Breast malformations and breast asymmetry


Breast asymmetries are more common than many think. What are the causes and what are the treatment options? And: Must or can every breast asymmetry be treated and corrected by a doctor?

Breast asymmetry refers to the uneven development of the female bust. It manifests itself either in a difference in size or shape of the individual breasts, in rare cases the breasts have even not grown to the same height. In its final manifestation, however, breast asymmetry only becomes apparent after puberty.

On the one hand, this means that an existing breast asymmetry can still grow together in girls and young women up to about 21 years of age, but on the other hand, it is just as possible for the breast asymmetry to increase.

A total, i.e. completely perfect, breast symmetry does not exist, since all people are subject to developmental fluctuations in their natural growth process. Therefore, an uneven bust to a certain degree and extent can be classified as completely normal and is also rarely perceived as disturbing due to the minor effect on the overall appearance of the breast.

And yet there are different degrees of severity of breast asymmetry. From a personal and medical point of view, it should therefore always be clarified with an expert as to when it needs to be treated. The most important factors are individual factors play an important role, because people are different and react differently. At the latest when breast asymmetry can no longer be concealed and the uneven development of the breast is clearly visible, it usually becomes a real aesthetic problem.

Depending on the extent of the asymmetry, affected girls and women suffer greatly from the different sized breasts and often show typical, psychological accompanying symptoms, such as the loss of self-esteem, a disturbed relationship to their own body, feelings of shame and even depression. It should not be forgotten that this can also have negative effects on sexual life, which can also be extremely stressful.

What is the cause of breast asymmetry?

Possible causes of breast asymmetry include, in addition to a. familial accumulation or also a congenital malformation, hormonal disorders or fluctuations during the growth phase. In very many cases, however, the cause cannot be determined.

Diagnosis of asymmetric breast

The expression and degree of asymmetry are usually quite easy to recognize visually and can also be measured accurately.

If the difference in size of a breast asymmetry is approximately more than one third, the treatment costs are usually covered by the statutory health insurance, just as in the case of asymmetry associated with a breast malformation.

Forms of therapy

The treatment of an asymmetric breast requires, on the one hand, the precise analysis of the extent of the asymmetry and on the other hand also a conscientious planning of the further surgical procedure. The therapy of breast asymmetry is chosen individually from several possible surgical techniques: These include breast lift, breast augmentation, breast reduction or combinations thereof.

As an example: If the problem is breast asymmetry with overall rather underdeveloped breasts, the method of choice, as a rule and depending on the patient’s wishes, is a unilateral or bilateral breast augmentation which is then with implants of different sizes can be performed. If the breast is overdeveloped on one side, a very good result can usually be achieved by means of an equalizing reduction and lifting. In the third common variant, there is an underdeveloped breast on one side and an overdeveloped breast on the other. In this case, a reduction on one side and an enlargement on the other side can usually also achieve good results.

How to mask slight breast asymmetries – tricks and tips

Breast asymmetry as such can eventually only be corrected by a surgical intervention can be corrected. In the case of a less pronounced imbalance of the breasts, already the Choice of a suitable bra help to visually soften the breast asymmetry. In this case, the bra should be adjusted to the cup size of the larger side of the breast. The cup of the smaller breast is padded with an appropriate silicone pad. In this way, the overall appearance of the breast appears symmetrical. Other ways to hide uneven breasts are to choose rather wider and casual tops made of flowing, airy materials, but also to wear scarves and shawls.

“The surgical treatment of breast asymmetry or breast adjustment is medically recommended or necessary from my point of view and experience approximately from a size difference of more than 30% between both breasts. Below that, it is up to the discretion of the women whether they really want to have a correction performed.”

Dr. Martha Bernard, Doctor of Plastic and Aesthetic Surgery