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Why will my doctor not recommend that I get a breast reduction?

Q:

I am 18 years old, 4'11" and weigh around 100 pounds.  I originally wore a size 34 DDD bra, but I have to buy a size 36 DD in order to support my breasts because it's difficult to find size 34 DDD.  Each time I go to the doctor and complain about the largeness of my breasts, the doctor does not recommend that I have a breast reduction.  What can I do?

A:

Recommendation for Breast Reduction.

You did not mention any symptoms.  These are generally required for insurance coverage. However, from your description, you sound like an excellent candidate for a breast reduction. You also did not mention which doctor you saw that would not recommend a reduction. Many non-Plastic Surgeons do not understand the problems with large breasts.  No matter what the specialty of the doctor you have been seeing, I would recommend that you see a different doctor for a second opinion.  Make sure whoever you see is a Board Certified Plastic Surgeon.

A:

I am not sure if you are discussing the possibility of breast reduction with your family physician or plastic surgeon. It sounds as though it is your family physician.  You need to directly and openly discuss the problems that your breast size is causing you, and the option of breast reduction.  You need to initiate the discussion. There could be a medical, psychological or even a personal opinion regarding the physician not recommending that you see a plastic surgeon.

Take the initiative also and consult a board certified plastic surgeon.  Discuss the surgery, your options and the risks involved.  Then you can decide if the surgery is suitable for you.

A:

A reduction can certainly be pursued with your given height and weight.  However, you will have to weigh your symptoms (difficulty with bras and just largeness is not a symptom) with the potential for losing sensation and your ability to breast feed.  Any plastic surgeon should be able to help guide you through this process but please be aware there are many techniques and if your doctor only uses one, you may be better seeking a second opinion.  Best wishes to achieving what you desire.

A:

You should seek a second opinion if your doctor doesn't provide you with a satisfactory explanation for his recommendation against breast reduction surgery.

Based on the information you provided, it seems that you are likely to be a candidate for breast reduction surgery.

I suggest that you seek a consultation with a board certified plastic surgeon so that you can be evaluated and have your concerns discussed in detail.

Fredrick A. Valauri, M.D. F.A.C.S.M.D., F.A.C.S. - View Other Answers by this Doctor
New York, NY

A:

You may want to see another plastic surgeon.  Breast reduction is one of the most common operations that I perform on teenagers for there is no question that this helps with reducing a lot of the symptoms.  The main problem is that bad scars may occur.  We pre-authorize the patients and perform this as an outpatient.  You would need a minimum of 5 days in this area. 

Dr. Ed Domanskis, Newport Beach,Ca

Edward J. Domanskis, M.D., FACS - View Other Answers by this Doctor
Newport Beach, CA

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