Severe Bilateral Breast Hypertrophy in a Pregnant Patient: A Case Report Severe BBH in pregnancy

Seyed Hesamaddin Banihashemi (1), Alireza Parnian (2), Mohammad Karami (3)
(1) Department of Surgery, Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran, Iran, Islamic Republic of,
(2) Hormozgan University of Medical Sciences, Bandar-Abbas, Iran, Iran, Islamic Republic of,
(3) Hormozgan University of Medical Sciences, Bandar-Abbas, Iran, Iran, Islamic Republic of


Background: Bilateral breast hypertrophy, ranging from mild to severe, can lead to various complications, including pain, ulceration, infection, and psychological distress. Swift surgical intervention is often necessary to address the mechanical and psychological challenges associated with excessive breast weight. While treatment approaches for this condition are debated, recent advancements favor surgical strategies like mastectomies with reconstruction to improve clinical and psychological outcomes. We present a unique case of bilateral breast hypertrophy successfully managed through breast amputation and NAC (nipple-areolar complex) graft using wise patterns incision mammoplasty.

Case Presentation: This report details the case of a 30-year-old female with hypothyroidism and lupus who experienced significant bilateral breast enlargement during her second pregnancy. The patient faced pain, hyperpigmentation, and limited mobility, along with abnormal laboratory findings. Bilateral reduction mammoplasty (breast amputation) was performed, leading to successful outcomes and improved quality of life for both the patient and her newborn. Follow-up assessments showed no recurrence or complications postoperatively.

Conclusion:This case highlights the challenges of managing breast hypertrophy in pregnant patients with autoimmune conditions. Early recognition and multidisciplinary management are crucial in such cases. The positive results of the interventions underscore the importance of timely and comprehensive care for patients facing similar conditions.

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Seyed Hesamaddin Banihashemi
Alireza Parnian
Mohammad Karami (Primary Contact)
Banihashemi SH, Parnian A, Karami M. Severe Bilateral Breast Hypertrophy in a Pregnant Patient: A Case Report: Severe BBH in pregnancy. Arch Breast Cancer [Internet]. 2024 May 1 [cited 2024 Jun. 16];11(2):208-12. Available from:

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