Accessory Breasts: Surgical Options and Concerns - Surgery

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Dear Patient,
Thank you for reaching out with your concerns regarding accessory breasts, also known as supernumerary breasts or polymastia. This condition can indeed be distressing, especially when it affects your confidence and choice of clothing. Let’s address your questions one by one.

1. Surgical Options for Accessory Breasts: There are several surgical approaches to remove accessory breast tissue. The most common method is excisional surgery, where the surgeon makes an incision to remove the accessory breast tissue along with any associated skin. This can be done under local or general anesthesia, depending on the extent of the tissue to be removed and the surgeon's recommendation. Liposuction may also be an option if the accessory breast tissue is primarily fatty. However, excisional surgery is typically more definitive, especially if there are concerns about the tissue being functional (producing milk) or if there are any associated complications.

2. Insurance Coverage: Whether the procedure is covered by health insurance can vary significantly based on your location and the specific insurance policy. In many cases, if the accessory breast tissue is causing physical discomfort or psychological distress, it may be considered medically necessary, and insurance may cover the procedure. It's essential to consult with your healthcare provider and insurance company to understand your specific coverage options.

3. Future Pregnancies and Recurrence: After surgical removal of accessory breast tissue, the likelihood of recurrence largely depends on the completeness of the excision. If all the glandular tissue is removed, it is unlikely that the condition will recur. However, hormonal changes during pregnancy can sometimes stimulate residual breast tissue, leading to similar symptoms. It’s important to discuss your future pregnancy plans with your surgeon, as they can provide tailored advice based on your specific situation.

In addition to these points, it’s worth noting that accessory breasts can sometimes be mistaken for other conditions, such as cysts or tumors. Therefore, a thorough evaluation by a healthcare professional is crucial before proceeding with surgery. This evaluation may include imaging studies, such as ultrasound or mammography, to ensure that the tissue is benign.

Moreover, if you are considering surgery, it’s advisable to consult with a board-certified plastic surgeon or a general surgeon who specializes in breast surgery. They can provide you with detailed information about the procedure, recovery time, and potential risks involved.

Lastly, I understand that the presence of accessory breasts can impact your self-esteem and body image. Many individuals experience similar feelings, and it’s essential to prioritize your mental well-being alongside your physical health. Support groups or counseling may also be beneficial as you navigate this journey.

Thank you for your questions, and I hope this information helps you make an informed decision regarding your condition. Please feel free to reach out if you have any more questions or need further clarification.

Best wishes for your health and well-being!