Breast Reduction Surgery: Options and Considerations for H-Cup Women

Breast reduction surgery

I have a friend who has been troubled by a long-standing issue.
She has H-cup breasts, but now at 25 years old, she feels like her breasts are still growing.
Is this possible? It has become a burden for her, as standing for long periods at work causes significant downward pressure on her shoulder blades, leading to discomfort and pain.
She is considering breast reduction.
Should this be done through excision or liposuction? If she undergoes the procedure, will her breasts continue to grow afterward? Thank you for your patient response.

qaz700510, 20~29 year old female. Ask Date: 2008/08/15

Dr. Zhou Hongzhang reply Plastic Surgery

Theoretically, breast growth should not occur significantly after puberty, unless there are other issues or diseases causing endocrine abnormalities.
This could result in continued growth even after the age of 25.
If considering breast reduction surgery, there are several methods available, and a consultation in an outpatient setting is necessary.
It is important to carefully choose the most appropriate surgical option for oneself.

Reply Date: 2008/08/15

More Info

Breast reduction surgery is a significant consideration for women experiencing discomfort due to large breast size, such as those with an H-cup. Your friend's concerns about her breast size continuing to increase at 25 years old are not uncommon. Breast tissue can continue to develop due to hormonal changes, weight fluctuations, and genetics, which may lead to further discomfort and physical strain.

Surgical Options
When it comes to breast reduction, there are primarily two methods: reduction via excision (surgical removal of breast tissue) and liposuction.
1. Excision Method: This is the most common approach for significant breast reduction. It involves making incisions on the breast, typically around the areola and extending downwards, to remove excess breast tissue, fat, and skin. This method not only reduces the size of the breasts but also reshapes them, providing a more youthful appearance. It is particularly effective for women with larger breasts, as it allows for a more significant reduction and addresses issues like sagging.

2. Liposuction: This method is less invasive and involves removing fat from the breast through small incisions. However, it is generally more suitable for women who have a higher proportion of fatty tissue rather than glandular tissue. Liposuction alone may not provide the same level of reduction or lift as excision, especially for larger breasts.

Considerations for Surgery
- Physical Discomfort: Your friend’s symptoms, such as shoulder and back pain, are common among women with larger breasts. These physical burdens can lead to chronic pain and discomfort, making breast reduction a valid option to improve quality of life.

- Future Growth: After breast reduction surgery, it is possible for breasts to change in size due to factors like weight gain, hormonal changes, or pregnancy. While the surgery can significantly reduce breast size, maintaining a stable weight and being mindful of hormonal changes can help in managing future breast size.

- Recovery and Scarring: Recovery from breast reduction surgery typically involves some swelling and discomfort, which can be managed with prescribed pain medication. Scarring is an important consideration; however, skilled surgeons aim to minimize visible scars. Scars usually fade over time, but the extent of scarring can vary based on individual healing processes.

Post-Operative Care
Post-surgery, your friend will need to wear a supportive bra to aid in healing and support the new breast shape. Regular follow-ups with the surgeon are essential to monitor healing and address any concerns.

Conclusion
In summary, breast reduction surgery can be a life-changing procedure for women suffering from the physical and emotional burdens of large breasts. Your friend should consult with a board-certified plastic surgeon who specializes in breast surgeries to discuss her specific situation, including her breast composition, desired outcomes, and the most appropriate surgical method. This consultation will provide her with tailored advice and help her make an informed decision about her options.

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