- Patrick Hudson MD PA FACS
- Cosmetic Plastic Surgery
- 1101 Medical Arts NE,
- Albuquerque,
- NM 87102
- USA
- tel: 505/242 0070
- doctor@phudson.com
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- BREAST REDUCTION
- excessively large breasts in teenagers
The presence of excessively large breasts in teenagers is often given the name juvenile breast hypertrophy or virginal hypertrophy. The cause is not known but it appears that the breast tissue is more sensitive to circulating hormones. This is called end-organ hypersensitivity. It is not thought to be due to an increase in hormones.
What are the warning signs:
- • The breasts often start to grow quickly at the time of the first period
- • The breasts are large and out of proportion to rest of the body
- • The nipple and areolar may stretch and become pale or lose pigment
- • The veins of the breast skin may be large and full
- • Skin necrosis (death or loss of skin) is uncommon but may occur
- • The weight of the breast can cause problems in the back
What treatments are available?
• Reduction mammaplasty is the best treatment. This is often done when the teen is quite young because a delay may result in psychological and physical problems. Unfortunately there is a high chance the breast tissue may re-grow. This means another surgery may be needed.
• Mastectomy has been used to treat severe cases when the breast persistently regrows.
• Hormone therapy is not usually an alternative to surgery because there may be unknown side effects during puberty. If the breast regrows a trial of hormone therapy may be used. One hormone that is used is Dydrogesterone, a kind of progesterone. This does not seem to disturb ovulation.
Losing weight will NOT help because juvenile breast hypertrophy is mainly due to overgrowth of the glandular not the fatty part of the breast.
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