Breast Reduction

Q:

My 17-year-old daughter is embarrassed by her large breasts, and they even cause her physical pain and discomfort. She is talking about breast reduction surgery, but I'm not sure it's a good idea. What if she regrets it later on?

A:

Once breast tissue is removed, it cannot be put back. Breast reduction surgery is irreversible, so you are correct to approach the surgery with the utmost caution. However, in many cases, breast reduction surgery is the right choice and can significantly improve a woman's quality of life. If your daughter's large breasts interfere with normal physical activity, or if their weight causes back or shoulder pain, breast reduction may be recommended. In addition to relieving these symptoms, the surgery may improve the shape of her breasts. It also is likely to make her feel less self-conscious about her appearance.

Your daughter needs to be realistic about what is involved -- breast reduction is a major operation, usually requiring a brief stay in the hospital. There are a number of possible techniques, but, in most cases, there will be visible scars. However, most women who decide on breast reduction find that the freedom from pain and the ability to find clothes that fit well are worth it. Most plastic surgeons agree that breast reduction surgery has one of the highest satisfaction rates of any surgical procedure they perform. Start by taking your daughter to a board-certified plastic surgeon for an evaluation. The doctor can help you decide if breast reduction is appropriate and if your daughter has the maturity to make such an important decision at this time of her life.

Answered by: Laurie A. Casas, M.D., FACS
Glenview, IL

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