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.
Keywords
adolescent - macromastia - juvenile breast hypertrophy - reduction mammoplasty