Plastic surgery to reduce the size of the female breast. Physical and psychological problems that may be amenable to this include fatigue or a dragging sensation caused by the weight of the breasts, breast tenderness and discomfort, and difficulty obtaining adequate support even with a sturdy bra.
Psychological stress can result from embarrassment over deep grooves created by the shoulder straps of brassieres, fear of ridicule, and difficulty in finding suitable clothing. Reduction mammaplasty usually involves removal of excess breast tissue by way of a curved incision under the breast.
The skin is pulled taut and the nipple transplanted to its normal position in the center of the newly formed breast. After surgery the patient may need help in adjusting to a new body image. If she is of childbearing age she should be informed that normal lactation is no longer possible after this procedure.