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Are Breast Reductions a Medical Necessity?

Breast Reduction, Large Breasts, Primary Care Physician

Breasts are many different sizes, weights, and shapes. More often than not, large breasts are considered a “good thing”. Stereotypically, we hear that the opposite sex like the appearance of the large breasts. American society especially have come to a place where large breast are highly esteemed. As a woman, there may be a time in your life where your physical appearance got you something you really wanted like a free cab ride, or a few dollars off a meal. What we fail to understand is that not all large breasts are a blessing.

In the 1889, the bra was invented by Herminie Cadolle. Thank goodness women no longer have to wear many layers including a corset or bustier just to get support. Cadolle created the bra which simple featured cups and straps for support and coverage. The invention was excellent and the life of the modern woman will never have been the same. However the bra design created by Cadolle does have its down falls. For women with large breasts the strap begin to dig into the shoulders and create grooves. Also there is the weight that pulls downward on the back which creates a hunched like posture.

Unfortunately, the larger a woman’s bra cup size the more strain and stress on the shoulders, back and neck. Due to the design of the modern bra if one’s breasts are more than DDD there may be some problems ahead. Given the body type and shape of the woman she may have absolutely no problems with the weight of her breasts. Current medical documentation have reported cases of herniated discs in the spine, muscle strains, aching shoulders, rounded shoulders, and more.

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For these medical reasons, more and more breast reductions are being done for women that complain of many discomforts. It is also common for physical therapy to be prescribed for a woman with these muscular pains. Through physical therapy the muscles can be strengthened. If the muscles are strengthened the back, shoulders, and neck can better support the weight of the woman’s breasts. Typically 6-8 weeks of physical therapy is prescribed by your primary care physician. Most insurance companies will not consider approving a breast reduction unless there is documentation of physical therapy taking place to alleviate the pain and discomfort.

If you are considering a breast reduction or you know someone who is considering the procedure, take time and do the research. Often times people are in a hurry to get the procedure done and they settle for a quick procedure that is not done carefully. Historically, plastic surgeons did a procedure in which the nipple was completely removed and reattached. This process caused problems for most that lead to loss of sensation and inability to breast feed. Now it is possible to simply reposition the nipple and areola to a higher position without detaching it from its milk ducts and blood supply. The repositioning does not guarantee a B cup however it does promise a drastically smaller size than the original. If you have serous discomfort due to your breast size considering talking to your primary care physician then a well qualified plastic surgeon.

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