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There exists a group of women who require a breast reduction surgery. Unlike breast enlargement, this procedure is a medically-indicated treatment than a cosmetically driven one. Often, this happens to women who are not obese or large-built, but average-sized with disparately large and heavy breasts. Many a time, these women have been suffering quietly with macromastia before seeking treatment because they are not aware of the good surgical options that are available now.
I typically divide the symptoms into 2 major categories - physical symptoms and psychological symptoms. The physical symptoms of this condition include:. Many of my macromastia patients come to me with a collection of some or all of the above symptoms. Unfortunately, the symptoms do not go away with age. In fact, some progressively get worse with age, such as the upper back and neck pain, as well as the rashes which may result in abnormal skin pigmentation or scarring.
Furthermore, they do not get a good understanding from others, even from other women, on their degree of suffering with this condition. Many people, especially men, do not comprehend how having large breasts can be a problem, much less a medical one. The breast reduction patients that come to see me are usually in the younger age group, between 20 to 40, with the youngest patient I have treated for this condition being For the younger patients, they are accompanied by their parents usually the mom , which is important, as this procedure is a permanent, life-changing one.
The typical bra cup size of my patients that seek this procedure range from DD to H cup. Physiological macromastia [1] the most common kind occurs usually from teenage years after puberty, due to the increased sensitivity of the breast gland receptors to the circulating hormones. They usually do not grow much more after years of age. After a reduction surgery where the breast glands are removed, they do not grow back, hence the condition does not recur. If the patient puts on weight, the breasts will enlarge but with fat rather than breast gland tissue; fat being much lighter would not result in much increased strain on the neck or upper back, therefore, symptoms do not usually recur.
