturizers: Keeping the skin on the breasts moisturized can help maintain skin elasticity and firmness.
6. Healthy Diet: Consuming a diet rich in antioxidants and vitamins can support skin health and prevent premature aging.

Myths and Facts About Breast Lifts

Myth: A breast lift will always leave noticeable scars.

Fact: While a breast lift involves incisions, skilled surgeons can place these incisions strategically to minimize their visibility. Scarring varies by individual but typically fades over time.

Myth: A breast lift can prevent future sagging.

Fact: While a breast lift improves the position and shape of the breasts, gravity and aging will continue to affect breast tissue. It is not a permanent solution but can last for many years with proper care.

Myth: A breast lift is the same as breast augmentation.

Fact: A breast lift addresses sagging and restores shape but does not add volume. Breast augmentation adds volume via implants or fat transfer, often combined with a lift for the best results.

Myth: Breast lifts are only for older women.

Fact: Breast lifts are suitable for women of all ages who have experienced sagging due to pregnancy, breastfeeding, weight loss, or other factors.

Treatments and Therapy for Breast Sagging

Medication-Based Treatments

There are no medications specifically designed to lift or reshape sagging breasts. However, certain topical creams and lotions claim to firm skin, but they provide limited results. There is no proven drug treatment that can replace surgery for a breast lift.

Surgical Treatments

1. Traditional Breast Lift (Mastopexy): This is the most common method, involving the removal of excess skin, repositioning of the nipple, and lifting the breast tissue to create a more youthful appearance.
2. Breast Augmentation with Lift: For those seeking both volume and elevation, breast implants can be added during a lift surgery.
3. Vertical Mastopexy: This technique involves smaller incisions and is ideal for those with mild sagging. It lifts the breasts while minimizing scarring.
4. Scarless Breast Lift: In some cases, surgeons can perform a breast lift with minimal incisions, depending on the amount of lift needed.

Physical Therapy and Rehabilitation

After surgery, physical therapy may be necessary to help with the recovery process. Gentle exercises can improve circulation, flexibility, and comfort while helping the healing process. Stretching and strengthening exercises can be beneficial once cleared by a surgeon.

Lifestyle and Behavioral Interventions

Maintaining a healthy lifestyle with regular exercise, weight management, and proper nutrition can support the long-term effects of a breast lift. Wearing a supportive bra regularly can help keep the results intact.

Alternative and Complementary Medicine

Some women explore alternative treatments like herbal supplements or creams designed to enhance breast firmness, although these are typically unproven. Acupuncture and massage therapy may provide relaxation and support overall well-being during recovery but do not directly impact the breast’s shape.

Psychotherapy and Counseling

A breast lift can have psychological benefits, especially for women who feel self-conscious about the appearance of their breasts. Therapy or counseling may help address any emotional concerns related to body image and self-esteem.

Immunizations and Vaccines

Immunizations are not related to breast lift surgery, but ensuring good overall health with vaccinations can help with the healing process after any surgery.

Stem Cell Therapy

Research is ongoing into the use of stem cells to regenerate tissue, including breast tissue. While promising, stem cell therapy for breast augmentation or lifting is not yet a standard practice.

Gene Therapy

Gene therapy remains a speculative area of research for breast tissue regeneration. This type of therapy is still in its infancy and not a part of current breast lift treatments.

Top 20 FAQs About Breast Lifts

1. What is a breast lift?
   • Answer: A breast lift, or mastopexy, is a surgical procedure designed to raise and firm the breasts by removing excess skin, tightening surrounding tissue, and reshaping the breast contour. It’s typically performed to address sagging and restore a more youthful appearance.

2. Am I a good candidate for a breast lift?
   • Answer: Ideal candidates for a breast lift are women who have experienced sagging due to aging, pregnancy, weight loss, or genetics. Women who are in good health, not pregnant or breastfeeding, and have realistic expectations about the procedure and recovery are typically suitable candidates.

3. How long does a breast lift last?
   • Answer: While a breast lift can last for several years, the effects of gravity, aging, weight fluctuations, and hormonal changes can lead to gradual sagging over time. Proper skincare, maintaining a healthy weight, and wearing a supportive bra can help maintain the results.

4. Does a breast lift leave scars?
   • Answer: Yes, breast lift surgery involves incisions, and as with any surgical procedure, scarring is inevitable. However, experienced surgeons place incisions in discreet areas (such as around the areola, vertically, or along the breast fold) to minimize visible scarring. Over time, scars typically fade.

5. Can I breastfeed after a breast lift?
   • Answer: Most women can breastfeed after a breast lift, but it depends on the technique used and the extent of the surgery. The more extensive the lift, the higher the chance that milk ducts could be affected. It’s important to discuss your plans for breastfeeding with your surgeon beforehand.

6. How much does a breast lift cost?
   • Answer: The cost of a breast lift varies depending on the surgeon’s experience, location, and the complexity of the procedure. On average, a breast lift can cost between $4,000 and $8,000, not including anesthesia, surgical facility fees, or post-operative care.

7. What is the recovery time for a breast lift?
   • Answer: Recovery typically takes about 1 to 2 weeks for initial healing, with most patients returning to light activities after this period. Full recovery, including resuming strenuous exercise, may take 6 to 8 weeks. Swelling and bruising may last for several weeks after surgery.

8. Can I combine a breast lift with breast implants?
   • Answer: Yes, many women choose to combine a breast lift with breast augmentation to achieve both a more youthful shape and increased volume. This is often done to address sagging while also enhancing breast size.

9. Is a breast lift painful?
   • Answer: Most patients experience discomfort during the recovery period, which can be managed with prescribed pain medications. The pain typically subsides within the first few days to a week, with some residual soreness lasting for a few weeks.

10. What are the risks of a breast lift?

• Answer: Like any surgery, a breast lift carries potential risks, including infection, bleeding, scarring, changes in nipple sensation, asymmetry, or issues with wound healing. It’s important to follow your surgeon’s aftercare instructions to minimize risks.

11. Will my breasts look natural after a lift?

• Answer: Yes, when performed by an experienced surgeon, a breast lift should create natural-looking results that are proportional to your body shape. The breasts will appear firmer and more youthful, with minimal scarring if done correctly.

12. How do I choose a surgeon for a breast lift?

• Answer: When selecting a surgeon, it’s crucial to choose someone who is board-certified, has experience with breast lift procedures, and has a proven track record of successful outcomes. Look for patient reviews, before-and-after photos, and ensure you feel comfortable with the surgeon during consultations.

13. Can a breast lift fix asymmetry?

• Answer: Yes, a breast lift can help address mild to moderate breast asymmetry. During the procedure, the surgeon can adjust the position of the breasts to make them more symmetrical. However, significant differences in size may require additional treatments like breast augmentation.

14. What is the difference between a breast lift and breast augmentation?

• Answer: A breast lift focuses on raising and reshaping sagging breasts, while breast augmentation involves adding volume with implants. A breast lift does not increase breast size, but it can be combined with augmentation for a more comprehensive enhancement.

15. How long should I wait to return to work after surgery?

• Answer: Most patients can return to work within 1 to 2 weeks after a breast lift, especially if their job doesn’t require physical labor. If your work involves strenuous physical activity, you may need to take 4 to 6 weeks off to ensure full recovery.

16. What kind of anesthesia is used during a breast lift?

• Answer: Breast lift surgery is typically performed under general anesthesia, meaning you will be asleep during the procedure. In some cases, a local anesthetic with sedation may be used, depending on the complexity of the surgery and the surgeon’s approach.

17. Can I exercise after a breast lift?

• Answer: It’s essential to avoid vigorous physical activity, such as heavy lifting or intense exercise, for at least 4 to 6 weeks after surgery to allow the tissues to heal. Light walking and low-impact activities can typically be resumed sooner, with clearance from your surgeon.

18. Will a breast lift affect my nipple sensation?

• Answer: Some changes in nipple sensation can occur after a breast lift due to the repositioning of the nipple and areola. These changes are usually temporary, but in rare cases, permanent changes can occur. Your surgeon will discuss the risks of altered sensation during your consultation.

19. How do I care for my breasts after surgery?

• Answer: After surgery, it’s essential to follow your surgeon’s aftercare instructions. This includes wearing a supportive bra, avoiding strenuous activities, keeping the incisions clean and dry, and attending follow-up appointments. You may also be prescribed pain medication or antibiotics.

20. What are the long-term effects of a breast lift?

• Answer: The long-term effects of a breast lift include firmer, higher-positioned breasts that can last for many years. However, future sagging may occur due to aging, weight fluctuations, or gravity. The results can be maintained with proper care, including a healthy lifestyle and avoiding extreme weight changes.

Conclusion

A breast lift is a transformative procedure that can enhance both the physical appearance and emotional well-being of individuals seeking to restore the youthful shape of their breasts. While there are various factors to consider, such as the risks, recovery time, and potential costs, the procedure can offer significant benefits for those bothered by sagging or drooping breasts. By understanding the procedure, its causes, and treatment options, individuals can make informed decisions to achieve their desired results and regain their confidence.

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I’ve heard people say that it’s a common thing for a woman’s left breast to be bigger than her right, but I wasn’t sure if it was true or what the science was behind it. However, when I’d ask my friends about it, they mostly agreed it was also true for them. So why is this the case and what does it mean? Here’s the inside scoop.

“The majority of women have asymmetrical breasts—some women realize it, but many do not,” says Concord, CA plastic surgeon Eric Mariotti, MD. “One study found that 91 percent of women have some asymmetry, whether it is regarding volume, the height of the nipples, or the chest wall. Most of the time these differences are very subtle, but other times they can be quite obvious. As a plastic surgeon who specializes in breast surgery, it is part of my job to educate women about them either way.”

Dr. Jessica A. Shepherd, director of Minimally Invasive Gynecology at the University of Illinois at Chicago says the most common reason for asymmetry is hormonal changes. “Breast asymmetry is typically seen in puberty where there are rapid growth spurts, and it is possible that one breast responds more to surging estrogen levels than the other.” Dr. Mariotti agrees. “One breast may have a different percentage of true breast tissue versus fatty tissue, and may therefore react to hormonal changes differently,” he says. “Genetics also play a big role: If a woman’s mother or grandmother had asymmetrical breasts, the chances are higher that she may have asymmetry as well.”

In addition to hormonal changes during puberty, the body’s physical development can also affect the appearance of the breasts. “Any bit of scoliosis in the spine can not only make the breasts appear uneven, but if the scoliosis appears during puberty, the development of the breasts can also be different,” says Pasadena, CA plastic surgeon Lily Lee, MD. “Similarly, the shape of a person’s rib cage might not be the same from right to left. Even if a person’s breasts are exactly the same size and shape, if the foundation that they sit on (rib cage) is uneven, the breasts will appear uneven.” Houston plastic surgeon Henry Mentz, MD says a woman’s athleticism can influence the share of her rib cage as well. For those who are very athletic, “the left rib cage may be slightly higher than the right because the heart and surrounding muscles have lifted the rib cage slightly. Many people have this condition,” he says. “Some patients who are right-handed or left-handed may also have a difference in the fullness of their muscle on the corresponding side, especially if they play sports where they predominantly use one hand, such as tennis.”

Grand Rapids, MI, plastic surgeon Bradley Bengtson, MD sums it up plain and simple: “One of my favorite professors used to tell me, ‘Breasts are sisters, not twins,’ and I tell my patients that too.”

There haven’t been many legit studies on breast size, but Dr. Shepherd finds a couple especially interesting: “One study in particular was done with 100 women who desired breast augmentation, and of those women, 88 percent had natural asymmetries. Also seen in a study published in the Annals of Plastic Surgery, 600 women were evaluated, and it was found that the left breast was larger.” 

So, if your left breast is larger than your right, no need to fret. It appears to be one of those unexplainable anatomical mysteries that affects many women of all different shapes and sizes for no good reason. But, if your asymmetry is significant and it bothers you, there are several ways it can be corrected.

FAT TRANSFER
“For mild asymmetry, we use fat transfer because we can shape the smaller breast and add small increments of volume where we want it,” says Dr. Bengtson. Fat transfer involves removing fat from one area of the body that has excess (typically the abdomen or thighs), cleaning it up and then injecting it into volume-deficient areas. Many doctors prefer using fat over other options because it’s from the patient’s own body, has a natural look and feel, and typically comes with a lower risk of complications.

BREAST IMPLANTS
If the symmetry is more significant, a breast implant can be used to create balance. “Implants are usually 30–40 cc different in volume for the next implant size up or down so we can definitely dial in and make breasts more symmetrical. In addition, we have four different projections of implants, so in patients with rib and chest wall deformities (which is extremely common), we can alter projection of the implant and thus the breast as well,” explains Dr. Bengtson. Adds Dr. Lee, “We now have such a range in sizes and shapes of breast implants that we can get asymmetries closer than ever before.” 

Dr. Mariotti adds that because no two cases are identical, “these types of procedures take a surgeon with lots of experience with breast surgery to get right.” It’s important to find a board-certified plastic surgeon who is qualified and can show you before-and-after images of other patients.

A high-tech benefit for patients interested in correcting asymmetries with implants is the Vectra 3-D imaging system. “Vectra takes several 3-D photographs with a special camera and analyzes them in the computer to show differences in size and shape of the breasts and provide guidance in breast augmentation regarding the size, shape and placement of the implants,” Dr. Mentz explains. “It’s very useful and precise, and it’s illuminating for patients to see themselves with accurate measurements and views from above, below and to the side. It also allows them to see themselves with a bathing suit top on or without to see if the implant size suits them.”

BREAST LIFT
A surgical lift can be done without inserting a breast implant in many cases, especially if it’s to correct uneven nipples. “Sometimes one nipple may be lifted more than the other, and when the nipple position is more than 20 millimeters higher than the other side, a breast lift can help even things out,” explains Dr. Mentz. If it’s the nipples themselves that are different sizes, they can be surgically altered to match as well.

Because breast asymmetries are so common, it’s important to be aware of what is a “normal change” in your breast size and what isn’t. Recognizing signs of breast cancer, which will affect one in nine women in their lifetime, is crucial for women. “Be sure to talk to your doctor if you have changes in how your breasts look or feel, such as a lump or firm feeling that is near your breast or under your arm,” says Dr. Shepherd. “Also check for nipple discharge or changes that do not look like milk and are possibly bloody. Another sign could be skin on your breasts that is itchy, red, scaling, dimpled or puckered.”

The post What It Means When Your Left Breast Is Bigger Than Your Right appeared first on MyMedicPlus.