What is the treatment for breast hypertrophy (breast reduction)?

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Last updated: March 19, 2025View editorial policy

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From the Research

Breast reduction surgery, also known as reduction mammoplasty, is the recommended treatment for breast hypertrophy, as it significantly improves quality of life, reduces physical symptoms, and enhances overall well-being. This surgery is indicated for individuals experiencing physical discomfort such as neck pain, back pain, shoulder grooving from bra straps, or skin irritation under the breasts due to their large breast size. The procedure typically takes 2-5 hours under general anesthesia, with a recovery period of 2-6 weeks before returning to normal activities. During surgery, incisions are made around the areola, vertically down to the breast crease, and horizontally along the crease, allowing the surgeon to remove tissue and reposition the nipple. Potential risks include scarring, changes in nipple sensation, asymmetry, and difficulty breastfeeding.

Some key points to consider when evaluating breast reduction surgery include:

  • The procedure can significantly improve physical symptoms and quality of life, as demonstrated by studies such as 1 and 2
  • Insurance may cover the procedure if it's deemed medically necessary to relieve documented physical symptoms, typically requiring removal of a minimum amount of breast tissue (often 500 grams per breast) 3
  • Patients should have a thorough consultation with a board-certified plastic surgeon to discuss goals, expectations, and potential outcomes 4
  • Different techniques are available for breast reduction, including the Lejour technique, which can be effective for greater macromastia and has a low risk of complications 5

It's essential to note that while breast reduction surgery is generally safe and effective, it's crucial to carefully evaluate each patient's individual needs and circumstances to determine the best course of treatment. As stated in 2, breast reduction surgery can have a profound effect on a patient's mental and physical well-being, and it's essential to prioritize their overall health and quality of life when making treatment decisions.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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