Breast development is a complex process influenced by various genetic, hormonal, and environmental factors. It’s a key part of puberty and can continue into the early twenties. While there is a wide range of normal sizes, some may find their breasts to be smaller than they would prefer, leading to feelings of dissatisfaction. Hypomastia and amastia are two conditions characterised by the underdevelopment or absence of breast tissue.
In this blog, Chester Consultant Plastic Surgeon Anca Breahna aims to provide you with a comprehensive understanding of the biological, psychological, and social aspects of breast size concerns and treatment options for small breasts. Anca can successfully treat both Hypomastia and Amastia with breast augmentation (breast enlargement), a surgical intervention that uses breast implants to augment or reconstruct the affected breasts.
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Hypomastia is characterised by the underdevelopment of breast tissue. It’s not a disease but rather a variation in breast size that can affect anyone, regardless of health or hormonal balance. The primary indicator is simply a smaller breast size, which might be noticeable as early as adolescence when breasts begin to develop during puberty.
The impact of hypomastia extends beyond the physical. In a society where physical appearance often influences social interactions and personal perception, women with hypomastia might experience feelings of inadequacy or discomfort.
Amastia is a condition distinct from hypomastia, defined by the complete absence of one or both breasts and the nipple-areola complex. It is a rare congenital disorder that can occur either in isolation or as part of a syndrome affecting other parts of the body.
While hypomastia refers to the underdevelopment of breast tissue, resulting in smaller-than-average breasts, amastia is the absence of breast tissue entirely. Amastia can affect individuals in varying degrees, from the absence of a single breast to the lack of both breasts and nipples. This condition is noticeable from birth and is different from cases where breasts do not develop during puberty, a condition known as delayed breast development.
The exact causes of amastia are still under research, but it is believed to be associated with genetic abnormalities or disruptions in embryonic development. In some instances, amastia occurs as part of a syndrome that may affect other body parts, indicating a genetic component to the condition. Environmental factors during pregnancy, such as exposure to certain medications or substances, may also play a role in its development.
If you have concerns about the size or development of your breasts, it may be time to seek professional advice. You might consider consulting a plastic surgeon if:
Seeking medical advice is not only about exploring treatment options; it’s also about understanding your body and ensuring your health.
Your initial consultation will likely involve a detailed discussion about your medical history, concerns, and expectations. Anca may conduct a physical examination to assess your breast development and check for any abnormalities. Be prepared to discuss:
For many, surgical intervention offers a more definitive solution to concerns regarding breast size. Breast augmentation surgery, involving the insertion of implants or the transfer of fat to increase breast volume, is among the most popular cosmetic procedures worldwide.
Breast augmentation surgery aims to enhance the size and shape of the breasts, often leading to a more proportional figure and a renewed sense of comfort in one’s appearance. The procedure involves either the placement of implants beneath the breast tissue or the transfer of your own fat to the breast area.
Breast implants are classified into two main types: silicone and saline. Silicone implants are filled with silicone gel, offering a texture that many find to be more like natural breast tissue. Saline implants, on the other hand, are filled with sterile salt water. They are inserted empty and then filled once in place, allowing for minor adjustments in size.
Each type of implant comes with its considerations regarding feel, appearance, and risk of complications. Anca will discuss these with you in detail, helping you choose the option that best meets your expectations and lifestyle.
An alternative to implants, fat transfer breast augmentation involves removing fat from other parts of your body—typically through liposuction—and injecting it into your breasts. This option appeals to those seeking a more natural enhancement, as it uses the patient’s own tissue. However, it generally provides a more subtle increase in size compared to implants.
Learning more about the step-by-step process, anaesthesia options, and incision choices can help you better understand the procedure, setting realistic expectations for those considering it.
The breast augmentation process typically involves the following steps:
Immediately following the surgery, you will be taken to a recovery area where your health and wellbeing are closely monitored as the anaesthesia wears off.
After undergoing breast augmentation surgery to correct small breasts, understanding the recovery process and adhering to post-operative care instructions are key to achieving the best outcomes and minimising the risk of complications.
Following the procedure, you’ll likely experience soreness, swelling, and fatigue. These symptoms are normal and part of the body’s healing process. Anca will have applied bandages or dressings to the incision sites, and you may be given a support bra or garment to minimise swelling and support the breasts as they heal.
You’ll be advised on how to care for your breasts, medications to apply or take orally to aid healing and reduce the risk of infection, and when to return for a follow-up visit. It’s crucial to follow these instructions closely and attend all follow-up appointments.
Recovery from breast augmentation surgery varies among patients, but here are some general tips:
While breast augmentation is generally considered safe and has high satisfaction rates, it’s important to be aware of potential risks and complications. Being informed helps you make a well-considered decision and recognise signs that may necessitate prompt medical attention.
Some of the more common complications associated with breast augmentation include: