What is Gigantomastia?: Symptoms and effective treatments

What is Gigantomastia?

Gigantomastia is an abnormal and excessive growth of breast tissue. Although there is no consensus on the exact amount of growth that defines this condition, it is generally considered gigantomastia when breast size significantly interferes with quality of life.

This condition may cause:

• Back, neck, and shoulder pain
• Difficulty breathing
• Skin problems (such as irritation or infections under the breasts)
• Limitations in physical activity
• Low self-esteem or social discomfort
• Important: Gigantomastia is not the same as naturally having large breasts. It involves disproportionate growth, which in some cases can occur rapidly.

Causes of Gigantomastia

The causes of gigantomastia are not always clear, but specialists have identified several factors that may contribute to its development:

• Hormonal changes: hormonal imbalances are one of the main causes.
• Puberty: abnormal increase in estrogen and progesterone.
• Pregnancy: the body produces more hormones to prepare for breastfeeding.
• Menopause: in rare cases, hormonal changes may also trigger abnormal growth.
• Genetic factors: some women have a genetic predisposition. If there is a family history, the risk increases.
• Medication use: certain hormonal drugs may trigger this condition.
• Autoimmune diseases: in very rare cases, disorders such as lupus or rheumatoid arthritis may be associated.

There are also cases of idiopathic gigantomastia, where no specific cause can be identified.

Types of Gigantomastia

Depending on its origin, gigantomastia can be classified into different types:

• Juvenile gigantomastia: occurs during puberty, with rapid and uncontrolled breast growth.
• Gestational gigantomastia: occurs during pregnancy, with a very rapid increase in breast volume.
• Drug-induced gigantomastia: triggered as a side effect of certain hormonal medications.
• Idiopathic gigantomastia: diagnosed when no clear cause is found and medical tests reveal no abnormalities.

Treatment of Gigantomastia

Treatment depends on the severity of the condition and its underlying cause. In general, options include:

Medical treatments:

• Discontinuation of related medications
• Hormonal regulation therapies
• Anti-inflammatory treatments (in cases of autoimmune diseases)

However, these measures are often not enough to reverse the breast growth that has already occurred.

Breast reduction surgery (Reduction Mammaplasty)

Surgery is the most effective solution to relieve physical symptoms and improve quality of life. This procedure involves removing excess breast tissue, fat, and skin, reshaping the size and form of the breast.

Benefits of surgery:

• Relief from pain
• Greater freedom to exercise
• Improved posture
• Boost in self-esteem

Considerations:

It is advisable to wait until after pregnancy, if possible.

Like any surgery, there are risks (such as infection or loss of sensitivity), but these are rare when performed by experienced professionals.

Psychological Treatment

Gigantomastia can deeply affect self-esteem and body image. Many patients benefit from the support of a psychologist who specializes in body image or physical health.

When to Seek Medical Help

If you notice rapid and disproportionate breast growth, accompanied by pain or skin changes, it is advisable to consult a specialist. Early diagnosis can improve outcomes and prevent complications.

Recommended Specialists:

• Reconstructive plastic surgeon
• Endocrinologist (if hormonal causes are suspected)
• Gynecologist with experience in breast conditions