Summary: If you’re concerned by breasts that are less than symmetrical, you’re in good company. More than half of all women experience some degree of breast asymmetry, with cases ranging from mild to extreme.

While it’s best to consider the breasts as sisters rather than identical twins, many women with breast asymmetry would like to achieve more balance and proportion in their breasts, and there are a number of ways to do that.

1. How Breast Asymmetry Begins

Breast asymmetry means more than simply having two breasts that are different sizes. Although this certainly is one way that breasts can be off-balance from each other, breasts can also be shaped differently from their counterpart or have a different position on the chest.

Breast asymmetry usually begins during puberty, and many breasts tend to outgrow asymmetry as they reach full development.

2. Possible Causes of Breast Asymmetry

A degree of breast asymmetry is both normal and common, with many women noticing their breasts differing by a half a cup size or so. Although researchers are still working to put the fingers on the exact causes that can lead to breast asymmetry, hormonal fluctuations are thought to play a role. Breastfeeding can also cause differences in breast size, shape or position, as can trauma to one of the breasts.

In less common cases, a medical or skeletal condition may be the culprit for breast asymmetry. Chest wall deformities or scoliosis, which is an abnormal curvature of the spine, can result in asymmetrical breasts. A fairly rare disorder, juvenile hypertrophy can cause one breast to swell in size. Any sudden differences in breast size should always be checked out by a doctor.

3. Coping with Breast Asymmetry

Some women, particularly adolescents, may experience self-consciousness or embarrassment as a result of their breast asymmetry. Young women going through puberty may want to discuss their concerns with their doctor or OB/GYN. Wearing padded bras or bra pads can help to create a more proportionate balance in the breasts, and may be one option worth considering.

4. Bringing Balance to Asymmetrical Breasts

If your breast asymmetry is the source for emotional distress or interferes with your ability to be intimate, you may be interested in a surgical procedure that can create symmetry and balance. One such option is a breast reduction, which can take excess tissue from both breasts or just the larger breast, reshaping and repositioning the tissue so for a better match between the breasts. If you don’t want to downsize your breasts, then a breast augmentation surgery may be more your style. With a customized breast enhancement procedure, your plastic surgeon can add breast implants to one or both breasts to add volume and upper pole fullness to the breasts.

There’s really no hard and fast rule when it comes to correcting breast asymmetry. The beauty of breast enhancement procedures is that they can be tailored to match your unique needs. In some cases, a combination of a breast reduction and breast augmentation can be performed in order to achieve your optimal symmetrical appearance.

If you’d like to explore your plastic surgery options for correcting your breast asymmetry, consult with a board-certified plastic surgeon who specializes in breast enhancement procedures. They can discuss the specifics of your situation and help give you a sense of the procedure or combination of procedures that can both balance your breasts and restore your self-esteem.