Breast reduction is one of the most common plastic surgical procedures performed in the United States. Large, heavy breasts can have a considerable impact on a woman’s quality of life, and surgery can bring considerable physical and mental health improvements . Teenagers with large breasts can also benefit from reduction surgery and the following review by the American Society of Plastic Surgeons of an article in the Journal of the American Society of Plastic Surgeons supports these surgeries:
“In previous studies, Dr. Labow and his team have shown that young patients with large breasts suffer severely decreased quality of life compared to their unaffected peers, and that theBreast reduction is one of the most common plastic surgical procedures performed in the United States. Large, heavy breasts can have a considerable impact on a woman’s quality of life, and surgery can bring considerable physical and mental health improvements . Teenagers with large breasts can also benefit from reduction surgery and the following review by the American Society of Plastic Surgeons of an article in the Journal of the American Society of Plastic Surgeons supports these surgeries: se negative effects can be restored with surgery. In an article published in the September 2019 issue of the Journal of the American Society of Plastic Surgery Dr Labow and colleagues stated that “Adolescent reduction mammaplasty remains controversial due to concerns of and lack of data regarding postoperative breast growth, complications, and the effect on well-being.”
Dr Labow and his researchers analyzed complications and their impact on quality of life in 512 adolescent girls and young women, aged 12 to 21, who underwent breast reduction surgery between 2008 and 2017. Outcomes showed that the benefits of breast reduction surgery were similar to those reported in previous studies: pain and other breast-related symptoms decreased, while physical well-being, psychosocial functioning, and self-esteem improved.
About one-third of patients developed some kind of complication – however, the “vast majority” of complications were minor. “Patients had significant postoperative improvements in their physical and psychosocial well-being regardless if they experienced a complication,” Dr. Labow and coauthors write.
The most common complication was thickened or raised scars (hypertrophic scarring), occurring in 20 percent of patients. Those concerned about scarring were offered treatment, either surgery or steroid injection.
One concern about reduction mammaplasty in adolescents is the risk of breast growth after surgery. This occurred in about five percent of patients in the study, leading to the return of breast-related symptoms in about half of cases. Noting that postoperative breast growth was unrelated to age, the researchers highlight the need to individually assess maturation in each patient.
While the benefits and risks of breast reduction surgery in adults are well-documented, few studies have focused on the risks and benefits of this procedure in adolescents and young women. Despite the fact that 80 percent of affected women first experience symptoms during adolescence, most women who undergo breast reduction surgery are around 50 years old.
The new study supports the good outcomes of breast reduction surgery in patients aged 12 to 21, despite a substantial risk of mostly minor complications. Dr. Labow and colleagues conclude: “Fear of potential complications should not preclude otherwise healthy patients from the benefits that reduction mammaplasty can provide adolescents.” “
