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Macromastia in adolescence.

S Corriveau1, J S Jacobs

  • 1Department of Plastic Surgery, Eastern Virginia Graduate School of Medicine, Norfolk.

Clinics in Plastic Surgery
|January 1, 1990
PubMed
Summary
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Macromastia, a painful breast enlargement condition, can be treated with surgical reduction. Hormonal therapies may help prevent recurrence, though the exact causes remain complex and multifactorial.

Area of Science:

  • Plastic Surgery
  • Endocrinology

Background:

  • Macromastia presents as a deforming, disabling, and painful condition, particularly in adolescents.
  • The etiology of macromastia is complex, likely multifactorial with genetic and acquired components.
  • Hormonal influences on breast development and macromastia are not fully understood.

Purpose of the Study:

  • To review surgical techniques for breast tissue reduction.
  • To discuss the role of adjunctive hormonal therapy in preventing macromastia relapse.
  • To emphasize the importance of understanding breast vascular and neural anatomy for surgical safety.

Main Methods:

  • Review of established surgical procedures for breast reduction.
  • Discussion of hormonal therapy as an adjunct to surgical intervention.

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  • Emphasis on anatomical considerations for preserving vital breast tissue.

    • Main Results:

    • Surgical reduction is effective in managing macromastia.
    • Adjunctive hormonal therapy may play a role in preventing recurrence.
    • Understanding breast neurovascular anatomy is crucial for safe and effective reduction.

    Conclusions:

    • Macromastia management involves surgical reduction and potentially hormonal therapy.
    • Careful surgical planning and patient counseling are essential for optimal outcomes.
    • While sensory and lactation functions may be affected, patient benefit and results can be maximized.