Women with very large, pendulous breasts (macromastia) may experience a variety of medical and other problems caused by the excessive weight of their breasts. These include neck, shoulder, and/or back pain; painful shoulder indentations and grooving related to bra straps; skin hyperpigmentation related to bra strap irritation; skin rashes in the folds beneath the breasts; slouched posture and skeletal deformities; occipital headaches; upper extremity paresthesias; restriction of physical activities; and difficulty finding clothes that fit properly. Unusually large, disproportionate breasts can make a woman or a teenage girl feel extremely self-conscious. For these women, a breast reduction (reduction mammoplasty) may be the solution.
28 yo woman, 5’0"tall, weight 112 pounds. She had a breast reduction performed by another surgeon when she was 17 years old, reducing her size from a DD-cup to a C-cup; wound healing problems resulted in a large vertical strip of hyperpigmentation on the under surface of the right breast and widened scarring under the left breast. Following pregnancy later in life her breast size increased to a D-cup, and she began experiencing neck and back pain again. Exam also demonstrated areolar asymmetry and border irregularity with skin laxity. Four month post-operative photographs show the results of a bilateral breast reduction with excision of the previous scar and supplemental liposuction of the lateral chest walls. Post-operative bra size is a full 34C-cup.
PATIENT 11 - Breast Reduction
36 yo woman, 5’6"tall, weight 170 pounds who desired a smaller breast size. Her pre-operative breast size was a 38-D cup with mild overflow. Exam showed grade II ptosis. Nine month post-operative photographs show the results of a bilateral breast reduction with resection of 290gr of breast tissue from the right breast, and resection of 230gr of breast tissue form the left breast. Post-operative bra size is a 38C-cup.
PATIENT 12 - Breast Reduction
52 yo woman, 5’4"tall, weight 210 pounds who desired a smaller breast size. Her pre-operative breast size was a 38-DDD cup with mild overflow. Exam showed grade III ptosis. Four month post-operative photographs show the results of a bilateral inferior pedicle breast reduction with resection of 1515gr of breast tissue from the right breast, and resection of 1644gr of breast tissue form the left breast. Post-operative bra size is a 38C-cup.
PATIENT 13 - Breast Reduction
48 yo woman, 5’6"tall, weight 179 pounds who desired a smaller breast size. Her pre-operative breast size was a 38-DD cup with moderate overflow. Exam showed grade III ptosis. Five month post-operative photographs show the results of a bilateral inferior pedicle breast reduction with resection of 634gr of breast tissue from the right breast, and resection of 590gr of breast tissue form the left breast. Post-operative bra size is a 38C-cup.
PATIENT 18 - Breast Reduction
45 yo woman, 5’4"tall, weight 132 pounds with two children who desired a breast lift and a small reduction. Her pre-operative breast size was a D-cup. Exam showed mild bra strap grooves and mild breast enlargement with grade II ptosis. Six week post-operative photographs show the results of a bilateral superomedial pedicle vertical breast reduction with resection of 154gr of breast tissue from the right breast, and resection of 179gr of breast tissue form the left breast. Post-operative bra size is a C-cup.