Adolescence — Stan Vruddhi and Macromastia: Ayurvedic and Modern Clinical Perspectives with Special Reference to Cosmetic Concerns

Adolescence is a period of rapid somatic and hormonal change; breast development is a key pubertal milestone1. Excessive breast growth in adolescence — termed juvenile macromastia or gigantomastia — can cause physical discomfort, psychological distress, and cosmetic concerns2. Ayurveda describes breast disorders (stana-rogah) including conditions of abnormal enlargement (stana-vruddhi) in classical texts3. Modern clinical practice defines macromastia and gigantomastia, investigates endocrine and idiopathic causes, and manages patients with conservative measures and reduction mammaplasty when indicated2. This article reviews Ayurvedic concepts and modern clinical evidence, integrating both perspectives