Upper back pain can have many causes, but for some people, the size and weight of their breasts may be a contributing factor. Large breasts can place strain on the muscles of the upper back, shoulders, and neck, particularly if the weight isn’t well supported. While options like supportive bras and posture adjustments may help to some extent, in some cases, a breast reduction could be considered when symptoms persist.
In this blog, we’ll discuss how large and heavy breasts may be linked to upper back pain, and when a breast reduction may help. If you think the size and weight of your breasts are causing upper back pain and are considering the possibility of a surgical breast reduction, we recommend booking a consultation with a plastic surgeon.
Focusing solely on breast and abdominal procedures, Specialist Plastic Surgeon Dr Rubinstein can assess the size and weight of your breasts and discuss if surgery is a suitable solution.
How large breasts can contribute to upper back pain
The strain from large breasts often develops over time – when the weight of the breasts continuously pulls the shoulders forward, it can change posture and place more pressure on the muscles of the upper back. Over time, this can lead to discomfort, muscle tension, and sometimes, more persistent pain. Some people may also experience discomfort in the shoulders from bra straps digging in, as it can be difficult to find a supportive, well-fitting bra that supports the weight of the breasts.
Certain activities may also highlight the impact of breast size on the upper back. Exercise, long periods of standing, or even sitting at a desk can become more uncomfortable if the added weight is pulling the body forward. If upper back pain is consistent and other approaches haven’t made much of a difference, a breast reduction surgery (also known as reduction mammoplasty) may be something to consider.
When a breast reduction may be a suitable option
A breast reduction removes excess breast tissue and skin to create a smaller, lighter breast size. If upper back pain is related to the weight of the breasts, reducing that weight can ease some of the strain on the muscles and may improve a patient’s overall comfort levels.
For those considering surgery, a few factors may determine whether a reduction is a suitable option. If the upper back pain is ongoing and has persisted despite other methods, such as posture correction or wearing a more supportive bra, it may suggest that the weight of the breasts is a significant factor. Sometimes, people also experience skin irritation under the breasts or discomfort during physical activity, which could further indicate that a reduction may be suitable.
A consultation is the best way to determine whether a breast reduction may help in any individual case. During the consultation, your surgeon will assess your breast size, skin quality, and overall health to determine whether surgery is an appropriate option.
How a breast reduction is performed and what to expect from the procedure
A breast reduction involves making incisions to remove excess tissue and reshape the breasts into a smaller size.
The nipples are typically also repositioned to suit the new breast shape, but they remain attached to the underlying tissue to maintain sensation where possible. Sometimes, liposuction may also be included to remove fat tissue.
The procedure is performed under general anaesthesia, and once completed, the incisions are closed with sutures. A compression garment or surgical bra is usually worn after surgery to help support the breasts as they heal.
After a breast reduction, it’s normal to experience swelling and discomfort for the first couple of weeks. During this time, it’s important to avoid strenuous activities and to follow the post-operative care instructions provided. Depending on how well you are healing, you may be able to return to lighter activities within a couple of weeks, but anything involving heavy lifting or intense movement will normally need to be avoided for longer.
The shape of the breasts will continue to settle over time, and while there may be some visible scarring, this typically fades as the healing process progresses.
The impact of a breast reduction on upper back pain
Since a breast reduction decreases the weight pulling on the upper body, many people find that the strain on their upper back, shoulders, and neck is reduced as a result of the procedure.
The change in weight distribution may also improve posture, as there is less pull bringing the shoulders forward. While individual experiences vary, those whose pain is directly linked to the weight of their breasts can typically notice a difference to some level, once they have healed from surgery.
If persistent upper back pain has been an issue and is suspected to be related to breast size, a consultation can provide more insight into whether a breast reduction may be suitable. An experienced plastic surgeon can assess your needs and discuss what the procedure may involve for you, allowing for an informed decision to be made.
Breast Reduction Surgery with Specialist Plastic Surgeon Dr Rubinstein
If you’re concerned about upper back pain, or any other issues that could be linked to the size and weight of your breasts, it can be helpful to have a consultation with a surgeon who specialises in breast procedures.
Located in Melbourne, Specialist Plastic Surgeon Dr Craig Rubinstein has over 25 years of experience, and can carefully assess your needs to recommend a suitable solution.
Once your individual needs have been assessed, he can then create a detailed procedure plan for your breast reduction surgery and explain how the procedure can be performed. You’ll also be able to discuss what recovery involves and what you can expect when it comes to the results.
To book your consultation with Dr Rubinstein in Melbourne, please feel free to contact our team. You are also welcome to contact us with any questions about the procedure, or any other questions you may have.