Introduction Breasts that are excessively large can be a real physical problem for women who have them. Despite what people might think, the bigger the better is not always true when it comes to the size and volume of the breasts. Women with breasts that are much too large for their anatomy are often confronted with functional issues and discomforts such as difficulties in finding suitable clothing and lingerie, constant pain in the neck, shoulders and back, difficulties in breathing or resting on the tummy, and last but not least, difficulties or the impossibility to perform physical exercises and sports. Just imagine breasts that weigh over 1 kg each or breasts that weigh 3 kg each. How could it be possible for that person to engage in physical activities? Moreover, difficulty in breathing and even pain can be associated with trying to do sports or physical exercises. For women with breasts that are that large, even something as simple as putting on a seatbelt can be a struggle and serious discomfort. In this article we will discuss overly large breasts and obesity, how are they connected, and what can be done to improve the condition of the patient. The curse of having overly large breasts While many women resort to plastic surgery to get bigger, more voluminous breasts, there are women who feel that the overly large size of their breasts is really a curse. There are many discomforts and even health conditions associated with having breasts that are excessively large for one’s anatomy. This disproportion of the volume of the breasts with respect to the silhouette is the consequence of hypertrophy of the mammary gland, often associated with a congenital or hormonal cause. The excess of mammary tissue is often associated with a surplus of fat and breast ptosis. Asymmetries can also be present. Women with excessively large breasts are often confronted with medical conditions. For example, due to the lack of air flow to the inframammary fold and constant perspiration, dermatological conditions and even infections can occur in the area. The conditions are not only unpleasant, but they can be very difficult if not impossible to treat as the recommendation is often to keep the area dry and clean at all times. This is not possible for a woman with overly large breasts. The back, neck and shoulder pain that can become chronic for women with big breasts is another issue that determines the need for surgery to improve the quality of life for the patient. Due to the excessive volume of the breasts and the pressure that they put on the spine, an abnormal body position can develop that would be difficult if not impossible to correct later on in life. This is the reason why most plastic surgeons would recommend getting breast reduction surgery as early as possible for young patients confronted with severe hypertrophy of the breasts. Finding clothes and lingerie that will fit the breasts is another daily struggle. Often, these women will choose to wear clothes that are either many sizes bigger than their normal size or clothes that are very stretchy to accommodate the breasts. This is often not flattering or professional and can be a problem for women active in the professional field. There are many other issues and struggles associated with large breasts. However, one of the most important is probably related to the pain and difficulty of performing physical exercises and the host of complications that come with it. Overly large breasts and obesity Nowadays experts warn about a global tendency towards sedentarism, and countries from all over the world declare an increased rate of obesity. More than an aesthetic issue, obesity is a health condition that, if left untreated, can lead to serious complications and even the death of the patient. Obesity can be caused by many things, but generally speaking, we gain weight as a result of eating more food than our body needs to function. Active people will need more calories than people who live a sedentary life. This is the reason why there is also a connection between sedentarism and obesity. The more the person weighs, the more difficult it would be for him or her to be active and exercise regularly. The same rule applies when it comes to the overly large size of the breasts. Before anything else, we should mention that people who are obese often experience hormonal imbalances that can lead to the abnormal development or increase of the glandular tissue. For people who are obese, the breasts can be proportionate to the rest of the body and affected the same way by fat accumulation, or they can be even bigger due to the excessive development of the glandular tissue caused by hormones. So obesity and overly large breasts are related in more ways than one. What we want to focus in this article is that patients who are suffering due to overly large size of the breasts can, in time, become obese or severely overweight because they can’t live an active life. Generally speaking, there is no excuse not to exercise regularly or be involved in sports. Keeping active is important for keeping a fit body that is also healthy and happy. This is the reason why people who might have never exercised in their lives pick up physical exercises routines such as going to the gym, jogging, swimming, or riding the bike very late in their lives. There is no better time to get moving than the present time, and all experts will testify to this. But for women with overly large breasts, performing physical exercises can be a real struggle, not to mention that they can even experience pain and difficulties in breathing during or after sports. Having overly large breasts means that there is a more intense level of pressure on the spine and also that your legs need to support more weight than necessary for your anatomy. Getting physically active can mean pain in the breasts due to movements, difficulties in breathing, and also neck, back, and shoulder pain. This is the reason why many women with large breasts give up completely on the idea of exercising even very early in their lives. Not exercising leads to a weak core (the muscles of the abdominal wall) which leads to bad posture, and so on. Moreover, the lack of exercise can lead to an excessive accumulation of weight and even obesity. When weight gain starts to occur, performing physically demanding activities can be even more difficult or uncomfortable, hence the patient will avoid it even more. As you can see, it is a vicious cycle that in many cases can only be put to a stop by reducing the size and volume of the breasts with the help of plastic surgery. Breast reduction to reduce the volume of the breasts The only way to correct the overly large size and volume of the breasts is through breast reduction, which is a plastic surgery operation that will eliminate the excess of skin, fat and glandular tissue while also raising the breasts and making them more symmetrical. The process of getting your breasts reduced starts with a pre-operative consultation with your plastic surgeon. The plastic surgeon will examine your anatomy and the structure of the breasts and design a suitable treatment plan that will also take into consideration the results you want to achieve. You will also be requested to have a meeting with the anesthetist prior to undergoing breast reduction and have some tests performed. A mammography is recommended for women over 40 years old while breast echography can be enough for younger patients. Depending on the nature of the breast hypertrophy, the operation lasts up to two hours or even more in complex cases. A dressing in the shape of a bra is placed on your chest at the end of the procedure. The hospitalization can be a few hours and up to 24 hours, depending on the type of procedure and the post-operative development of the patient. The first few weeks after breast reduction surgery are associated with certain side effects that are normal to occur after such a complex procedure. Conclusion There is a connection on multiple levels between overly large breasts and obesity. First, obesity can trigger an excessive growth of the breasts due to hormonal imbalances. At the same time, overly large breasts in patients of a normal weight can be the cause of weight problems and even obesity as they make physical exercises difficult if not impossible for the patient.