Breast size tends to have a strong influence over a person’s self-esteem, whether positive or negative. Having overly large breasts, for example, can cause back and neck pain, make it difficult to find clothes that fit well, and draw unwanted attention from others. Those suffering from enlarged breasts often wonder what has caused their large breasts in the first place, and if they have any control over their size.
At Richmond Aesthetic Surgery, board-certified plastic surgeon Dr. Neil J. Zemmel works with individuals from throughout Richmond and beyond who are seeking relief from the physical and emotional challenges of overly large breasts. Understanding the root causes can help you make more informed decisions about your health and treatment options, including whether the breast reduction procedure may be right for you.
Common Reasons for Overly Large Breasts
1. Genetics
Breast size is often inherited. If one or both sides of your family have a history of larger breast tissue, you may be genetically predisposed to fuller breasts—regardless of your body weight or lifestyle.
2. Hormonal Changes
Hormones play a central role in breast development. Estrogen triggers breast growth during puberty and pregnancy, while fluctuations related to birth control, menstruation, or hormone therapy can also affect breast size. Breastfeeding and milk production can temporarily enlarge the breasts as well.
3. Weight Gain
Breasts are made up of both fatty and glandular tissue. As your body fat increases, the fatty component of your breasts may enlarge too. While weight loss can reduce some breast volume, it’s not always enough to significantly change the size or shape, especially when dense glandular tissue is present.
4. Medication and Drug Use
Certain prescription medications and recreational drugs can stimulate breast tissue growth. In men, gynecomastia—a condition causing enlarged male breasts—can be caused by anabolic steroids, marijuana, anti-androgens, or some antidepressants.
Can You Prevent Large Breasts?
In most cases having a large breast size cannot be prevented or treated without surgery, due to factors like genetics or hormones. However, by maintaining a healthy lifestyle with diet and regular exercise, you can help reduce your risk of experiencing additional growth from weight gain in the future.
Learn About Breast Reduction in Richmond, VA
If you are struggling with back pain, shoulder grooves from bra straps, skin irritation, or emotional distress caused by large breasts, breast reduction surgery may provide lasting relief. Contact Richmond Aesthetic Surgery to schedule a consultation with our board-certified plastic surgeon, Dr. Neil J. Zemmel. You may be a good candidate for the breast reduction procedure, and our team can help you understand the best options for your condition.
Editor’s note: The original version of this blog was published May 31, 2019.