Symmetrization of the contralateral (healthy) breast
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Breast asymmetry - can it be corrected?

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Dr. Konrad Kochan

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Dr. Konrad Kochan

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Published on

February 12, 2025

The diagnosis of breast asymmetry is usually based on history and physical examination. The plastic surgeon examines the patient's shoulders, chest, back and posture. In most cases, breast asymmetry is idiopathic, meaning that its cause is unknown, answers Dr. Konrad Kochan of dr Szczyt Clinic. In certain situations, asymmetry can be caused by abnormalities in the development of the mammary gland, for example: tubular breast, amastia, Polanda Syndrome, congenital breast hypoplasia or breast tumors.

When are we talking about breast asymmetry worth correcting? - answers Dr. Konrad Kochan of Dr Szczyt Clinic

Breast asymmetry occurs when one breast is larger, more droopy, has a different shape or position of the nipple compared to the other. It is a common phenomenon that in most cases does not require intervention. However, in situations where the differences are pronounced, it can lead to:

  • Difficulties in selecting bras and clothes - asymmetrical breasts require specially tailored underwear or custom fashion solutions,
  • lowered self-esteem - visible asymmetry causes psychological discomfort and lack of acceptance of one's own body,
  • physical discomfort - a difference in breast size can lead to uneven strain on the spine, back or shoulder pain,
  • Health consequences - in some cases, breast asymmetry is the result of hormonal changes, abnormal development of the mammary gland or other conditions.

The motive for correcting bust asymmetry is both aesthetic and health reasons. Thanks to modern methods, it is possible to compensate for the differences in a customized manner, restoring the natural harmony of the figure and improving the comfort of life.

Read also: Beautiful breasts after pregnancy and breastfeeding - what to do to get them back?

Correction of breast asymmetry - plastic surgery as the most effective solution?

Thanks to the development of plastic surgery techniques, correction of breast asymmetry is an effective, permanent and safe solution that allows patients to regain the proportional appearance of their breasts and improve the comfort of their lives. The operation offers the possibility to adjust the size, shape and position of the breasts to individual needs, and allows simultaneous shaping of the bust and improvement of its firmness ," explains Dr. Konrad Kochan.

Every surgical procedure is preceded by a thorough consultation with a plastic surgeon. This is also the moment when the specialist presents recommended methods, which include:

  • smaller breast augmentation - using silicone implants or fat grafting,
  • Reducing the larger breast - for a more symmetrical effect,
  • Breast symmetrization - matching the shape and volume of both breasts,
  • Bust modeling and lifting - improving the firmness and shape of the breasts, especially in the case of asymmetry associated with sagging of one of them,
  • Correction of the position of the nipples - in the case of an apparent difference in their position.

Read also: In what situations is it a good idea to reduce the bust?

Methods of correcting breast asymmetry

The choice of surgical technique depends on the individual patient's expectations and the degree of asymmetry , explains Dr. Konrad Kochan of dr Szczyt's clinic. 

  • Silicone implants are one of the most popular techniques, allowing precise adjustment of breast shape and size. Modern implants are available in a wide range of sizes and profiles for a natural effect.
  • Own fat transplantation (lipotransfer) is a method of taking fat from another part of the body (e.g. abdomen, thighs) and transplanting it to the breasts. It is ideal for women who want to subtly even out asymmetry, without increasing the volume of the breasts.
  • Larger breast reduction involves the removal of excess fat, glandular tissue and skin to bring the size of the larger breast in line with the smaller one. It can be combined with a breast lift, further improving the appearance of the breasts.
  • Correcting the position ofthe nipples - breast asymmetry often includes a difference in the position of the nipples. During surgery, the surgeon can gently modify their position, which gives the breasts a more harmonious appearance.

Read also: Which breast implants to choose - round or anatomical?

What are the effective methods of correcting breast asymmetry - from exercises to modern surgical procedures. How to achieve a proportional silhouette?

Breast asymmetry correction surgery is a procedure that corrects differences between the breasts, if they are noticeable. Small differences between the breasts are normal, but if these differences are greater than the size, shape or position of one or both breasts, the breasts can be altered to make them more equal, explains Dr. Konrad Kochan of Dr Szczyt's clinic.

Depending on the size of the difference between the breasts and individual breast characteristics, there are several options - these include augmentation of the smaller breast (breast augmentation with breast implants or fatty tissue), reduction of the larger breast (breast reduction), augmentation or reduction of both breasts, or raising drooping breasts to the correct position (breast lift). For such procedures we use breast implants and lipotransfer but most often we combine both surgical techniques. Large defects sometimes require 2 or 3 stages of treatment.

Read also: Breast augmentation with implants - how does the procedure and recovery go?

Breast asymmetry - can it be corrected?

A slight difference in the size or shape of the breasts is completely natural and occurs in most women, explains Dr. Konrad Kochan. However, when breast asymmetry is visible, causes aesthetic discomfort, but also makes it difficult to choose lingerie and clothes, many women wonder if something can be done about it. Fortunately, plastic surgery today has effective ways to compensate for asymmetry. There are solutions that make it possible to achieve a harmonious and proportional appearance.

Breast asymmetry - is it worth correcting?

Although slight differences in breast size, shape or position are perfectly natural and part of each body's unique constitution, in some cases they affect self-esteem, daily comfort and even health. In a world where aesthetics and proportions are increasingly important, women are paying more attention to the proportion of their appearance, seeking effective methods to correct breast asymmetry.

Breast asymmetry is not always limited to a difference in volume - it often involves the position of the nipples as well, notes Dr. Konrad Kochan of dr Szczyt Clinic dr Szczyt One nipple may be much higher or lower than the other, which is particularly noticeable in fitted clothing or swimwear. In such cases, correction includes not only alignment of breast size, but also nipple lift to achieve a more symmetrical breast appearance.

What causes breast asymmetry?

Breast asymmetry can have a variety of causes - from the natural processes of maturation, to hormonal factors, to congenital defects or diseases. Understanding the cause helps in selecting appropriate correction methods and assessing whether medical intervention is necessary.

Maturation and natural breast development

In most women, breasts develop unevenly, especially during puberty. One breast may grow faster, leading to temporary asymmetry, which often disappears once the growth process is complete. In some cases, however, the differences persist permanently. If breast size is stable for more than 12 months, surgery may be considered.

Influence of hormones

Hormones have a significant impact on breast development and changes. During pregnancy and lactation, breast asymmetry often worsens because one breast can produce more milk than the other, resulting in a larger size. Usually after lactation ends, the breasts gradually return to their previous appearance, but in some cases the differences remain visible.

Congenital defects and Polanda syndrome

Some women are born with breast asymmetry resulting from congenital defects. An example is Polanda syndrome, which is characterized by underdevelopment of one breast and the pectoral muscles on one side of the body. In such cases, surgical breast reconstruction is necessary to restore the natural shape and symmetry of the breast.

Scoliosis and other anatomical factors

Not only the breasts, but also the chest and spine can affect breast asymmetry, notes Dr. Konrad Kochan. Scoliosis, or lateral curvature of the spine, can make one breast appear lower or more forward. Although the breast tissue is actually developed evenly, the change in posture makes the asymmetry more apparent.

Diseases and changes in breast tissue

A sudden change in the size of one breast can be a disease symptom, especially if it is accompanied by other symptoms, such as:

  • Nodules or thickening,
  • changes in the structure of the skin,
  • secretion from the nipple,
  • Breast pain or tenderness.

In such cases, it is essential to consult with a doctor and appropriate diagnostics to rule out serious conditions, including breast cancer.

Asymmetry after surgeries and injuries

Some women experience breast asymmetry as a result of trauma, surgery or mastectomy. In such cases, correction often becomes part of the recovery and rebuilding of self-esteem. Breast reconstruction or other aesthetic procedures help to even out the differences, restoring the natural proportions of the bust. We use breast implants and lipotransfer for these procedures.

Read also: Why is breast ultrasound a must-have test in every woman's preventive care?

Holistic approach to asymmetry correction

Correction of breast asymmetry is not only an aesthetic procedure, but also a process that can positively affect the patient's self-esteem and comfort in life. The decision to undergo surgery should be made consciously, not only for aesthetic reasons, but also for functional reasons - especially if the asymmetry affects posture, causes pain or causes difficulties in daily life.

Modern plastic surgery allows for an individual approach to each patient, offering safe and predictable results. With proper support from the doctor at every stage - from the consultation to the procedure to the recovery period - correction of asymmetry is a step towards regaining self-confidence and acceptance of one's own body.

FAQ

Is breast asymmetry normal?

Dr. Konrad Kochan, plastic surgeon: Yes, slight breast asymmetry is completely natural and occurs in most women. However, when the difference in breast size, shape or position is significant and causes physical or emotional discomfort, correction may be considered.

How long does the surgery and recovery take?

Dr. Konrad Kochan plastic surgeon: Duration of surgery: depends on the method, but usually takes 1.5 to 3 hours. Return to daily activities is possible after about 7-10 days, but it is advisable to avoid intense exercise for 4-6 weeks. The effect can be evaluated after several months, when the breasts have completely formed.

Is breast asymmetry correction painful?

Dr. Konrad Kochan plastic surgeon: The procedure is performed under general anesthesia, so the patient does not feel pain. After the operation, there may be slight swelling and a feeling of tension, but the discomfort can be controlled with painkillers.

Does breast asymmetry correction surgery leave scars?

Dr. Konrad Kochan plastic surgeon: Yes, but they are small and located in the natural folds of the skin, such as under the breast, around the nipple or in the armpit area. The scars gradually fade and become almost invisible after a few months.

Are the effects of the operation permanent?

Dr. Konrad Kochan plastic surgeon: Yes, the effects are long-lasting, but it is important to remember that breasts can naturally change with age, weight fluctuations and pregnancy.

What are the contraindications to breast asymmetry correction surgery?

Dr. Konrad Kochan plastic surgeon: Contraindications include pregnancy and breastfeeding, but also unregulated chronic diseases (e.g. diabetes, hypertension), blood clotting disorders, active infections and inflammation, and unrealistic expectations about the effect of the surgery - it is worth discussing expectations carefully with the surgeon before the procedure.

Is it possible to breastfeed after breast correction?

Dr. Konrad Kochan plastic surgeon: It depends on the surgical technique - in most cases, augmentation or symmetrization surgeries do not affect the ability to feed, but in the case of breast reduction, the mammary glands may be damaged. It's worth consulting this aspect with your doctor before surgery.

Is breast asymmetry correction surgery reimbursed by the National Health Service?

Dr. Konrad Kochan plastic surgeon: In the case of genetic defects or oncological causes, the surgery is reimbursed by the National Health Service. 

Featured treatment
Symmetrization of the contralateral (healthy) breast
Healthy breast symmetry is a surgical procedure that aims to improve the aesthetics of the breasts by correcting differences in the size, shape or position of the breasts. It is a dedicated solution for women who struggle with breast asymmetry, resulting in one breast being noticeably larger, smaller or different in shape from the other. What this procedure looks like and its benefits.

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