Semin Plast Surg 2013; 27(01): 049-055
DOI: 10.1055/s-0033-1347167
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Hyperplastic Breast Anomalies in the Female Adolescent Breast

Erik M. Wolfswinkel
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Valerie Lemaine
2   Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota
,
William M. Weathers
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Chuma J. Chike-Obi
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Amy S. Xue
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
,
Lior Heller
1   Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
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Publikationsdatum:
23. Mai 2013 (online)

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Abstract

Macromastia in adolescents is multifactorial and usually idiopathic, associated with obesity or hormonal imbalances. Less commonly, it can result from virginal or juvenile breast hypertrophy, a rare condition of unknown etiology, where an alarmingly rapid breast enlargement occurs during puberty. Breast hypertrophy in the adolescent population can have significant long-term medical and psychological impacts. Although symptoms can be severe, many plastic surgeons, pediatricians, and parents are often reluctant to surgically treat adolescent macromastia. However, reduction mammoplasty is a safe and effective treatment and may be the only way to alleviate the increased social, psychological, and physical strain caused by macromastia in adolescents.