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Big breasts can be a blessing or a curse, depending on who you ask. While some may see large breasts as aesthetically desirable, many well-endowed women find them a source of physical and emotional discomfort. The reality is that a too-heavy bust can lead to persistent pain, restricted physical activity, self-consciousness, and even unwanted attention. In this blog, we explore why large breasts cause pain, as well as surgical and non-surgical solutions.

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5 Ways Large Breasts Can Hurt

The pain caused by large breasts can manifest in several ways, affecting different parts of the body:

  1. Neck and Shoulder Pain: The weight of heavy breasts can pull your shoulders forward, straining your neck and upper back muscles.
  2. Upper Back Pain: Large breasts often cause back pain, especially in the upper and mid-back, from the constant stress on the spine.
  3. Shoulder Grooving: Tight bra straps designed for big breasts can dig into your shoulders, causing discomfort and even grooves.
  4. Breast Pain: Big breasts themselves can feel heavy, tender, and achy, especially during hormonal changes or physical activity.
  5. Skin Issues: Big breasts can cause rashes, irritation, or infections under the breast folds from trapped moisture and friction.

What Is the Best Way to Relieve Pain From Very Large Breasts?

If you are frustrated with your large, painful breasts and wonder how best to address this problem, there are several methods to achieve relief and regain comfort and control.

Non-surgical Options for Breast Pain

If you have big breasts and are in pain, there are non-surgical options to help. These won’t fix the problem but will give you temporary relief.

  • Supportive Bras: A supportive bra is the easiest way to reduce pain. Wearing the correct size is key. Professional bra fittings will ensure every part of the bra fits you perfectly to fit and support your breasts. Also, look for:
    • Wide, padded straps to spread the weight.
    • A strong band or comfortable underwire for extra support.
    • Full coverage cups to minimize movement and maximum comfort.
  • Posture Correction: Poor posture makes big breast pain worse. Stand and sit with your shoulders and chest up to take the strain off your back and neck. Yoga and pilates can also help strengthen your core and back muscles to support your posture.
  • Physical Therapy: A physical therapist will recommend an exercise routine specially designed to strengthen the muscles supporting your breasts. Massage therapy can also reduce tension in tight, overworked muscles.
  • Pain Management Techniques: Over-the-counter pain relievers, heat therapy, or ice packs can temporarily relieve breast-related pain. Anti-inflammatory medication, like naproxen or ibuprofen, can help reduce swelling and pain.
  • Weight Management: For some, being at a healthy weight can reduce breast size and alleviate the pain. Losing weight can decrease the fat in your breasts and make them smaller and lighter.

Breast Reduction Surgery: When Non-surgical Options Are Not Enough

Non-surgical options can help manage symptoms but are seldom permanent solutions. For many, the only answer for pain caused by large breasts is reduction surgery.

By removing excess glandular and fat tissue from large, heavy breasts, reduction mammoplasty can be a life-changing option. Unlike other cosmetic surgeries, breast reduction goes beyond aesthetics to deliver functional improvements and significant pain relief.

What to Expect During Breast Reduction Surgery

The procedure is done under general anesthesia and typically follows these three steps:

  1. Incisions: The surgeon will make incisions that start around the areola, extending vertically down the breast and sometimes along the crease.
  2. Tissue Removal: Excess fat and glandular tissue are removed to achieve the desired volume.
  3. Reshaping and Lifting: The remaining tissue is reshaped, the nipples are repositioned, and the skin tightened to give your breasts a more compact and youthful look.

After the incisions are closed, a compression garment or surgical bra is placed to support the breasts as they heal. This surgery takes two to four hours, depending on the complexity of your case.

What to Expect After Breast Reduction Surgery

Recovery

Most patients can go back to light activities in one to two weeks, but full recovery may take up to six weeks, during which you’ll need to:

  • Keep wearing your compression garment or surgical bra as advised by the surgeon to support healing and reduce swelling.
  • Avoid strenuous activities, particularly those that involve the upper body (like lifting).
  • Follow your surgeon’s aftercare instructions to get the best results.

Breast Reduction Results

The results of reduction mammoplasty include the following cosmetic, emotional, and physiological benefits:

  • Pain Relief: By reducing your breast weight, you can alleviate chronic shoulder, neck, and back pain.
  • Increased Mobility: Activities like running, swimming, or even walking become easier and more enjoyable.
  • Better Posture: Lighter breasts take the strain off your spine, allowing you to stand up straight.
  • Increased Confidence: Many patients report feeling more comfortable in their body and an improved self-image after surgery.
  • Diverse Clothing Options: Fitting into clothes, especially tops and bras, becomes much easier.

Another benefit of reduction surgery is younger-looking upper body contours because this procedure is almost always combined with a breast lift.

When to See a Doctor About Breast Pain

If you believe your breasts are causing you chronic physical or emotional pain, speak to your doctor to confirm that there are no underlying issues. They may be able to refer you to a reputable plastic surgeon or determine if a non-surgical treatment is the best option for you.

A board-certified plastic surgeon will evaluate you thoroughly by considering your physical symptoms, medical history, and aesthetic goals. Together, you can create a customized plan to address your concerns.

Relieving Pain With Breast Reduction Surgery in Pasadena, CA

Drs. Martin and Adam O’Toole are double-board-certified plastic surgeons in Pasadena who provide excellent breast reduction results. If you are considering breast reduction because of pain or cosmetic preferences, call Pasadena Cosmetic Surgery at (626) 449-8910 or complete our online contact form to schedule your consultation today.