Therapy Vs Breast Reduction for a Teen?

I am 14 and I have a 36D breast size and am 135 lbs. I have,in the past,had minor back problems and has gotten increasingly worse. I also get teased at school for being thin and having big breasts. I have done all that i could to make my breasts smaller. But my mom doesn't think breast reduction is a good idea and thinks i should go to therapy to learn to accept my breasts, but therapy can't cure back pain. I think that a breast reduction will help but is it a good idea?

Doctor Answers (10)

Juvenile Breast Reduction


It sounds like you are dealing with juvenile breast hypertrophy along with the physical and psychosocial consequences of this diagnosis. In other words, the breasts are too large for the frame causing  both physical and psychological distress.
You may be a good candidate for the breast reduction procedure and 1 to 2 years. This will give you time to do your homework and understand the potential risk and consultations associated with breast reduction surgery. You should also understand that further surgery may be necessary in the future (for example if the breasts were to grow in size again).
On the other hand, breast reduction surgery is one of the most patient pleasing operations we perform and I think that for the right teenager (enough symptoms) it may be an excellent option (regardless of the age).
I would suggest an in-person consultation with a well-trained/experienced board-certified plastic surgeon.

Best wishes.

Web reference:

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

Breast reduction at 14?


I think that you are a bit young to get a breast reduction at 14. You probably are still growing so give it some time before you consider a reduction, and you would need parental consent.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

Breast reduction at 14? Mom not on board


I am not sure if your mother intended psychological therapy or physical therapy but the latter could help ease the discomfort on your back, shoulders and neck from the weight of the large breasts. I am sure your mother has your best intentions at heart. It may be wise to wait until your growth spurt has stabilized and your breasts have achieved their adult size. Doing surgery prior to this may result in the need for a secondary reduction if performed too early in life. Consider Physical therapy for now and re-visit the issue in 6 months.

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Chicago Plastic Surgeon
5.0 out of 5 stars 39 reviews

Breast reduction in teens


Emnoah, you fully realize why excessively large breasts are not always a blessing.  I have had teen breast reduction patients who were "ideal body weight" and above average motivation who were referred by their pediatricians for consultations.  Some elected surgery, others didn't.  Like the other consultants, I agree that there are some risks of any surgery, which include the need for general anesthesia, scars, infection, asymmetry, possible interference with lactation.  As a minor, your parents have to accept these on your behalf and that may be part of why your mother is reluctant to expose you to these risks.  Another trend that I have observed in young breast reduction patients is that early and ample breast development can recur, after breast reduction, when there is significant hormonal fluctuations, i.e. pregnancy, weight gain, menopause.  If you can accept that the surgery will improve your musculoskeletal load, dermatological (rash) problems and improve your proportions, but that you may have to repeat it, then discuss this with your mother and pediatrician and interview several PS, before you make a choice.

Orange County Plastic Surgeon
5.0 out of 5 stars 30 reviews

Breast Reduction for a Teen


I, we, all feel for you, but I can not walk in your shoes. Remember you are only 14 so your parent has final say concerning surgery. Why do you not make a bargain with Mom? Try therapy for 6 months and if still very unhappy than she should let you preceded with a breast reduction. Try this at least. From MIAMI Dr. B

Miami Plastic Surgeon
4.5 out of 5 stars 55 reviews

Virginal Breast Hypertrophy


Dear Em,

From your question, you sound like a very intelligent and mature 14 year old who has given some serious thought to a condition that may be causing real symptoms.  I would recommend that you and your mom visit a plastic surgeon in your area for a discussion about breast reduction including risks and the chances of your breasts continuing to grow after surgery. Good luck!

Web reference:

Manhattan Plastic Surgeon
4.5 out of 5 stars 30 reviews

Getting a Parent to UNDERSTAND theImportance of Breast Reduction in aTeen

If you had a bulging hernia that compromised everything you did - wouldyour mother still insist you had to "psychologically come to terms" with it instead of getting it surgically repaired? If SHE had painful bleeding uterine fibroids would she purse psychological therapy instead of removing the fibroids? Your mother is just not educated on Breast Reduction and its importance. I would discuss just how physically and emotionally painful heavy breasts are with your school nurse and your family doctor. Ask them to speak with your mother and educate her on how a breast reduction can literallytransform your life for the better. Further resources may be found on the website of The American Society of Plastic Surgeons. Good Luck. Dr. Aldea
Memphis Plastic Surgeon
5.0 out of 5 stars 52 reviews

Take your Mom to see a Plastic Surgeon


You and your Mom should go in together and speak with a Board Certified Plastic Surgeon.  He or she will be able to tell you in great detail about the appropriate timing and reasons for a breast reduction.

While physical therapy is usually beneficial for any type of muscular pain, if the pain is the result of overly heavy breasts, it won't cure things by itself.

Good luck!

Ogden Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast reduction in a 14 Year Old


A reduction is a big decision, because it results in permanent changes to your breast, and has risks (although very low) such as scars, possible decreased feeling or inability to breast feed. 

Talking things over with your mother, doing research together, and seeing a doctor for a consultation to answer your questions will get you both infrmed, and might help make the decision easier.

Houston Plastic Surgeon
5.0 out of 5 stars 152 reviews

Ask your Mother to take you to see your family Physician and have an in-depth consultation


Your problem may be multifactorial but if your breast are too big for your body and cause you social embarrassment as well as aggravates your back and neck discomfort, then you should be evaluated for a reduction mammoplasty. It is important for there to be an agreement between you and your Mother and the Plastic Surgeon and your Family Physician. Start by asking your Mother to schedule an appoint to meet with your Family Doctor to discuss your options. 

Orlando Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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