Patients come with questions about unusual placement or number of mammary glands, discomfort, or cosmetic concerns.
The doctor carefully evaluates the condition, thoroughly reviews complaints and medical history, and, if necessary, orders additional examinations to gain an accurate understanding of the situation.
The patient receives a clear and understandable action plan — from initial steps to the required procedures and monitoring of the results.
A distinctive feature of Dr. Shagan’s work is the detailed analysis of complaints and the explanation of each stage in simple language, which helps avoid misunderstandings and promotes a positive outlook for successful recovery.
Make an appointment
Please note that online consultations are available for patients from other cities. We often receive requests from Zaporizhzhia, Pavlohrad, Kamenskoye (Dniprodzerzhinsk), Novomoskovsk (Samar), Kryvyi Rih, Nikopol, Marganets, Sinelnikovo, Pokrov, Zhovti Vody, and other cities.
When to See a Doctor
If you are concerned about an unusual location or number of mammary glands, feelings of discomfort, or other changes, it is important to consult a specialist. The doctor will conduct the necessary evaluation, review your complaints, and determine if additional examinations are needed. You should consider making an appointment with a plastic surgeon if, during treatment for polymastia, you notice:
- A constant or periodic feeling of heaviness or discomfort in the breast area
- A visible increase in the amount of tissue in the mammary gland area
- Irregularities or asymmetry that cause concern
- Increased unpleasant sensations during movement or physical activity
- Difficulty choosing clothing due to unusual breast volume or shape
- Symptoms that recur or become more pronounced over time
- Sleep disturbances or interference with daily activities due to breast discomfort
- No improvement from self-help attempts to alleviate the condition
- First time seeking help regarding the described changes
- A need to clarify the cause of an already established diagnosis
- A need to adjust or supplement an already started treatment
If you notice one or more of these signs, a consultation will help you get a clear plan of action and avoid possible complications. Do not leave these concerns unattended—timely assessment of your condition helps you take the most appropriate measures.
Emergency Conditions or When to See a Doctor Immediately
- Sudden severe swelling or enlargement in the breast area
- Sharp pain that rapidly worsens and does not subside
- Appearance of open wounds, ulcers, or purulent discharge on the breast skin
- Combination of high fever and pronounced redness of the breast
- Rapid deterioration of general condition with signs of weakness and dizziness
If you experience any of these symptoms, do not wait for a scheduled appointment — seek urgent medical attention. Our clinic offers the possibility of a home visit by a doctor for rapid assessment and necessary support.
Causes and Risk Factors
Understanding the main causes and influencing factors helps to better comprehend where polymastia may originate from, as well as what needs to be examined for an accurate assessment of the condition. This facilitates the timely selection of necessary actions in consultation with a doctor.
Main Causes / Mechanisms (brief) of Polymastia
- Embryonic development disorders leading to the formation of additional glands
- Genetic predisposition affecting the structure of breast tissue
- Hormonal changes that may contribute to the growth of tissue outside the usual breast area
- Consequences of trauma or inflammatory processes in the breast region
- Reactions to hormonal medications or hormonal imbalances
Risk Factors
- Age, especially periods of hormonal restructuring (adolescence, pregnancy, menopause)
- Hereditary tendency to breast development anomalies
- Obesity and excess weight influencing hormonal balance
- Chronic endocrine system diseases
- Use of hormonal agents without specialist supervision
- History of chest injuries
- Emotional stress and prolonged sleep disturbances, which can affect hormonal balance
Reversible Causes That Should Be Ruled Out
- Temporary hormonal disturbances related to medication intake or bodily conditions
- Inflammatory processes requiring medical diagnosis and treatment
- Benign formations that may mask symptoms
The causes and risk factors of polymastia are quite diverse, and precise evaluation requires a surgeon’s consultation along with diagnostic examinations.
Diagnosis
To understand the causes of polymastia, the physician sequentially gathers information and performs the necessary examinations to develop a plan for further action. This approach helps to accurately assess the condition and select the most appropriate management.
Diagnostic approach
- Taking medical history with clarification of complaints, changes, and disease history
- Visual and palpation examination of the breasts and adjacent areas
- Assessment of accompanying symptoms and risk factors
- Ordering basic laboratory or instrumental tests as indicated
- Performing additional studies if necessary for a more precise understanding
- Interpreting results and discussing the plan of further action with the patient
Typical examinations as indicated
- Ultrasound of the breasts and axillary lymph nodes
- Mammography to assess tissue structure (usually based on age and indications)
- Laboratory analysis of hormonal profile
- Specialist consultations if needed (endocrinologist, mammologist)
What to bring to the appointment
- Previously performed examinations and doctors’ conclusions
- List of medications and supplements being taken
- Symptom diary, if there are noticeable changes or discomfort
- Questions and observations to discuss during the consultation
Diagnosing polymastia requires attentive and stepwise work, taking into account the individual characteristics of each patient.
Treatment
Treatment of polymastia is aimed at improving the patient’s well-being and appearance, taking into account individual characteristics. The therapy plan is tailored by the doctor individually, based on the condition and needs of each person.
Therapy Goals
- Reduce discomfort and other symptoms associated with polymastia
- Correct anatomical features as indicated
- Improve quality of life and self-confidence
- Prevent possible complications in the future
Main Treatment Approaches
- May include surgical interventions to remove excess tissue
- Supportive therapy to normalize hormonal balance as indicated
- Recommendations for rehabilitation and care after procedures
- Use of non-pharmacological methods to improve overall condition
- Therapy is individualized and coordinated considering concomitant factors
What the Doctor Does
- Develops and adjusts the treatment plan depending on the progress of the condition
- Takes into account the presence of comorbidities and patient-specific characteristics
- Monitors the emergence of possible side effects of the therapy
- Explains to the patient the criteria for evaluating treatment effectiveness
- Coordinates with other specialists if necessary
What to Expect: Plan and Monitoring
- Approximate time to assess the first therapy results is individualized
- Regular monitoring of progress and condition as indicated
- Adjustment of the treatment plan if desired effects are not achieved or side effects occur
- Need for follow-up consultations to optimize outcomes
To arrange an individualized treatment plan, please schedule a consultation with Dr. Dmitry Valeryevich Shagan.
Prevention
Prevention in polymastia helps reduce the risk of complications and maintain a comfortable condition. The prevention plan is tailored individually, taking into account the patient's specific characteristics.
Main Primary Prevention Measures
- Monitoring hormonal balance and timely consultation when changes occur
- Maintaining a healthy weight and lifestyle
- Avoiding trauma and mechanical pressure on the breast area
- Managing and controlling chronic diseases as indicated
- Timely discussion of any suspicious changes with a doctor
Screening and Secondary Prevention / Regular Monitoring
- Regular examinations by a specialist as recommended
- Ultrasound and other breast examinations as indicated
- Monitoring hormonal levels when necessary
- Consultations in case of changes in symptoms or breast appearance
Practical Tips
- Discuss with your doctor the possibility of adjusting medications if there are comorbid conditions
- Try to avoid stress and maintain a proper sleep routine to normalize hormonal balance
- Maintain physical activity within the limits recommended by your specialist
- Monitor changes in the breasts and record any suspicious signs to discuss with your doctor
Prevention in polymastia is important for maintaining health and comfort — all measures should be discussed with your healthcare provider.
Important to Know
Treatment of polymastia is a comprehensive process that requires careful evaluation and an individualized approach. It is very important to identify the true causes and triggering factors, rather than just temporarily alleviating the symptoms. Timely consultation with a specialist helps to select the optimal strategy and reduce the risk of possible complications. Ongoing monitoring and adjustment of the treatment plan make it possible to take into account changes in the condition and improve results. The overall state of the body, stress levels, quality of sleep, and accompanying diseases can affect the course and effectiveness of the treatment.
- Identifying the cause is important for choosing the correct treatment plan and preventing the progression of the condition
- Early assessment helps reduce the risk of complications and select optimal support methods
- Monitoring and therapy adjustment help consider changes in condition over time
- General factors, such as workload and stress, influence breast condition and treatment effectiveness
- Self-medication can obscure the clinical picture, cause side effects, and delay professional diagnosis
- At the Shagan Clinic, Dmitry Valeryevich conducts thorough express assessments and explains every stage of treatment in simple terms
It is important to remember that treatment of polymastia requires a comprehensive approach and regular specialist supervision. Do not delay consulting a doctor even with minor doubts — this will help select the most suitable plan and avoid undesirable consequences. Detailed information is available on the general page of the website dedicated to plastic surgery and breast treatment.
Self-Care Before the Appointment: What You Can and Cannot Do
Before your appointment with Dr. Dmitry Valeryevich Shagan, it is important to follow safe measures that can help alleviate your condition without distorting the picture of the illness. If your condition worsens, be sure to seek help from a specialist.
What You Can Do Before the Appointment
- Write down when and how the symptoms started, noting what worsens or relieves your condition
- Bring a list of medications and supplements you are currently taking
- Keep a symptom diary: record their intensity and the time they occur
- Reduce physical activity and rest the chest area
- Measure your temperature and other vital signs if you know how, to assess your overall condition
- Drink enough water to avoid dehydration
- Prepare and have ready any questions for the doctor so you don’t miss anything during the appointment
What You Should Not Do Before the Appointment
- Do not stop or change your treatment without consulting your doctor
- Do not start taking new medications or combine remedies on your own
- Do not use folk or unproven methods without a specialist’s approval
- Do not try to diagnose yourself or interpret test results independently
- Do not massage or press on areas with changes or pain
- Do not delay visiting the doctor if symptoms worsen or new complaints appear
- Do not ignore any side effects from medications you are already taking
If you notice any signs of worsening, immediately seek help from Dr. Dmitry Valeryevich Shagan.
How I Can Help as a Doctor with Polymastia Treatment
During a consultation for polymastia treatment, I will help you understand the causes of your symptoms and assess your overall condition. Together, we will determine the optimal strategy, taking into account the specifics of your body and any possible accompanying factors. The plan will be built on a series of steps: examination, therapy, and monitoring of results. In a polymastia consultation, I can assist you with the following:
- Conduct a detailed analysis of symptoms and history to identify possible causes
- Assess the severity of changes and identify risk factors
- Review current medications and evaluate drug tolerance if treatment has already been initiated
- Develop a plan for further actions: examination, treatment, and dynamic observation
- Consider comorbid conditions and medications for safe and effective management
- Provide recommendations on lifestyle and daily routine, tailored to your individual characteristics
- Discuss criteria for monitoring progress and schedule follow-up visits to evaluate outcomes
- Perform initial diagnostics with differential assessment based on the collected data
- Adjust treatment if necessary in case of insufficient effect or side effects
My approach is based on thorough analysis at each stage of treatment and careful monitoring of the patient’s condition. This system allows for timely plan adjustments and helps minimize the risk of complications. Importantly, all recommendations and decisions are made individually, taking into account your particular situation and needs.
What questions can I ask the doctor when being treated for polymastia?
During your consultation regarding the treatment of polymastia, you can discuss the following questions with Dmitry Valeryevich Shagan:
- Explanation of the causes of the appearance of an additional mammary gland or tissue
- Assessment of changes in appearance and the severity of symptoms
- Consultation if symptoms recur or worsen
- Review of previously prescribed treatments and their effectiveness
- Discussion of the impact of comorbidities or use of other medications
- Selection of the optimal strategy for examination and diagnosis
- Clarification of the necessity and extent of surgical intervention
- Follow-up care after treatment and adjustment of the plan if no effect is observed
If you experience sudden severe pain, noticeable swelling, or redness of the breast, seek urgent medical help—do not wait for a scheduled appointment.
Questions you can ask during the consultation:
- What is happening to me and what could it be?
- Why did this start right now?
- How can I tell that this is related to polymastia and not something else?
- What examinations are necessary in my particular case?
- Which tests or investigations are essential, and which can be omitted?
- How should I prepare for the examinations and the appointment itself?
- What treatment options and management strategies are available?
- Is this condition fully treatable or does it require long-term monitoring?
- Why is the prescribed treatment not working, and what should I do in this case?
- Is it possible to manage without surgery or medications?
- How long does the treatment usually take, and how often is follow-up needed?
- What signs indicate that my condition is improving or worsening?
- What should I do if my condition suddenly worsens or flares up?
During the appointment, we will carefully review your questions and select the most appropriate solution. If your case falls outside our expertise, we will definitely refer you to the relevant specialists to ensure a comprehensive approach and your safety.
How the Consultation Proceeds
A consultation with a plastic surgeon regarding the treatment of polymastia includes discussing complaints, assessing the condition, and developing a plan of further action. The scope of necessary examinations is determined individually, based on the clinical situation and indications. It is not always possible to obtain a complete diagnosis in one visit, but the doctor will be able to assess the condition and suggest the next step.
- Clarifying complaints and the purpose of the visit: discussing symptoms, onset, impact on quality of life, and patient expectations
- Collecting medical history and risk factors related to the condition of the breasts
- Reviewing previous examinations and treatments (if any); patients are asked to bring relevant documents and a list of medications
- Examining the breasts and surrounding areas, and performing simple tests if indicated
- Preliminary assessment of the condition, discussing possible causes and important factors to rule out
- Planning diagnostic tests as needed — this may include ultrasound, mammography, hormone analysis, and other procedures
- Discussing the overall treatment strategy and management considering individual characteristics
- Scheduling follow-ups, criteria for evaluating effectiveness, and recommendations for repeat visits
If this is your first visit, the main focus is on clarifying symptoms and finding possible causes. During follow-up visits, if treatment has been ineffective, we thoroughly analyze the reasons for the lack of results and adjust the plan of further actions accordingly.
Preparation for the Appointment
To ensure an effective consultation with a plastic surgeon, it is important to prepare in advance. This will help speed up diagnosis and the development of an appropriate treatment plan.
- Bring a list of all current medications: names, dosages, and schedules
- Take results of previous examinations to the appointment: ultrasound, mammography, hormone tests, if available
- Write down your main complaints: when symptoms started, what worsens or alleviates the condition
- Do not stop taking prescribed medications without consulting your doctor
- If instructed, come on an empty stomach: do not eat or drink for 8–12 hours (unless otherwise recommended; clarify when making the appointment)
- Avoid applying makeup and creams before the examination (if such a recommendation is given)
- Bring any questions or comments you want to discuss during the consultation
- Try to arrive a little earlier to complete paperwork
If you have any doubts about preparation, it is better to clarify the details when scheduling your appointment. Do not change your treatment plan without consulting a specialist.
About the Doctor
Dmitry Valeryevich Shagan is a plastic surgeon and a surgeon of the highest category with 20 years of experience. He specializes in the treatment of polymastia and works with patients seeking initial diagnosis, those with recurring symptoms, and those who have not responded to previous treatments.
In his practice, he pays close attention to a detailed review of complaints and medical history, as well as formulates a clear action plan for each patient.
Patients receive a comprehensive assessment of their condition and support at all stages — from the initial examination to post-treatment follow-up.
During the consultation, you will receive a clear analysis of your situation and recommendations for the next steps.
Why Patients Choose Dr. Dmitry Valeryevich Shagan
Choosing a surgeon for the treatment of polymastia requires an understanding of the process and confidence in the sequence of actions. Dr. Shagan offers a clearly structured approach that takes into account the individual characteristics of each patient and focuses on effective condition management. His work emphasizes analyzing the root causes of the problem and considering accompanying factors, which is especially important in complex or recurring cases. Patients appreciate the transparency of the treatment plan and the possibility to adjust it if symptoms change or if there is no effect.
- A clear treatment plan with step-by-step progression from diagnosis to outcome monitoring
- Examinations prescribed strictly based on indications, avoiding unnecessary procedures to ensure patient safety
- Consideration of comorbidities and current medications to minimize risks and interactions
- Monitoring symptom dynamics with the ability to quickly adjust the treatment plan if needed
- Review of previous prescriptions and evaluation of therapy tolerability to improve treatment quality
- Explanation of goals and risks in plain language, helping patients make informed decisions
- Experience managing complex and recurring cases with a well-thought-out diagnostic and therapeutic strategy
- Ability to interpret previously conducted examinations to save time and enhance the accuracy of the approach
This comprehensive approach gives patients confidence in a consistent process and safety at every stage of treatment. Attention to detail and condition monitoring sets Dr. Shagan apart from the general standard and helps achieve informed results that consider individual patient nuances.
Case Studies
Initial Consultation for an Unusual Mass in the Breast Area
A middle-aged female patient presented with complaints of additional tissue in the breast region, causing discomfort and difficulties when choosing clothing. It was important to exclude benign and malignant processes and to determine the nature of the masses. After a comprehensive assessment of the complaints and physical examination, the necessary investigations were prescribed for clarification. During follow-up, the condition stabilized and symptoms decreased. The patient was included in a regular monitoring program with periodic check-ups.
Adjustment of Treatment Strategy Due to Ineffectiveness of Primary Therapy
A young woman came for the first time after unsuccessful attempts to self-manage her condition using various methods. The physician conducted a detailed review of previously applied approaches and medical history to identify reasons for the lack of effect. Treatment stages were adjusted with emphasis on rationale and safety. Gradual improvement was observed over the course of a month, with complaints becoming less pronounced. The plan included regular monitoring and therapy adaptation as needed.
Chronic Course with Concomitant Endocrine Disorders
An elderly male patient presented with recurrent symptoms and accompanying hormonal changes. It was important to consider the impact of coexisting diseases on the progression of the problem. Multidisciplinary consultations were carried out, and a comprehensive strategy was developed. According to follow-up results, the condition stabilized, and comfortable parameters were maintained. The patient remains under observation with regular visits for adjustments if changes occur.
Exacerbation with Marked Discomfort and Need for Enhanced Monitoring
A middle-aged woman presented with a sudden increase in symptoms and significant pain in the area of additional tissue. Prompt evaluation was required to exclude inflammatory processes and other complications. After the necessary diagnostic procedures, a control regimen and supportive therapy were initiated. At the follow-up visit, gradual symptom reduction and overall improvement were noted. Further monitoring is planned to prevent relapses.
FAQ
How long does a consultation last?
A consultation usually takes between 30 and 60 minutes; please confirm the exact duration when booking.
How should I prepare for the appointment?
Write down your complaints, symptoms, and questions you want to discuss during the consultation.
What should I bring to the appointment?
It is recommended to bring the results of previous examinations, a list of current medications, and medical records from other doctors.
Do I need to come on an empty stomach?
Usually not, unless your doctor gives you specific instructions.
How many visits are typically required?
The number of visits depends on your individual situation and treatment plan; usually, several appointments are needed for assessment and monitoring.
When can I expect the first results after starting treatment?
This varies individually depending on the chosen approach and your body’s characteristics.
What should I do if my condition worsens before the appointment?
For worsening conditions with red flags, seek emergency care immediately; otherwise, contact your doctor.
Can I combine treatment with my current medications?
Discuss all medications with your doctor; do not stop or start any medication on your own.
Is it possible to have an online consultation?
Yes, online consultations are available by prior appointment and assessment of your situation.
Can I come with already completed examinations?
Yes, bring all available examination results for a more accurate evaluation.
Do I need to come for follow-up visits, and how often?
The frequency of follow-ups is determined individually based on treatment results and monitoring.
Can I get a second opinion?
Yes, patients have the option to obtain a second opinion for reassurance about the selected approach.
What should I do if symptoms return after improvement?
Contact your doctor for reassessment and potential adjustment of the treatment plan.
What examinations might be required during the appointment?
The scope of examinations is selected individually based on indications and symptoms.
Can I change medications without consulting the doctor?
It is not recommended to change treatment without consultation, as it may affect effectiveness.
How can I quickly schedule an appointment?
You can make an appointment by phone or through the clinic’s website; timing depends on the doctor’s availability.
What questions should I prepare before the consultation?
Prepare questions about your symptoms, treatment, and expectations to make the appointment more effective.
Can I bring children or elderly relatives to the appointment?
Yes, the doctor works with patients of all ages; please indicate this when booking.
