Macromastia
Diagnosis/Definition
- Chronic mechanical upper back and/or neck and/or shoulder pain due to large breast size.
- Breast size out of proportion to the body torso and larger than the accepted norm.
Initial Diagnosis and Management
- Neck and back pain.
- Shoulder grooving due to brassiere straps.
- Difficulty exercising due to breast size.
- Mammogram in patients over the age of 40.
Ongoing Management and Objectives
- Support garments and anti-inflammatory medication.
- Weight loss (see below).
Indications for Specialty Care Referral
Prior to being evaluated for Reduction Mammoplasty all patients, both military and family members, must meet the following criteria:
Have a Body Mass Index (BMI) of 30.0 or less. BMI = weight (kg)/height (m) 2
No Smoking: Must be a nonsmoker for a minimum of three (3) months.
Bra size of D cup or greater
Must have more than 90 days remaining in local area (prior to PCS, ETS, moving, etc.).
Please be sure that your consult includes the patient’s height/weight, smoking status, and PCS/ETS date (if applicable).
Criteria for Return to Primary Care
After alleviation of symptoms and the appropriate follow-ups with Plastic Surgery, the patient should be returned to their respective primary care provider.
