I have 42H breasts but should be wearing a size J according to fittings. I need help badly.

Question

Would an oversized C cup be appropriate or even a D? I am desperate because now I am facing shoulder surgery of rotator cuff and I firmly believe that my large breasts are a contributing factor. I have been large breasts most of my life. At 14 I was a size 38E. I have dents in my shoulders, neck and back pain, nerve tingling in my hands, have trouble sleeping at night if I don't wear a bra because the weight and size weigh my chest down. I am so desperate and need help.

Gary M. Horndeski, MD · Answer

Thank you for your question, I strongly recommend you consider a larger cup size as going too small may jeopardize vascularity and wound healing. Women no longer need to undergo massive breast reduction in order to experience pain relief. Please consider The Horndeski Method/The Bellesoma Method to alleviate pain from large breasts by transfering the weight of breast to the underlying chest muscles. This maneuver relieves the skin envelope in being the only structure holding breasts in place. The muscle acts as an active structure that easily maintains and lifts breasts long term. Attached is an example of a woman who wanted a lift without implants and without the ugly vertical incision. You are welcome to visit my gallery to see more examples. Best wishes, Dr. Gary Horndeski

Kenneth R. Francis, MD, FACS · Answer

Dear cbrown17,What are you waiting for?  Get to an American Board of Plastic Surgery board certified plastic surgeon to start your journey to a pain free, more comfortable life.  Good luck!

Reza Momeni, MD, FACS · Answer

It sounds like you would do very well to consider a breast reduction surgery.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Eric A. Marchant, MD, FACS · Answer

Sometimes a patient will wonder when they're "ready" for a procedure.  You have all the symptoms of most breast reduction patients who have cup sizes even smaller than yours.  I would suggest that you find a board certified plastic surgeon who is in your insurance network and call for a consultation.  At that consultation, you will learn about your procedure.  You will also be asked questions about your symptoms due to the size and weight of your breasts.  Your general health will be reviewed as well to make sure you are healthy enough for a breast reduction surgery.  Please don't delay!  Just make the call.  It's an informative visit that can lead to surgery and change your life in so many positive ways.  Good luck!

Steven Wallach, MD · Answer

It sounds like from your description that you might be a good candidate for a reduction.  You would need to be seen in person to be appropriately evaluated. Best of luck.

Tom J. Pousti, MD · Answer

I'm sorry to hear about the problems your disproportionately large breasts are causing you. 
Based on your description and pictures you may be an excellent candidate for breast reduction surgery.  “Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts. Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.
Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well.. Poor scarring, for example may be associated with the procedure.  Additional surgery may be necessary in the short or longer term for a multitude of reasons.
When the time is right, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.Before undergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon.  Most patients wish to achieve  enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. 
With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small)  very helpful. For example, I have found that the use of words such as “proportionate” or “C or D cup”  means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
I hope this, and the attached link, helps.

Ronald V. DeMars, MD (Retired) · Answer

It definitely sounds like you would benefit from a breast reduction. Although we may have a goal cup size in mind it is not possible to reduce to a specific sup size. See an experienced and Board Certified Plastic Surgeon for a consultation and exam. Then the surgeon will contact your insurance carrier to see if they will cover the surgery. If not you may have to pay for the surgery out of pocket as a cosmetic procedure. Good luck. You will love the benefits of the reduction surgery.

Jon Ver Halen, MD, FACS (license suspended) · Answer

Hello and thank you for your excellent question. You are a great candidate for a breast reduction.  The size, incision type, and surgical details are based on your desired versus existing breast size and shape, your chest wall measurements, and soft tissue quality. I would suggest that you go to a large C size, but ultimately, it is up to you. Preoperative visualization and surgical simulation with the Crisalix system may help with your decision. Any treatment plan should be based on a detailed discussion with equal input from both you and your surgeon.    Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation in person with a qualified board-certified plastic surgeon.   Good luck! 
Best,
Jon Ver Halen, MD FACS 
Harvard educated plastic surgeon

I have 42H breasts but should be wearing a size J according to fittings. I need help badly.

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