Problems with Shape or Size of Breast
Overview
Problems with breast shape or size can include asymmetry between breasts, changes in breast contour, unusual growth patterns, or concerns about breast development. These issues can occur naturally or may indicate underlying conditions that require medical evaluation.
Common Causes
- Normal developmental variation: Natural differences in breast size and shape
- Hormonal changes: During puberty, menstruation, pregnancy, or menopause
- Poland syndrome: Congenital condition affecting chest wall and breast development
- Tuberous breast deformity: Developmental anomaly affecting breast shape
- Weight changes: Significant weight gain or loss
- Breastfeeding: Changes during and after nursing
- Breast surgery: Previous surgeries affecting breast tissue
- Breast cancer: Can cause changes in breast shape or size
- Breast cysts or fibroadenomas: Benign lumps affecting breast contour
- Scoliosis: Spinal curvature affecting chest wall appearance
Diagnosis
Evaluation may include:
- Physical examination by a healthcare provider
- Mammography for women over 40 or with risk factors
- Breast ultrasound
- MRI for detailed imaging
- Hormone level testing
- Genetic testing if hereditary conditions suspected
Treatment Options
- Observation: For normal variations or minor asymmetry
- Hormone therapy: If hormonal imbalances are identified
- Supportive bras: Properly fitted bras for comfort and appearance
- Breast prostheses: External devices for symmetry
- Surgical options: Breast augmentation, reduction, or reconstruction
- Treatment of underlying conditions: If specific causes identified
When to Seek Medical Attention
Contact a healthcare provider if you notice:
- Sudden changes in breast size or shape
- Skin changes, dimpling, or puckering
- Nipple discharge or inversion
- Breast pain or tenderness
- Lumps or masses in the breast
- Significant asymmetry developing after puberty
- Concerns about breast development in adolescence