Learn More About Dr. Linder's Breast Procedures


Symptoms of Breast Hypertrophy/Gigantomastia

Patients with symptoms of breast hypertrophy or enormous breasts, referred to as gigantomastia, have similar sequelae.

Back Pain

Patients have severe back pain associated with a massive amount of breast tissue causing the upper and middle lumbar region to become over-burdened. The massive amount of tissue literally hangs and causes upper and middle back pain, which can be very, very severe and unrelenting.

Neck Pain

Neck pain and neck strain can also occur in the occipital and cervical regions as well.


Occipital headaches have also been noted in patients who have enormous breasts.

Grooving of Shoulder Blades

Patients have severe grooving along the shoulder blades. The grooving can be so severe that scarring can be found with a depressed scar within the shoulder blades due to the brassiere straps digging into the shoulder region. This can lead to the coracoid syndrome, which is associated with ulnar neuropathy, where there is numbness of the two small fingers of the hand associated with compression of the ulnar nerve within the brachial plexus due to the strap of the bra, due to the heaviness of the breasts, causing compression of the nerves. Coracoid or ulnar neuropathy syndrome is usually associated with unrelenting and severe gigantomastic breasts.


Rashes can be unrelenting and referred to as intertriginous dermatitis. Often, enormous breasts will lead to rashes underneath the creases. With increased dermatitis may come severe ulcerations and even bleeding of the skin. This, I have seen with my massive breast reduction procedures that will require amputations of the breasts with free nipple grafts. Patients who have the most severe rashes often have chronic dermatitis and have been on dermatological creams, including anti-fungal and/or anti-bacterial creams in order to help reduce the rashes; however, without removing the massive breasts which causes the intertriginous fluid retention under the breasts, it is impossible to completely correct this problem.

Failed Conservative Management

Symptoms will include management, which is usually conservative originally. Conservative management includes 1) large supportive brassieres; 2) patients will take nonsteroidal anti-inflammatory medication, including Advil, Motrin, Excedrin, and Ibuprofen for multiple years without help.

Failed physical therapy and/or chiropractor therapy

I often have patients with letters from their chiropractor or physical therapist indicating that they have failed measurements of therapy and that only a reduction mammoplasty with actual direct excision and tissue removal will allow these patients to have complete relief of this horrendous pain.

Dr. Linder is a
Breast Reduction Specialist

Dr. Stuart Linder

Stuart A. Linder, M.D., F.A.C.S. is a Beverly Hills plastic and reconstructive surgeon specializing in breast augmentation, liposuction, tummy tuck, and more.

Dr. Linder is certified by the American Society of Plastic and Reconstructive Surgeons and is a diplomate of the American Board of Plastic Surgery.

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Featured Article

PSP Magazine

PSP Magazine

The Evolving Breast-Reduction Procedure

By Stuart A. Linder, Md, FACS
Issue Date: December 2011

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