"During perimenopause and menopause, there are hormonal fluctuations and eventually a drop in hormones that may cause weight gain," said Dr. Wider. "As a result, some of the weight gain can occur in the breasts, resulting in enlarged breasts."
The breasts can enlarge after menopause due to the hormone oestrogen levels going down. When the breasts go through an " involution " process, the milk glands shut down, and the tissue is replaced with fat.
Rest assured boob growth with age is normal. According to Victoria Karlinsky-Bellini, MD, FACS, a New York-based cosmetic surgeon, it is often the result of fluctuating hormones as you go through perimenopause and menopause.
You may also notice that your breasts are a different size or shape than they were when you were younger. Changes to your breasts are a normal part of aging. Changes in firmness or size are very common, especially after menopause.
It can happen during puberty, pregnancy or from taking medication. In some cases, it occurs spontaneously and for no reason. Gigantomastia is also referred to as macromastia. However, macromastia is usually defined as excess breast tissue that weighs less than 5 pounds.
During perimenopause, the hormonal fluctuations are more dramatic. It is also common for breasts to get bigger or smaller or to change in shape during this period.
Weight loss or weight gain
A woman's weight can have a big influence on the shape and size of their breasts. Weight affects the amount of fatty tissue within the breasts. Gaining weight increases the fatty tissue within the breast and results in breasts enlargement.
As oestrogen goes AWOL, breasts go through a process called 'involution' where milk glands shut down and this tissue is replaced by fat. Weight gain also causes an accumulation of fat cells, and some of these camps out in your bra.
It's normal that hormone changes make your breast tissue less glandular and more fatty as you get older.
As women age, their milk systems shrink and are replaced by fat. By menopause, most women's breasts are completely soft. This can make normal lumps more noticeable. Sometimes women find their breasts feel different when they lose or gain weight and sometimes breasts change for no obvious reason.
Breast density is not a static trait. Breast density changes with age, for example. On average, older women have lower density breast tissue than do younger women. The greatest change in density occurs during the menopause years.
"Postmenopausal women often eat as many calories as when they were younger, as they have long-standing habits that are harder to break," says Julie Upton, M.S., RD, C.S.S.D. "If post-menopausal women cut back on calories and up the intensity of their exercise, they lose weight and tone up, just like younger women.
During perimenopause -- the years before your periods stop -- you'll start to notice changes in the size and shape of your breasts. You may also notice that they feel tender and achy at unexpected times. Or they may be lumpier than they used to be.
Menopause is divided into three basic stages: perimenopause, menopause, and postmenopause. During this time, the ovaries begin to atrophy which causes a decline in the production of the hormones that stimulate the menstrual cycle; estrogen and progesterone.
There's no specific age when your breasts will start to sag. It's common for some droop in your 40s and beyond, but many women experience saggy breasts earlier. If you're lucky enough to escape the droop in your 30s and 40s, you'll most likely notice changes in elasticity and fullness as menopause approaches.
Signs of Breast Fat Necrosis
Breast fat necrosis typically feels like a round, firm lump to the touch. Some women experience tenderness, bruising, or dimpling in the area where the breast fat necrosis appears. Sometimes it can pull in the nipple.
This is supported by evidence showing that women with larger breasts tend to have higher estrogen levels; breast size may therefore serve as an indicator of potential fertility. However, breasts become less firm with age and parity, and breast shape could thus also serve as a marker of residual fertility.
You may notice weight gain during menopause changes your body in different ways—for example, your face looks fuller or your belly is softer than it used to be. The weight you've gained in your abdomen during menopause will usually feel fleshy and thick, and you might notice some "rolls" of fat.