Well Rinku,

Breast hypertrophy can be a real problem for some women. Reduction mammoplasty using various surgical techniques has become a more common treatment. Over the last 30 years about 32,000 such operations have been performed in Sweden, an average rate of about 25 per 100,000 women per year. That's about 12 a year in the average PCG, so a GP might see a case once every five years or so.

A new systematic review [1] pulls together the best available information. It informs about before and after symptoms, and is fascinating because this is one of those topics where randomised trials are rare as hen's teeth. So the question arises about dealing with different study architectures.

Systematic review

The authors [1] searched a variety of electronic databases for studies, using a number of different languages, and supplemented this with bibliographies and reviews. Studies that were case reports, abstracts, without outcomes of interest, with mixed procedures, in the setting of breast cancer, or with mixed genders, were not used. Those included had a minimum of 10 patients, were controlled trials, or case series, or historical or cross-sectional surveys, had a diagnosis of unilateral or bilateral breast hypertrophy or macromastia, used reduction mammoplasty and had clinical outcomes of interest.

The outcomes of interest were preoperative and postoperative reports of signs and symptoms and quality of life.

Results

Twenty-nine reports were included, with 4,200 women. Eighteen were observational studies, predominantly cross-sectional, and eleven were experimental studies, predominantly uncontrolled case series. The average age of women in the studies was about 36 years, with a wide range from 11 to 86 years. The average amount of breast tissue removed was about 1,500 grams from both breasts, with a range of 100 grams to 8,000 grams. Reduction was bilateral in over 90% of women. Observational and experimental studies had similar patient characteristics.

The frequency of reported symptoms before breast reduction was high (Table 1; Figure 1). Shoulder pain, and shoulder grooving caused by brassiere straps occurred in about 85% of women preoperatively, though back, neck and breast pain also occurred in over half of women before breast reduction, and intertrigo was also common. After the breast reduction the frequency of the symptoms reduced dramatically, and to about 10% on average

source site : http://www.medicine.ox.ac.uk/bandol ier/band89/b89-5.html

Answered by Priyanka C , an ibibo Master, at 10:31 PM on September 09, 2008

Breast reduction surgery is for women who have large breasts and want to resolve one or more of the following associated problems:

Chronic back, neck and shoulder pain
Poor posture
Skin rash under the breasts
Deep grooves in the shoulders from bra strap pressure
Restricted levels of activity
Low self-esteem
Difficulty wearing or fitting into certain bras and clothing
You can have breast reduction surgery at any age, but it's generally advisable to wait until you're at least age 20, by which time your breasts are likely to be fully developed. However, sometimes surgery is performed in teens who suffer significant emotional and psychological effects of having too-large breasts.

If you want children, consider postponing breast reduction surgery until you've had them. Changes to breast tissue during pregnancy could alter your surgical results. Also, after the surgery, breast-feeding may be difficult
visit /www.mayoclinic.com

Answered by Jyothi , an ibibo Master, at 8:01 PM on September 09, 2008

well rinku!
Breast reduction or reduction mammoplasty is an outpatient surgical procedure[1] which involves the reduction in the size of breasts by excising fat, skin, and glandular tissue; it may also involve a procedure to counteract drooping of the breasts. As with breast augmentation, this procedure is performed most often on women, but may also be performed on men afflicted by gynecomastia.

Breast reduction surgery is oriented toward women with large, pendulous breasts, especially gigantomastia, since the weight of their breasts may cause chronic pain of the head, neck, back, and shoulders, plus circulation and breathing problems. The weight may also cause discomfort as a result of brassiere straps abrading or irritating the skin.[2] For these reasons, the surgery is usually covered by insurance.[3] Even if physical discomfort is not a problem, some women feel awkward with the enormity of their breasts in proportion to the rest of their relatively smaller bodies. Except in unusual cases, this procedure is performed on individuals with fully-developed breasts, and it is not typically recommended for women who desire to breastfeed.

Males with common condition of gynecomastia may feel embarrassed and upset with their condition, usually developed during adolescence. They may get the surgery for restored confidence.[4]

A few celebrities are known for receiving breast reductions, such as Drew Barrymore,[5] Soleil Moon Frye,[6] Queen Latifah,[7], Sharon Osbourne[8], and Kerry Katona
for more inf check sourcehttp://en.wikipedia.org/wiki/ Breast_reduction

Answered by sanjay , an ibibo Guru, at 4:58 PM on September 09, 2008

hello friend

Breast reduction surgery is a procedure for reshaping exceptionally large breasts surgically to increase your comfort and satisfaction. Overly large breasts frequently have a considerable affect on self-confidence and can even affect personal relationships. The aim of surgery is to give you smaller, shapelier breasts that are in proportion to the rest of your body.

Answered by Saq , an ibibo Master, at 4:07 PM on September 09, 2008

well,Breast reduction or reduction mammoplasty is an outpatient surgical procedure[1] which involves the reduction in the size of breasts by excising fat, skin, and glandular tissue; it may also involve a procedure to counteract drooping of the breasts. As with breast augmentation, this procedure is performed most often on women, but may also be performed on men afflicted by gynecomastia.

The surgery, which the Food and Drug Administration has called "good medicine", is quickly gaining popularity. In 2005, over 113,000 women had breast reductions, an increase of 11 percent from 2004
Breast reduction surgery is oriented toward women with large, pendulous breasts, especially gigantomastia, since the weight of their breasts may cause chronic pain of the head, neck, back, and shoulders, plus circulation and breathing problems. The weight may also cause discomfort as a result of brassiere straps abrading or irritating the skin.[2] For these reasons, the surgery is usually covered by insurance.[3] Even if physical discomfort is not a problem, some women feel awkward with the enormity of their breasts in proportion to the rest of their relatively smaller bodies. Except in unusual cases, this procedure is performed on individuals with fully-developed breasts, and it is not typically recommended for women who desire to breastfeed.

Males with common condition of gynecomastia may feel embarrassed and upset with their condition, usually developed during adolescence. They may get the surgery for restored confidence.[4]

A few celebrities are known for receiving breast reductions, such as Drew Barrymore,[5] Soleil Moon Frye,[6] Queen Latifah,[7], Sharon Osbourne[8], and Kerry Katona.[9
for more information you visit this side
en.wikipedia.org/wiki/Br east_reduction -

Answered by Debashis , an ibibo Master, at 3:47 PM on September 09, 2008

well, Breast reduction surgery is a procedure to reduce the size of very large breasts. Breast reduction surgery is done to relieve physical discomfort associated with large sagging breasts. It is not performed for appearance only.
The aim of surgery is to make the breasts smaller and to improve their shape so they are in proportion to the body. The surgery removes excess tissue, fat, and skin from large, often sagging breasts. At the same time, the areola (the circle of dark skin around the nipple) may be made smaller. Sometimes the nipple and areola are moved to a higher position.

The technical name used for the procedure is reduction mammaplasty .

Breast reduction surgery has among the highest patient satisfaction rate of any cosmetic procedure.

Facts about breast reduction surgery:

* About 90,000 breast reduction surgeries were performed in 1999, an 88% increase from the past two years.

* In the U.S., breast reduction surgery is done most frequently in the Midwest, and least frequently in the west.

* Most women get breast reduction surgery in early middle age. The frequency with which women seek breast reduction surgery by age breaks down like this:
o Under 18: 3.8%

o Age 19-34: 38.4%

o Age 35-50: 41.9%

o Age 51-64: 13.6%

o 65 and older: 2.2%

For more: http://www.ehealthmd.com/libra ry/breastreduction/BR_whatis.h tml

Answered by Satya ~ , an ibibo Master, at 3:47 PM on September 09, 2008

More often performed to bring physical relief than for cosmetic purposes, breast reduction surgery is effective in alleviating 70% to 100% of symptoms in women who have the procedure.
Because the main purpose of breast reduction is for health purposes, it is one type of plastic surgery often covered by medical insurance. In fact, in many cases medical insurance will cover most of the cost. And in the overwhelming majority of cases, patient satisfaction is high; 80% to 95% of reported physical distress is alleviated.
Some women with “too-large” breasts feel self-conscious; tired of being unwanted targets of insensitive jokes, or careless references about ample breasts. Others experience back, neck, and shoulder pain caused by large breasts. Still others simply want clothes to fit and look better. Whatever the reason for seeking breast reduction surgery, some women make better candidates than others.
Good candidates for breast reduction surgery include:
• Women with large, pendulous breasts made up of large amounts of glandular tissue.
• Women with excessively dense breast tissue.
• Thin women with more glandular tissue than fat.
• Pre-menopause women (before glandular tissue has been replaced by fat).
• Women without certain health complications.
• Women with realistic expectations.
Breast reduction surgery, also known as mammoplasty, reshapes, lifts and reduces breast size. The dark skin surrounding the nipple, the areola, can also be reduced. The result is smaller, lighter, better shaped breasts.
Although not a simple procedure, it is normally considered safe when performed by a qualified, experienced plastic surgeon. Usually performed under general anesthesia, the operation takes approximately 4 hours or less. While some patients are able to return home the same day as surgery, others may require an overnight stay in the hospital.
Each surgery procedure is specifically designed for that patient. Fat, glandular tissue and excess skin are removed from the breasts. The areola may also be reduced in size, and reshaped. The goal of each procedure is to decrease breast size and improve breast shape for better body proportion. When there is enough elasticity in the skin, breasts are also visibly lifted and more firm.

Answered by alok , an ibibo Master, at 3:03 PM on September 09, 2008