American Society of Plastic Surgeons
For Medical Professionals
2 years ago

Possible breast reduction

I'm considering breast reduction surgery. I've had large breasts since elementary school and even though I was able to do a lot of activities it was always uncomfortable. I'm now 41yrs old and 4'10 and 234lbs, I currently am wearing a 46 ddd. I do get neck back and shoulder pain. I recently had a mammogram and the results are it's mostly fatty tissue. What should I do.

Procedure: Breast Reduction
Location: Hamilton, OH

Replies 4

Debra Johnson
ASPS Surgeon
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Large breasts often cause neck, back, and shoulder pain. A lot of women get grooves in their shoulders from heavy bra straps. Some women will get rashy under the breast where is is moist and warm from the skin on skin. If you can lift your breasts up with your hands and immediately feel relief in your neck and shoulders, it is likely you would benefit from breast reduction. The trade off is the surgery and recuperation, as well as the permanent scars on the breasts. If you are overweight and would like to lose weight, it is better to lose it before your breasts are reduced. If you lose weight after a breast reduction, the breasts will lose volume too and can be saggier than you'd like. Good luck!

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Curtis Wong
ASPS Surgeon

Waking up feeling better and getting relief from your symptoms with manual elevation of your mounds are a good sign you will benefit from a reduction. But for insurance to cover this, there is a formula your surgeon will employ to see if you will qualify for coverage. Being overweight alone is not a contraindication to this procedure but you cannot be massively obese (BMI > 40) and you must maintain your weight. Weight loss following a reduction will result in your breasts losing more volume. Invest in a consultation with board certified plastic surgeons who are contracted providers with your insurance company and start there.

Nelson Castillo

Thank you for sharing your question. Women with large breasts can suffer with a myriad of symptoms including neck, back and shoulder pain, shoulder grooves, and skin rashes and breakdown. I would recommend speaking with your internist about your concerns, and if you are interested in a surgical solution, you can start the process towards insurance coverage.

Adolfo Sesto
ASPS Int. Surgeon

Hi Susana. If you are 46DDD with 4'10 inches height it is obvious you have very large breasts that for sure compromise your posture, your spine health and give you pain.

You are a good candidate for a Reduction Mammoplasty in which excessive fat, mammary gland and skin will be remove and the Nipple-Areola Complex will be relocated upper in you chest towards the clavicle.


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