Hypertrophy of the breast can affect the breasts equally, but usually affects one breast more than the other, thereby causing asymmetry, when one breast is larger than the other. The condition can also individually affect the and instead of or in addition to the entire breast. The effect can produce a minor size variation to an extremely large breast asymmetry. Breast hypertrophy is classified in one of five ways: as either (juvenile hypertrophy), gestational ( macromastia), in adult women without any obvious cause, associated with therapy, and associated with extreme . Many definitions of macromastia and gigantomastia are based on the term of “excessive breast tissue”, and are therefore somewhat arbitrary.
This 67-year-old patient came for a breast reduction. She had been rejected by other plastic surgeons over the past 10 years because of the severity of the case. Her main complaints were the extreme heaviness of her breasts, causing her back pain, shoulder pain, bra strap grooving, and rashes under the breast fold. She also stated that her breasts would get burn injuries every time she tried to cook food at the stove. Diagnosis: Gigantomastia. Procedure performed: Bilateral reduction mammoplasty (Bilateral breast reduction). Total weight removed: 4,705kg or 10.4 lbs
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