Ask a Surgeon - Breast Augmentation - I’m only 17 years old but my breasts differ significantly in size (one is an...

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I’m only 17 years old but my breasts differ significantly in size (one is an A...

Q:

I’m only 17 years old but my breasts differ significantly in size (one is an A while the other is a C). If my pediatrician approves, could I undergo breast augmentation at this age? Would this be considered a deformity that insurance might cover?

A:

Breast augmentation is generally performed on women aged 18 and older.

However, in the case of severe asymmetry (A on one side, C on the other), it may be performed for a 17-year-old provided that:

a. Your breasts have stopped growing (no change in cup size for at least 6 months)

b. You are interested in saline implants (silicone gel is restricted to women ages 22 and up)

c. Your parents are in agreement with your decision (and will co-sign your consent forms)

If both breasts are "perky," augmentation with different sizes of implants will probably be sufficient to improve a size asymmetry. If the larger (C cup) breast is sagging, you may wish to consider simultaneous lifting (mastopexy) for this side to improve your breast shape asymmetry.

Insurance does not generally cover these procedures, as there is no "functional impairment" associated with breast asymmetry.

Ronald M. Friedman, MD, Plano, TX