Your plastic surgeon will call it mammary hypertrophy. You probably call it having huge breasts that are incredibly difficult to deal with on a daily basis. Your friend who was not so gifted by Mother Nature might call it “a blessing, a gift from above”, but you know that having overly large breasts rarely feels like a blessing, if ever. If many women dream of bigger breasts and would go to tremendous efforts to get a chest they can be proud of, the women whose breasts are overdeveloped suffer considerable pain and discomfort on a daily basis! Problems with neck and shoulders, difficulty walking fast, running, dressing, almost permanent pain on the back… these are just a few of the daily struggles of a woman with overly large breasts. To solve these problems and alleviate their pain, more and more women using surgery to reduce breast volume. Breast reduction is commonly performed nowadays for both functional and aesthetic purposes and even supported by health insurance if the patient fits the description. To get or not to get plastic surgery for smaller breasts? Breast reduction will reduce the volume of the breasts and also lift them if needed to give them a normal position on the chest wall. It is quite a common occurrence for overly large breasts to be saggy and very low on the thorax. Breast ptosis is known to be triggered earlier in patients with large breasts. However, the decision to undergo surgery to get smaller breasts doesn’t come naturally to all women. Many women considering the procedure are somehow worried they will lose their appeal, or that they are betraying their partners or families that in some cases do not agree to the procedure. Breast reduction surgery does have an irreparable feeling attached to it, even if in reality things can be different. When considering implants to increase the size of the breasts, many women have the option to have their implants removed at any time if they change their mind. But patients interested in reducing the size of the breasts are worried that if they are not happy with the reduction, there is nothing that can be done to restore the appearance of their breasts. The reality is a bit different, and there are women undergoing breast reduction and even getting implants some time after to have an improved appearance of the breasts. In a vast majority of cases, patients concentrate on just the health benefits of this medical procedure. The constant suffering is reduced or even completely eliminated, and daily activities that are normal for many people and impossible to perform when having huge breasts become a routine. In other words, the patient benefits from increased functionality after a breast reduction surgery. Difficulty in breathing is another issue that can be present when having overly large breasts. The breasts are constantly putting pressure not only on the spine, but also on the internal organs of the chest when lying on one’s back. This means that sleeping on the back is most often not an option. Moreover, difficulties in breathing can also occur during running as the breast volume is a burden in itself that has to be supported by the body. Aside from the medical conditions associated with having overly large breasts, there are other things that can be difficult to deal with; simple things such as clothes and bras. Shopping can be an ordeal for women with large breasts. More often than not, tops are several sizes bigger than the bottoms of women with overly large breasts. Prior to surgery, many patients admit that they have never enjoyed shopping or found pleasure in getting dressed as they never felt pretty in their clothes. After the procedure, finding clothes and bras in suitable sizes will become a walk in the park and a real joy. Potential turn offs when considering smaller breasts Mammary hypertrophy is defined by a big volume of the chest disproportionate to the rest of the body. This excess volume causes a collapse of the breasts in a vast majority of cases. It can have physical (back pain) and psychological (difficulties in dressing, emotional complexes in intimate life) consequences. Breast reduction involves removing a part of the mammary gland and remodeling the remaining gland to harmonize the volume and shape of the breasts. During the consultation, the plastic surgeon needs to discuss and clarify your desires and expectations, after which he will examine you and take measurements. This will confirm that you are a good candidate for breast reduction surgery. The plastic surgeon can show you pictures of previous patients, usually those that are closest to your morphology to best identify your expectations and will allow you to see the scars involved. This should help you in choosing the volume you want to keep for your breasts, depending on your morphology. The plastic surgeon will give you an information sheet containing all the details of the surgery, including the advantages and disadvantages and a detailed cost estimate. Before considering such a procedure, he may ask you to lose weight and to stop smoking to limit the risks and to obtain the best possible result. A breast ultrasound and a mammogram will be advised according to your age and your medical history, as well as other blood tests. Once you have made your decision, you will have to set a date for the procedure together with the plastic surgeon. As is the case with any surgical procedure, there are risks associated with breast reduction surgery as well. Before anything else, the patient interested in getting smaller breasts should know that there will be scars left behind and they are permanent. Many patients consider scarring as a small price to pay to be relived of the pain and discomfort, both physically and emotionally. Scars after breast reduction surgery are lengthier or smaller depending on the amount of mammary gland tissue to be removed. The scars heal and mature over the course of the first year. From swollen and red they go through multiple phases until they look like fine lines close in color to the tissues surrounding them. The scars after breast reduction surgery will look better with time, but they will never disappear completely. The patient needs to know and accept this. For some, the scarring can be a turn off, especially if their breasts are not overly big. For younger patients interested in undergoing breast reduction, there is also the risk of difficulty in breastfeeding or even an impossibility to breastfeed after the surgery. Due to the removal of a part of the mammary gland, the milk ducts in that portion of tissue will be removed as well. In other words, the milk duct network is sectioned during surgery, and breastfeeding might be problematic for some patients. Conclusion An overly generous bust can prove to be quite a struggle and a cause of discomfort and pain for women who have it. Breast reduction surgery is a good solution for patients confronted with mammary hypertrophy or breasts that are too large compared to their anatomy. This excessive volume may be due to an abnormal development of the mammary gland. Breast reduction can also be considered in cases of breast asymmetries, where one breast is visibly larger than the other. The results are easily sustainable, especially if the patient is careful to maintain a stable weight after the procedure. In case of considerable weight gain, the volume of the breasts might increase as well, but it is only the fat tissue that will get bigger and not the mammary gland.