Most women have some difference in the size or shape of their two breasts. Sometimes, however, the difference is so pronounced that it creates practical and psychological concerns. The asymmetry starts in puberty and rarely self-corrects. Generally we try to wait until breast development is complete before surgically correcting the asymmetry. This usually consists of reducing (see breast reduction) or enlarging (see breast augmentation) one of the breasts. The board-certified plastic surgeons at GBPSA can discuss all the reasonable options with you.
Often surgery is required on the contralateral side to achieve better symmetry and shape. In cases of extreme asymmetry, before breast development is complete, an expander/implant can be placed on the smaller side. This allows periodic adjustments in the office to add fluid to the implant as the contralateral side naturally enlarges.