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Healthy Children > Health Issues > Conditions > Glands & Growth > Abnormal Breast Growth in Boys & Girls


The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

Both boys and girls have breast tissue. Normal breast development first appears shortly after birth, and then again at the beginning of
puberty . The timing of breast development varies greatly from one person to another and in some girls may not occur until well into the teenage years.

Here's an overview of some of the main breast abnormalities that can occur in children. 
Baby girls and boys will have a small breast bud that can be felt for a few weeks after they are born. These buds of tissue will become the breast tissue in the adult. In early infancy, they can be prominent because of the effects of the mother's estrogen. As the estrogen levels decrease, so does the prominence.
Some babies will have discharge from and redness and swelling around the nipples and most times this will resolve spontaneously. Nipple discharge in an infant is
not a reason to stop breastfeeding. Bring up any concerns with your child's doctor.
One of the most common breast abnormalities is extra nipples (also called supernumerary nipples) commonly found in the armpits or on the abdomen in both boys and girls. This extra tissue is called
polythelia . If it is bothersome, it can be removed – typically with numbing medicine in the doctor's office at an age when the child wants to have it done.

Gynecomastia is the presence of enough breast tissue in a male to appear like a breast mound is developing. Gynecomastia can range from prominent breast bud tissue that does not go away to a feminized breast with a mound and rounded nipple. Half of all teenage boys will have tender, prominent tissue in the nipple area during puberty. In most cases this tissue will go down in size over 2-3 years. If it does not, and the boy is otherwise healthy, consideration can be given to removing the tissue surgically.
It is important to note that some substance abuse, including
marijuana use , can aggravate the condition. It is not uncommon for teen boys with this abnormality to become self-conscious or
bullied . Although breast growth in boys is often
hereditary , parents should seek medical attention to look for any hormonal or endocrine imbalance.

Macromastia is the word to describe girls' breasts that are disproportionately large compared to the rest of their body. Large breasts can cause a teen girl not only emotional distress but also physical distress. For example, large breasts can be associated with upper back pain, tingling in the arms, and skin irritation. Socially they can be burdensome as teenagers, and they can restrict athletic participation. Initially, management is with physical therapy, skin care, proper bra fitting, and pain medicine as needed.
When breast size causes other problems or interferes with activities, surgery can be considered. Typically, this is two to three years after a girl's menstrual cycles have begun and after shoe size stops changing.
Reduction mammoplasty surgeries , as they are called, are typically done as outpatients under general anesthesia. Activities are limited for four to six weeks, but usually girls are back at school by the next week. Surgery of this type may or may not be covered by medical insurance, depending on symptoms, duration, response to physical therapy,
body-mass index (BMI) , and the amount of tissue that is removed to reduce the breast size.
Up to 25 percent of teens will have breasts growing in an asymmetrical fashion, and many women reach full maturity with one breast that is larger than the other. Sometimes, this is because they are shaped differently and grow differently. Other times, when a benign mass called a
fibroadenoma is present in the breast, it is removed to allow the breast to return to its normal size.
Other cases of asymmetry require consideration about how to balance the breasts. Balancing can be a combination of enlarging one side, reducing one side, or working on both sides. While parents or teens who are concerned should seek a medical evaluation, padded bras can often provide camouflage.
Because of heightened awareness of breast cancer, any lump in a child often creates a great deal of anxiety. Breast cancer is extremely rare before the age of 20; less than 0.1% of all breast cancer occurs in children or teens. Ultrasound studies can help determine whether a lump is a cyst that can be drained or a fibroadenoma.
If your child has a breast mass, talk to your child's doctor. He or she can
refer you to a pediatric specialist or
pediatric plastic surgeon who specializes in caring for growth problems in breast tissue. Breast operations on young girls should be carefully undertaken because of the risk of adverse effects upon future breast development.
All girls should be taught breast self-examination once their breasts are developing and they are going through their menstrual cycles. This should be the beginning of a lifelong habit.
When a girl does not have breast tissue by the age of 13, her breast development is considered
delayed . Although rare, the breast bud may be nonexistent due to a chest wall deformity or failure of the underlying pectoralis muscle to develop properly. Girls with chronic illnesses like Crohn's disease, Turner syndrome, or an eating disorder may also fail to grow buds by the age of 13.
See Delayed Puberty in Girls: Information for Parents.

Home » Feeding » Bottle Feeding » Understanding Bottle Nipple Sizes: Avent Nipples Explained
2 Avent Natural Newborn Flow Nipple
Sucking hard Collapsing the nipple Getting aggravated during feedings Smacking at the bottle Taking a long time to feed, generally 30 minutes to 1 hour Eating less at feedings and getting hungry soon afterward.
Next 13 Tips to Soothe a Colicky Baby
Baby bottle nipple sizes are an essential part of feeding your baby as he grows throughout the first year of your baby’s life. You might not realize it at first, but bottle nipples come in different sizes and flow rates. So, picking the right Avent nipple sizes is essential.
Babies will often drink from any bottle nipple as long as some milk is flowing out of it. However, some infants prefer different types of nipples or the flow of the milk. Plus, picking a nipple that is too fast can cause your baby to ingest too much air, leading to gas and discomfort. 
Avent bottle nipples are one of the most popular picks by parents and babies alike. You can pick from different flow rates, so let’s take a look at what you need to know. 
Avent has six nipple sizes that you can pick from, and all have different flow rates. You have to consider your child’s age and size when selecting the right one. 
The Natural First Flow Nipple has a small hole that lets a slower and more controlled flow rate of milk to come out. For newborn babies with a tiny tummy, this is an ideal nipple choice. 
The First Flow nipple is made of durable silicone that is ultra-soft, odorless, and flavorless. They have a wide breast shape that allows for a natural latch. It allows newborns who breastfeed to take a bottle as well. Avent added a flexible spiral design with comfort petals that prevent nipple collapse during feedings. 
The Newborn Flow nipple has an anti-colic valve that stops too much air entering the bottle but not your baby’s stomach. That means reducing colic and fussiness. 
Just like the First Flow Nipple, this one is made of silicone, which is ultra-soft and odorless. It has valve flexes to help mimic your baby’s feeding rhythm, which allows your baby to pick his ideal flow. This nipple has a single hole that maintains the slowest flow, so it’s great for breastfeeding babies as well. 
A Newborn Nipple requires a lot of suction, leading to a small output of milk. These nipples will frustrate an older baby. Some parents skip this nipple and move directly to the Slow Flow nipples, but your baby might like them!
The Avent Natural Slow Flow nipple is another choice if you want to combine bottle-feeding and breastfeed your child. It has a wide shape as well that helps mimic a mother’s breast. The rounded and soft nipple makes latching easier for your baby, and the petal structure improves flexibility. The petal design also prevents nipple collapsing. 
The Slow Flow nipple has the twin anti-colic valve that stops your baby from taking in too much air. That keeps your baby feeling comfortable all of the time. 
When it comes to this nipple, be sure to watch your child’s behavior. Your one-month-old baby might not be able to keep up with the flow, and that could indicate your infant needs to go back to Newborn nipples. If your one-month-old is handling the feeds well, keep an eye out for signs of frustration to suggest that it’s time to move up. 
The Avent Natural Medium Flow nipple is suitable for babies who are at least three months old, and the ultra-soft texture helps to mimic a mother’s breast. Medium Flow nipples have two holes in them instead of one hole.
It also has a spiral structure that prevents nipple collapse and provides a natural feed. Plus, the anti-colic vent technology helps to get rid of colic and decrease discomfort from the air in your baby’s stomach. 
The Avent Natural Fast Flow nipple is best for babies who are at least six months old. It has all of the similar features of the other Avent nipples, such as the wide breast shape, ultra-soft silicone, and integrated Airflex Vent technology to get rid of colic.
The Avent Natural Variable Flow has an integrated slot hole that makes it easier for thicker fluid to flow out at a faster rate. This nipple makes it easy to get the right flow for your baby because you can turn the feeding bottle to line up with the proper markings. The I, II, or III markings indicate slow, medium, or fast flow. 
The hopes open with more suction. If your baby sucks harder to drink, the holes open wider. If not, it comes out at a similar rate as a Medium Flow nipple. 
This nipple also is made of the same durable, ultra-soft silicone that is odorless. The wide, breast shape makes it easy to combine bottle-feeding and breastfeeding .
Breastfeeding Guide: Here are Top 5 Bottles for Breastfed Babies.
You might wonder why you even have to use different sized nipples. It can be frustrating to have to change nipple sizes throughout the first year of life, but it’s for a good reason.
If your baby is dealing with a nipple that is too slow, your baby might end up being cranky, frustrated, take too long with feedings, or not get enough milk. If a baby is too frustrated, they might stop feeding, and your baby needs to drink the right amount of milk for proper growth and development.
Having a nipple size that is too fast creates a lousy situation for your baby. It’s like a waterfall going down your baby’s throat, and that can lead to gagging, choking, or milk spilling everywhere. Your baby might try to gulp down the milk faster, leading to additional air going into your child’s stomach, causing colic and gassiness. 
Here are some general guidelines to help you pick the right Avent nipple size.
You may also interested: Check out our Best Bottle Sterilizers suggestion to protect your baby from harmful germs.
You can check with most manufacturers on their websites to help decide when it is best to change bottle nipple sizes. The faster nipples are meant for older babies because they eat more at each feeding time, and they can handle a more rapid flow of milk. 
Here are the general recommendations by manufacturers:
Age isn’t the only determination of nipple size because all babies are different. It’s best to watch for signs that your baby is ready to move up a size. Here are some signs that your baby is ready for a different nipple size.
Generally, if your baby isn’t showing any signs of frustrating or taking too long to eat, then you don’t need to move up a size. If your baby does show signs of needing to move up a nipple size, you can move up a size and see how your baby reacts. 
Watch for signs that the nipple size is too large for your baby, such as:
If you see these signs, then you need to move back down a size. Having a faster flow can lead to discomfort in the digestive tract.
Picking the right Avent nipple size make feeding your baby more enjoyable for all. By watching for signs that your baby is ready for the next nipple size, you can ensure your baby isn’t frustrated during feedings or taking in too much air. 
Remember that it’s best to change nipples every three months or at the first sign of wear and tear. You want your bottle nipples to perform at its best to avoid one breaking during a feed. The best nipples make feedings even more enjoyable. 
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Being a parent is a great experience that can sometimes be scary and exhilarating at the same time when you watch your baby from sleeping soundly in your arms to crawling out of them to play freely. Watching those little active steps or that fast and excited crawl brings warmth to a mother heart and most times a chance to do finish that book you had pushed aside.That's why we are there to advice & guide mothers to solutions that will keep their minds at rest.
Suitable for premature babies and newborn
Ideal for newborns and breastfed babies of all ages
Suitable for newborns and breastfed babies of all ages 
Ideal for babies three months of age and older
Ideal for babies who are six months of age and older
Allows thicker liquids to flow and ideal for babies who are three months or older

https://www.healthychildren.org/English/health-issues/conditions/Glands-Growth-Disorders/Pages/Abnormal-Breast-Growth-in-Boys-Girls.aspx
https://www.babyadvisor.org/bottle-nipple-sizes/
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Child Nipple