Size is not the only thing that matters when it comes to the appearance of breasts. For some women it's the space between breasts that is at issue: a lack of cleavage (the breasts are far apart on the chest wall) or a uni-breast appearance (the breasts are so close together that they unite in the middle). No matter your size, separate but equal breasts can be a concern when swimsuits and tiny tops are in season.

A push-up bra is a temporary way to create some cleavage. But some women want more than temporary solutions. For the woman who has been pregnant and whose breasts have lost some volume or firmness, the appearance of the chest - and cleavage - can be improved with a breast lift and possibly the placement of an implant. But for the very thin woman who has never had cleavage and whose breasts are wide on the chest wall, creating cleavage presents medical risks that can result in problems like visible rippling. It's best to limit the size of the implant to reach the volume a woman can safely achieve and then rely on a bra to push the breasts closer together.

Breasts that don't match in size have two non-surgical options: Stuff one side to make both breasts appear equal, or accept your imbalance. But no matter the degree of inequality, neither is flattering or feasible if you're headed to the beach or wearing anything fitted. Achieving symmetry between the breasts could mean enlarging, reducing or lifting one breast to match the appearance of the other, or may require a combination of procedures. Communicating which breast size your prefer to your plastic surgeon is critical so that he or she can then treat the opposite breast.

While implants, breast lifts or reductions or any combination of these procedures can bring better balance between your breasts, you may not be able to correct asymmetry completely. Volume and shape are the two major concerns related to asymmetry that can be more closely matched, while subtle changes in nipple position are not that obvious, and are much more difficult to improve.

If you have breast implants and you find yourself lacking well-defined cleavage, meaning your breasts actually meet, you may have a condition called symmastia, when implants have shifted and the individual implant pockets have become one. Symmastia is uncommon, but it can be corrected through surgery.

Choose a doctor with experience treating the condition and expect healing time after surgery to include many weeks without strenuous upper body activity and the wearing of a special garment or use of a rolled-up Ace bandage to separate your breasts as they heal.

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