Q: Can a doctor help me? My breasts are too big and heavy! Both shoulders have deep indentations from the bra straps, and my shoulders and back are sore and very painful. A: Hello! When did your enlarged breasts start? Please upload clear pictures. Q: Since I was 16-17 years old, I have felt that my breasts are much larger than others, and after breastfeeding they are even larger and sagging significantly. The skin underneath my breasts is moist, often eczema and itchy, with occasional skin breakouts. What causes breast enlargement? A: There are 3 common types of breast enlargement, namely: hyperplastic breast enlargement, obese breast enlargement and youthful breast enlargement. Hyperplasia type can be caused by certain drugs, which can rapidly make breasts enlarged and sagging within 1-3 months. The obese type is caused by breast fat cell proliferation and hypertrophy. The youthful type is found during the pubertal development period with progressive enlargement and overdevelopment of breasts, hyperplasia and hypertrophy of mammary gland tissues, which is manifested as proportional hypertrophy, and breast sagging is not obvious, and breasts can be further enlarged during the breastfeeding period, and there can be different degrees of sagging after breastfeeding. You should belong to the pubertal type of breast hypertrophy. Rarely, there is sudden pubertal gigantomastia. Breast Hyperplasia Type Pubertal Type After Breastfeeding Sudden Pubertal Macromastia Q: Doctor, is my case serious? A: According to the degree of breast enlargement and ptosis, it can be classified into mild, moderate and severe hypertrophy and ptosis. According to the picture, you should belong to the severe one. Q: Doctor, I want to remove all my breasts and keep only the nipple, is it possible? I’m really exhausted and tired, not only the shoulder and back pain, but also can’t buy a suitable bra, I’m using a G cup bra, but still can’t wear it, and it’s very inconvenient for me to move, so I don’t have any confidence when I go out and have a low self-esteem. A: I understand your feelings and pain, but as a plastic surgeon, I can’t remove all of your breasts, which would really add new worries. You will still have no curves to speak of, you will still not be able to buy the right clothes, you will still have no self-confidence, and you will lose a lot of fun in your life. My suggestion is to remove most of the breast tissue and skin, get rid of the heavy burden, leaving C-cup size breasts, retaining the proud curves, and regaining self-confidence, which is the experience and insight of many cases. Q: What should I do before the surgery? A: Surgery should be avoided during physiological period. Before surgery, routine blood, urine, fecal routine, biochemistry complete set, coagulation complete set and two-to-half and other immunological tests, individual need to prepare blood, electrocardiogram and X-ray chest film. Q: What should I pay attention to after surgery? A: First of all, wear elastic bra for 3-6 months, which is conducive to postoperative breast fixation and contouring; secondly, use drugs or compresses that inhibit scar proliferation for 3-6 months; thirdly, regular follow-up follow-up check to ensure that postoperative effects are maintained; fourthly, regular postoperative dressing change, ten days incision removal, avoid alcohol and spicy food in January. Q: Doctor, will this surgery leave a lot of scars? Because I have checked some websites on the internet and all I see are pictures of many scars, is there any surgical method with less scars. A: Nowadays, the internal oblique tip method of breast reduction is mostly used, which is characterized by a wide range of applicability, suitable for mild, moderate and severe patients, with good postoperative breast shape, without the long scar in the lower breast crease, which greatly reduces the scars from the surgical incision. It is also suitable for uplift correction of breast ptosis. Q: Doctor can I see the result film of this surgical method? A: Yes, you can. Q: Doctor how do I make an appointment for the surgery? A: You can book an appointment through the platform or you can make a direct call.