Inequality between the two breasts can arise for a number of reasons. The disparity may be volume, shape or both. It can be very mild or quite pronounced. It can arise because of developmental changes affecting one or both breasts or the effect of age on one or both of the breasts. It is important to realise that no woman has completely symmetrical breasts and this is perfectly normal. The individual’s perceptions determine the point at which asymmetry becomes a problem. The most marked examples come as part of a recognised developmental problem such as tubular breasts, Poland syndrome or breast agenesis.
Surgical approaches use all of the techniques outlined in this website, choosing those which will give the patient their desired outcome. It is a highly personalized treatment and must follow clear and frank discussions between the patient and her surgeon. Surgery must be undertaken with a realistic expectation of what can be achieved. Also, patients must be aware that two or more visits to the operating theatre may be necessary.
Figure: mild to moderate asymmetry: the right breast appears normal but the left breast is slightly too large and more ptotic.