L cup (US sizing) - constant breast growth in my 30s, should I have a reduction?

Question

In High School, I was a B cup. From 19 to 29 years old I only grew 3 sizes; C - DD cup. During that time I gained weight but nothing drastic. However, in my 30s, my breasts began growing a whole cup size every year (I also gained weight during this time but nothing drastic). I'm 37 years old this year and I went up two cup sizes. And, I'm beginning to have some quad-boob in my 36L bras US sizing (36HH UK sizing). Is this growth normal? Should I get a reduction?

J. Timothy Katzen, MD, FACS · Answer

Dear AMETHYSTWYNTER,
Thank you for reaching out with your concerns about continuous breast growth in your mid-30s and the consideration of breast reduction surgery.
Unusual Breast Growth:
It is indeed unusual for breasts to consistently increase in size each year, especially in your mid-30s. This warrants further medical evaluation.
I recommend a thorough assessment by an endocrinologist to explore any underlying hormonal or endocrine issues that might be contributing to this growth.
Breast Reduction Surgery:
If no specific cause is identified, you could be a good candidate for breast reduction surgery.
An anchor or inverted T incision breast reduction is commonly suggested for significant reductions. This procedure involves incisions around the areola, down the front of the breast, and along the infra-mammary fold, allowing for both breast reduction and lift.
While an exact cup size outcome (such as a C or small D cup) can't be guaranteed without a physical examination, most plastic surgeons aim to achieve a size proportionate to your body frame.
Consultations and Insurance Coverage:
It's advisable to consult with multiple plastic surgeons to discuss your options and expectations.
Breast reduction surgery is often covered by medical insurance, especially if it's indicated for medical reasons. Choose a surgeon who is experienced in working with insurance providers to minimize your costs potentially.
In conclusion, a comprehensive medical evaluation followed by consultations with plastic surgeons should be your next steps. These will help you make an informed decision regarding the possibility and scope of breast reduction surgery.
Wishing you clarity and comfort as you explore these options.
Sincerely,
Dr. Katzen

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to meet with you to discuss your concerns. Schedule a consultation with Board Certified Plastic Surgeon to help you reach your goal.

Scott C. Lindsay, DO · Answer

Thanks for your question.
It sounds like you are a good candidate for a breast reduction. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

Wayne I. Yamahata, MD · Answer

Breast reduction surgery would be generally indicated with women your size. A medical evaluation would be recommended prior to surgery. Your rate of growth seems to exceed normal and underlying causes such as hormonal imbalances or other medical conditions should first be ruled out and treated as necessary.

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Unless you like carrying around those mammoth puppies, go get a breast reduction. Your insurance might cover this procedure for you if it covers a breast reduction.

Camille Cash, MD · Answer

From your description you are a good candidate for a breast reduction.  This procedure will remove excess tissue as well as raise the position of the nipple and reshape the breast.  The next step is to schedule a consultation with a board certified plastic surgeon near you to learn more.  I've included a video on the procedure that I hope you find helpful.

L cup (US sizing) - constant breast growth in my 30s, should I have a reduction?

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