Case study ( 3840 views as of March 24, 2019 )
Nicole, a 25-year-old female, presents to the office with complaints of neck, shoulder, and back pain related to the weight of her breasts. She admits that her ability to exercise is restricted because of the discomfort and she is interested in pursuing breast reduction surgery. Her weight is stable. There is no family history of breast cancer. She has not yet had a family and has some concerns about her ability to breastfeed subsequent to the breast reduction.
On examination, she demonstrates significant breast hypertrophy. The breasts are extremely dense and heavy. She has evidence of intertrigo or rash beneath the breasts, as well as deep shoulder grooves from the compression of her bra. She has good breast symmetry, but would benefit from a reduced volume. She is a good candidate for a breast reduction surgery.
In the meantime, Nicole could benefit from seeing a physiotherapist or a massage therapist regarding her back and neck problems. She may also benefit from doing some yoga or pilates to help with mobility and stretching.Author: Dr. Nancy Van Laeken