A Guide to Addressing Small Breasts
Anca Breahna, a consultant plastic surgeon based in Chester, UK, has extensive experience helping patients achieve their desired results. This article explores the underlying causes of having small breasts and discusses effective solutions, both surgical and non-surgical. Whether you are considering cosmetic enhancements or simply want to learn more, this blog will provide valuable insights.
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What Causes Small Breasts?
➔ Genetic Factors
Genetics play a significant role in determining breast size. Some individuals naturally inherit smaller breast tissue or less fatty tissue in the chest area. According to Miss Breahna, “For many women, small breasts are simply a matter of inheritance, and that’s perfectly natural.”
➔ Hormonal Imbalances
Hormones also play a pivotal role in breast development. Issues such as delayed puberty, hormonal disorders, or conditions like polycystic ovary syndrome (PCOS) can hinder proper breast development. Hypomastia (underdeveloped breasts) or amastia (absence of breast tissue) are conditions that may arise due to hormonal deficiencies.
➔ Lifestyle Factors
Low body fat percentages or intense physical activity can lead to reduced fatty tissue in the breast area. While exercise is vital for overall health, certain high-intensity workouts may inadvertently reduce breast volume.
➔ Congenital Conditions
Conditions like Poland’s Syndrome, which results in underdeveloped chest muscles and breasts, or tubular breast deformity can affect breast size and shape. These conditions often require specialised surgical interventions to achieve symmetry and natural contours.
Surgical Solutions for Small Breasts
➔ Breast Augmentation with Implants
Breast augmentation remains one of the most effective solutions for enhancing breast size. Patients can choose between silicone and saline implants, each offering distinct benefits. Miss Breahna notes, “Each patient’s body is unique, and I tailor every augmentation to their individual anatomy and goals.” Implant placement techniques, such as subglandular or submuscular, further ensure optimal results tailored to the patient’s body.
➔ Fat Transfer Augmentation
This innovative technique involves transferring fat from other areas of the body, such as the thighs or abdomen, to the breasts. Fat grafting provides a natural look and feel while also contouring other areas of the body. It can be challenging if patients have generalised low body fat as the fat needed for harvesting can be limited. A consultation will best determine what might be possible.
➔ Correcting Congenital Issues
For patients with congenital deformities, surgical correction focuses on restoring symmetry and achieving a natural appearance. Techniques may involve implants, tissue reshaping, or a combination of procedures.
Non-Surgical Options and Lifestyle Adjustments
➔ Hormone Therapy
In some cases, hormone therapy may help stimulate breast growth, particularly in individuals with hormonal imbalances. Medical supervision is essential to ensure safety and efficacy.
➔ Push-Up Bras and External Enhancements
Non-surgical options like push-up bras or external inserts provide immediate cosmetic improvements. While these are temporary solutions, they can boost confidence and provide a visual enhancement without undergoing surgery.
➔ Nutrition and Exercise
A balanced diet and healthy exercise routine can positively influence overall body shape and confidence. Maintaining an optimal weight and avoiding extreme diets can help preserve breast volume.
Preparing for Surgery
➔ Consultation Process
During a consultation with Anca Breahna, patients can discuss their concerns, explore available options, and set realistic expectations. Open communication ensures that every procedure aligns with the patient’s goals and lifestyle.
➔ Detailed Checklist
Preparing for surgery is a vital step in ensuring a successful outcome. Use this comprehensive checklist to guide your preparation:
- Two Weeks Before Surgery:
- Cease smoking and avoid nicotine products.
- Discontinue aspirin, anti-inflammatory medications, or herbal supplements that may increase bleeding.
- Arrange for post-operative care and transportation.
- One Week Before Surgery:
- Finalise all necessary medical tests and paperwork.
- Prepare a comfortable recovery area with pillows, loose clothing, and essential supplies.
- Day Before Surgery:
- Avoid eating or drinking after midnight.
- Confirm all details with your surgical team.
- Day of Surgery:
- Wear loose-fitting clothing.
- Bring any necessary medications and identification.
- Arrive at the clinic on time.
Philosophies from Ms Breahna
Ms Breahna’s approach to plastic surgery centres on enhancing natural beauty and boosting confidence. She states, “Plastic surgery is about enhancing what’s already beautiful, not about changing who you are.” Her personalised care ensures that each patient feels heard and supported throughout their journey.
Enhancing Your Decision-Making Process
➔ Tailored Solutions for Different Patients
Every patient has unique needs and goals. Younger individuals may seek augmentation for aesthetic reasons, while older patients might prioritise restoring volume lost due to ageing or pregnancy. Ms Breahna tailors each procedure to suit the individual’s anatomy and desired outcomes.
➔ Before and After Photos
Visualising potential outcomes can be incredibly helpful. Patients are encouraged to view the gallery on Miss Breahna’s website to understand the possibilities and outcomes of various procedures.
Next Steps
If you’re considering solutions for small breasts, it’s essential to consult a qualified professional like Anca Breahna. Take time to explore your options, understand the procedures, and make an informed decision. With the right guidance and expertise, achieving your desired look is within reach.
Download the Breast Augmentation Guide
FAQs for Small Breasts
What are the main differences between silicone and saline implants?
Silicone implants offer a more natural feel, while saline implants can be adjusted for volume during surgery.
Can small breasts be caused by a medical condition?
Yes, conditions like hypomastia or hormonal imbalances can contribute to small breast size.
How long is the recovery period after breast augmentation?
Recovery typically takes 4–6 weeks, but most patients return to normal activities within two weeks.
Is fat transfer augmentation permanent?
While the transferred fat is mostly permanent, some absorption may occur, requiring touch-ups.
Are there age restrictions for breast augmentation?
Most surgeons recommend patients be at least 18 years old before having breast implant surgery, as breast tissue may still be developing until this age.
There is no upper age limit, apart from general health considerations.
Can exercise increase breast size naturally?
Exercise can improve chest muscle tone but does not significantly increase breast tissue.
Are there non-surgical ways to enhance breast size?
Options like push-up bras or hormone therapy can provide temporary or subtle improvements.
Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of 
