Juvenile mammary hypertrophy: is reduction mammaplasty always feasible?

Juvenile mammary hypertrophy is a rare disorder, and till date only 21 cases have been reported in the literature. The management of this condition includes screening for hormonal imbalance and reduction mammaplasty. However, we believe that the following case is worth reporting not only because of the rarity of the condition but also because it is the only case in which a bilateral subcutaneous mastectomy was performed instead of a reduction mammaplasty procedure because of massive intraoperative bleeding.