Breast reduction, or reduction mammoplasty (RM), is one of the most commonly performed plastic surgery procedures. Macromastia, or large breasts, can cause a host of signs and symptoms, including back and neck pain, breast pain, decreased sensitivity of the breast and nipple areola complex, shoulder, arm and hand pain, painful bra grooves, as well as unpleasant rashes and itching between skin folds. Furthermore, patients with very large breasts can find simple activities such as running and playing sports challenging, and finding properly fitting clothes equally daunting.
Breast augmentation is one of the most commonly performed plastic surgery procedures. In general there are three groups of women who undergo breast augmentation. The first group is characterized by women who feel that their breasts are too small for their body. The second group of women are those whose breasts have “deflated” as a result of pregnancy and breast feeding and the third group of women are truly more reconstructive augmentations as may be performed after breast reconstruction surgery (these women finish their reconstruction with larger breasts than they had prior to their mastectomies). Although breast augmentation can provide a small lift to the breasts as well, when there is more than a moderate amount of breast sagging then the augmentation should be combined with a mastopexy, or breast lift, in order to provide optimal results.