top of page

Macromastia Miseries

Updated: Nov 1, 2022

Symptoms of hypertrophic breasts and indications for breast reduction surgeries

Breast hypertrophy/ Gigantomastia/ Macromastia is a medical condition where the breasts become excessively large.


  • Idiopathic (Unknown)

  • Familial

  • Puberty (juvenile macromastia)

  • Pregnancy (Gestational macromastia)

  • Syndromes

  • Drugs (penicillamine, cyclosporine, bucillamine etc.)

Who is breast reduction surgery recommended for?

Those with one or more of the following symptoms are candidates for breast reduction surgery

  • Chronic back, shoulder, and neck pain.

  • Chronic ulcers, rash, fungal/ bacterial infection in the inframammary folds (under the breasts)

  • Inability to perform certain physical activities/ sports

  • Trouble fitting into clothes/ brasserie

  • Psychological distress/ poor self-image


Your plastic surgeon/ breast surgeon would first evaluate you for the underlying causes and either counsel you regarding pubertal and gestational macromastia ( which in certain cases may be self-limiting and resolve naturally over time) or advise surgery - Breast reduction surgery a.k.a reduction mammaplasty.

Breast reduction surgery removes fat, breast tissue and skin from the breast while retaining the natural appearance of the breast, thus\ reducing the overall size of the breasts by a few kilograms and cup sizes.

Who is breast reduction surgery not recommended for?

  • Smokers (If smoking, stop for atleast 6 weeks before and after surgery )

  • Ongoing pregnancy

  • Obese

  • Patients with multiple co-morbidities

  • Patients who are unable to accept scars on their breasts.

  • Surgery may be deferred if you are breastfeeding.

Things to know about breast reduction surgery

Contrary to popular belief, Breast reduction/ Reduction mammaplasty is a therapeutic procedure and very rarely cosmetic. Certain cases of hypertrophic breasts are clearly curative and cleared by insurance companies provided the association with symptoms can be shown.

The social taboo and lack of awareness prolong the suffering of many women.

The physical discomfort and psychosocial discomfort associated with breast hypertrophy can be easily alleviated with surgery.


Contact your plastic surgeon today to know more.

Please leave your comments and feedback below.

Recent Posts

See All


bottom of page