Mildly large breasts

Woman's breasts play a fundamental role in the self esteem, perception of feminity, psychological confidence, sexual sphere, gender assignment and acceptance of body morphology.

Inherited large breasts or acquired mammary hypertrophy may be due to genetical, hormonal, reproductive, surgical and weight oscillations reasons. Mammary hypertrophy can be classified as slight when the nipple breast mass is slightly above the normality producing no physical or psychological disturbance, mild when it is neatly oversized but still an acceptable one to most women, moderate when most women and doctors may consider it a physical burden leading to unsightly deformity, severe when mammary hypertrophy is a gigantomastia affecting not only psychologically but also physically most patients with head, neck, shoulders and back aches, rubbing soreness under the breasts and difficulty to keep an optimal hygiene and extreme if breasts are of monstrous size and become an impediment for woman's daily activities plus high intensity physical disorders and pain; the suitability of breast hypertrophy surgery (considering the involved and always unsightly scars) and the indication of the right surgical technique depends on the grade of breast oversizing. As a rule of thumb it can be said slight grades of mammary hypertrophy need and justify no treatment; mild cases may follow the same course of action, and only extremely motivated, well aware of the scars and informed patients should get treatment of the breast hypertrophy; moderate grades of macromasty begin to be a genuine indication of hypertrophy treatment, although not all women may wish or need it; severely large breasts pretty much require breast reduction, anyhow some selected patients may prefer very large and unsightly breasts but of satisfactory size as a price to avoid the scars of mammary hypertrophy correction; finally extreme grades of breast gigantomastia require, as a mandatory indication, the scars and treatment to downsize the mammary mounds, with or without associated breast implants augmentation should the breasts be pendulous in kind.

As an associated surgical gesture the patient may opt for the treatment with mammary prostheses of an objectively or subjectively, totally or partially empty breast with a certain amount of spare skin and disproportion between the cutaneous shell and the inner content has to be customized to achieve the desired increase in size and preferred shape of the breasts, expand the breast skin, fill the upper pole, achieve a full cleavage, reshape the breasts and balance all the anatomical mammary structures affected.

Best state of the art treatment for the oversized breast is the reduction mammoplasty of lollipop vertical or inverted T anchor pattern scars and eventually, should the breast be hollow and the patient desire upper pole and cleavage fullness or simply size augmentation, with augmentation mammoplasty with cohesive silicone gel filled breast implants, either round or anatomical shaped, recommendable with textured shell surface placed in the subfascial plane simultaneously with the reduction mammoplasty execution.