1 Ms. Chen consulted: It is said that large breasts are a sign of female plumpness and sexiness, but I have been very distressed by my large breasts. The breasts are not semicircular, but a bit like a gourd and a scoop, and the nipples are more or less sagging. I want to consult an expert, is this breast enlargement? What are the risks of breast enlargement to the body? Can I reduce the size of my breasts through surgery? Hello, Ms. Chen, breast enlargement is mainly diagnosed according to the ratio between the volume of the breast and the chest, as well as the position and shape of the nipple, and can be divided into two categories: congenital and acquired. Breast enlargement is a disease that causes both mental and physical pain to women. On the one hand, it can cause difficulty in moving around and even pain in the neck and shoulders, as well as eczema and ulcers in the inframammary folds due to the long-term accumulation of sweat; on the other hand, it often causes stress and loss of self-confidence due to the change in one’s figure. Surgical treatment for breast enlargement has been performed for more than 100 years, and as medicine has evolved, the procedure has improved and become more sophisticated. Patients need to be diagnosed with the specific type and stage to choose the right surgery for you and to solve your pain as soon as possible. Ms. Li: I am a sophomore in college this year, and my breasts have always been small, so I am often teased when I take a shower with my roommates, and the boys also call me a “flying airport”, which makes me very sad. I’ve thought about trying breast augmentation surgery, but I’d like to ask the doctor if it’s suitable for me at the age of 21. Will the enlarged breasts last long? Is there any good way other than breast augmentation surgery? Hello Ms. Li, breast augmentation surgery has always been the most concerned breast surgery, and the age selection for breast augmentation surgery has been one of the most controversial topics. For the selection of the age of the patient, there is no absolute gold standard, the author believes that at least 18 years old after adulthood, with full capacity to act, according to the patient’s physical, psychological and family situation, comprehensive consideration, specific analysis, different from person to person, simple time definition is not desirable. The effect of enlargement after breast augmentation surgery can be maintained for a long time, but of course, due to the different materials used and the different levels of placement, the glands of one’s own breast will change with breastfeeding, weight gain and the occurrence of related diseases, and the shape of the breast will change accordingly. When women enter puberty around the age of 10, their breasts begin to increase in size as their mammary glands develop. Generally, after the age of 18, the breasts do not increase in size without weight gain (except during breastfeeding). There is no muscle tissue in the breast, so exercise will not change the volume of the breast; the effect of hormone therapy will be repeated with the discontinuation of the drug, and at the same time there is a great danger for the body, so for those who do not have related endocrine system diseases should not be chosen easily; no physical therapy (such as massage) has been found to increase the volume of the breast. 3 Ms. Sun: I am 24 years old and will get married in half a year. I want to have breast augmentation surgery, but my mother told me that having breast augmentation surgery before marriage will affect my future breastfeeding. May I ask the expert how much breast augmentation before marriage will affect breastfeeding? If I want to have the surgery, when should I choose to have it? Hello Ms. Sun, the post-operative issue of breast augmentation surgery is also a constant concern for everyone. Women who are ready to choose breast augmentation surgery will inevitably encounter specific problems such as pregnancy, childbirth and breastfeeding, which is one of the most important concerns for these friends and their families. Breast augmentation surgery can be divided into breast implant and injectable breast augmentation according to the form of the material used. Injectable breast augmentation should be avoided because the material is injected directly into the breast gap, which may affect the smoothness of the gland or duct, and at the same time cannot be completely removed, which will have an impact on breastfeeding. Breast implants can be divided into two categories, subpectoral and inframammary, depending on the level of surgery. The placement of inframammary implants will directly touch the breast gland and may damage the gland or duct, so you should be careful when choosing this type of surgery before delivery. The subpectoral space has less chance of damaging the gland during the operation and can be chosen when surgery is necessary. In principle, because breast augmentation surgery may affect the patency of the breast ducts (especially with an areolar incision + superficial pectoralis muscle implant), it is preferable to perform breast augmentation surgery after childbirth and after breastfeeding. Of course, as answered in the question above, specific problems need to be analyzed, and the choice of the age of surgery needs to be based on the patient’s physical, psychological and family situation, and a simple time definition is not advisable.