Therapy vs. Surgery
According to New York City psychoanalyst Gail Saltz, MD, author of the forthcoming Anatomy of a Secret Life, problems in the bedroom are likely due to more than dissatisfaction with breast size.
"Being able to achieve orgasm and have a satisfying sex life has a lot to do with sexual fantasy. And if your fantasy life is very hampered by feelings that you really dislike your body or breasts, then certainly creating an creating an image for yourself that's more akin to your sexual fantasy will help improve your sex life," she says.
"I would argue that what is getting in the way of fantasy life is probably more than the feeling that your breasts aren't the right size," she says. A better -- and safer -- bet may be to explore in therapy why this one thing matters so much to how well you like yourself sexually and physically.
"If you are feeling inhibited about the nature of your sexual fantasies, surgery isn't going to change that, and it's a lot to go through," she says.