Given our mammary-crazed popular culture, some might argue that big breasts are a blessing, but for many women, they are a literal pain. Most very large breasted women suffer more than lewd glances, suggestive comments and trouble finding bras. Common symptoms include back pain, headaches and grooves in the shoulders from bra straps. In 2005, according to American Society of Plastic Surgeons, 291,000 women underwent surgery to increase the size of their breasts, despite the risks and expense. Breast augmentation is far more common, but the incidence of breast reduction surgery has increased by 187% since 1992.
Technically known as reduction mammaplasty, the procedure usually takes two to four hours under general anesthesia, and does not typically require an overnight hospital stay. The incision is usually anchor-shaped, circling the areola, extending downward, and following the natural curve of the crease beneath the breast. The surgeon removes excess glandular tissue, fat, and skin, and moves the nipple and areola into their new position. The new breast contour is shaped by bringing skin down from both sides around the areola. The incision is stitched closed, and scars are often permanent. As with any surgery, there are risks from general anesthesia, bleeding and infection. Rarely, the surgeon has trouble getting the breasts the same size, and a followup procedure must be done to correct the asymmetry. Other risks include a possible inability to breastfeed and a loss or decrease in nipple sensitivity.
Studies show that most women are pleased with the results of breast reduction surgery. Even though there are clear medical benefits to the procedure, it can be difficult to get insurance companies to cover it. Many women end up paying out of pocket, usually around $7000 by the time surgeon, clinic and followup fees are included. This fact alone indicates that where breasts are concerned, sometimes less is more