[Breast asymmetry inadolescent girls can be caused by large benign tumours]

This is a case report of a 14-year-old female with a giant juvenile fibroadenoma in her right breast. She successfully underwent surgical excision with simultaneous breast lift and reconstruction using a modified Goldilocks procedure. We want to address the importance of referring patients with breast asymmetry to surgical assessment and furthermore advocate for considering use of reconstructive techniques or conferring with a plastic surgeon when removing these large tumours in order to achieve a more aesthetically beautiful and symmetric result.