Categories: Ask the Doctor

Breasts of uneven sizes

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My breasts have uneven size. My right breast is a little smaller than my left. I told my mom about it and she said “she has that condition too”. I’m only 20 years old. What can I do?

Tochukwu (by SMS)

It is completely normal to have uneven breasts. Genetics, hormonal changes, fluctuating body weight, age and certain medical conditions can all cause uneven boobs. There’s a well-known saying in the world of cosmetic surgery, “breasts are sisters, not twins”.

And it’s true. Breasts have their own shape, texture and characteristics, and even two breasts on the same body can vary quite considerably.

If you have uneven boobs or one breast that’s bigger than the other, know that you are very much the norm. It’s actually more unusual to have two breasts that are exactly the same.

It’s very common for one side of the body to be a little different to the other. Anecdotally, some cosmetic surgeons suggest that up to 90% of women have breast asymmetry.

That varies from minor differences – where women don’t even notice it – to instances where the cup size can vary by three sizes from one breast to the other. As previously mentioned, it’s completely normal to have uneven breasts. Genetics, hormonal changes, fluctuating body weight, age and certain medical conditions can all cause uneven boobs. While breast asymmetry can have an emotional and psychological impact, it’s not usually a concern from a medical standpoint.

However, if your breasts become uneven suddenly and for no apparent reason and you experience discomfort, this could be a preliminary symptom of breast cancer. If you notice any sudden changes in the shape, size or density of one or both breasts, talk to your doctor. Depending on the type of asymmetry you have, uneven breasts can be corrected by breast augmentation, breast reduction or a breast lift. In some cases, a combination of two of these procedures may be the most effective way to produce a balanced result. Breast symmetry surgery can improve your self-image, boost your confidence and give you a sense of normality you may not have had before.

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