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Having Breasts of Different Sizes

Q: I'm 42 and over the past 10 years or so, my right breast has slowly grown larger than my left breast.  It is approximately two cup sizes larger now and it has become very difficult to find a bra that fits properly.  I've had mammograms and all looks fine.  What causes the difference in breast size?

Dr. Donnica:
It is very common for women to have breasts of different sizes, although rare for that difference to be 2 full cup sizes.  It is not known what causes this, but so long as your breast exams and mammograms are normal, this is a cosmetic issue more than a medical one.  Many women find this distressing, especially finding bras and bathing suits to fit properly.   You may want to consult a fitting specialist at a specialty lingerie store.  Often these specialists have expertise with women who have had your similar situation or various other fitting challenges from mastectomies to lumpectomies.  They can recommend several types of bra padding or inserts to suit your needs and comfort.  Depending upon how much this is bothering you, you may want to consult a plastic surgeon.  Women in your situation have the option to have one breast enlarged or the other breast reduced in order to equalize them.

Created: 1/3/2003  -  Donnica Moore, M.D.

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