Juvenile Mammary Hypertrophy: The Embarrassment of an Indigent School Girl and Literature Review

Otei O.O, Ozinko MBA, Ekpo R, Bashel-Akpeke R.A.

We present the management of bilateral mammary hypertrophy in an orphan teenage school girl who lives with her grand mother. She dropped out of school because of embarrassment and inability to conceal the giant breasts in her school uniform. The patient was offered bilateral breast reduction, secondary nipple-areolar complex reconstruction and postoperative tamoxefen. The breast reduction was successful—as the patient smiled for the first time postoperatively—and she was discharged on the 10th postoperatively.