why i have small breasts.....doc?

Small breasts
Reviewed by Dr Dan Rutherford, GP

Breasts not only develop differently from woman to woman, they continue to change shape and size throughout your life. The right breast may not even be the same size as the left.

Breasts can start developing from the age of 10. They continue to grow and change shape throughout puberty.

Their final shape and size depends more or less on inherited characteristics, but a mother and daughter's breasts can develop completely differently.

Is it possible to change the size of my breasts?

One thing is common for all women: there is no medicine of any kind, no work-out machine or exercise that will significantly change the shape or size of your breasts.

Only in special medical cases can a hormone supplement be used to make breasts grow.

Birth control pills may give the feeling of a larger bosom, but it's only in pregnancy and when breastfeeding that your breasts may grow visibly.

Are silicone implants an option?

If you are very unhappy with your breast size or shape, or have had part of a breast removed as a result of cancer, you may decide to have silicone implants.

For many it is a costly and often painful operation, but it is becoming more common. Plastic surgeons have become very skilful in this field, so the results are usually satisfactory.

However, there have been several health scares as a result of implants. Some women claim the silicone has leaked and caused related health problems, but these claims have not been medically proven.

How is the operation performed?

The implants are placed on the chest under the muscles, which leaves the breast tissue untouched and also means that the nipples will stay in natural contact with the gland tissue.

The implants are inserted under the skin, with the exact location depending on the size and shape of the breasts.

Some women go to hospital for the operation, whereas others are treated as outpatients but rely on receiving rest and care at home. The operation is performed under full anaesthetic.

How much do implants cost?

Most women have to pay for the operation, but it can also be done under the NHS when the need arises following breast surgery, perhaps for cancer.

Also, if you are very distressed by your breast size and it is judged that an operation is the best method to deal with your distress, it can be done via the NHS. Nevertheless, the waiting time is likely to be long.

An average cost for a private operation in the UK is usually between £2,500 and £4,000. Always make sure your surgeon is registered with The Association of Cosmetic Surgeons - ask your own doctor first, who will give advice and guidance.

Based on a text by Dr Erik Fangel Poulsen, specialist

Last updated 16.02.2005