Plastic and Reconstructive Surgery

Pediatric and Adolescent Breast Program

The Pediatric and Adolescent Breast Program at The Children’s Hospital of Philadelphia cares for children and adolescents with breast and chest wall disorders. The Breast Program includes specialists in plastic and reconstructive surgery, pediatric general surgery, adolescent medicine, endocrinology and psychology. This multidisciplinary team will provide your child with a full range of treatment options and follow-up care.

Boys and girls come to us for a variety of issues associated with breast and chest wall disorders, including pain or discomfort, functional problems that limit activity, and concerns about their appearance.

Patients treated through our Pediatric and Adolescent Breast Program have access to:

Why choose us

We provide coordinated, long-term care for children and adolescents with chest wall and breast disorders from the time of your child’s initial assessment, through the surgery, recovery and follow-up period. This continuity of care is important to treating children as they grow, particularly for children with conditions that might require additional treatment as they get older.

Our team of surgical and medical specialists will partner with your family’s primary care physician to identify the services and treatment options that will best meet your child’s unique needs. This collaboration helps us provide the best care, and get the best results for your child.

Our collective experience caring for children with chest wall and breast anomalies, from the routine to the rare, means expert care for your child.

What we treat

The Pediatric and Adolescent Breast Program at CHOP treats a wide variety of pediatric breast anomalies and chest wall disorders. Some breast disorders are present at birth (congenital anomalies) while others are acquired later in development.

Some of the most common pediatric breast anomalies we treat include:

Learn more about breast and chest wall disorders »

Quality of life: Functional and psychological issues

Whether congenital or acquired, breast deformities can cause functional and psychological problems. Some of the functional problems our patients deal with include clothes not fitting properly and inability to play sports and join in on other social activities.

Body-image concerns, already common in adolescence, are often much more pronounced in adolescents with breast differences, and can have a significant impact on quality of life for affected children and adolescents.

These factors reinforce the importance of treating not just the physical problem but also the related social, emotional and psychological issues.

Your child's appointment with the Pediatric and Adolescent Breast Program

Early evaluation for breast disorders is important. Timely treatment can significantly improve outcomes and the quality of life for children and adolescents struggling with these conditions.

Your child’s initial evaluation with CHOP’s Pediatric and Adolescent Breast Program will include:

Initial or follow-up appointments can be scheduled as needed with specific specialists. Follow-up appointments often include periodic clinic visits after surgery. During follow-up visits, your child may have additional imaging tests or exams to keep an eye on the growth of any existing breast tumors or cysts.

If delayed breast development is accompanied by other issues, your child’s physician might perform some additional tests such as an endocrine workup to check for hypothyroidism or precocious puberty. If your child’s condition is related to endocrinopathy (disorder of the endocrine system), medical evaluation and treatment by an endocrinologist may eliminate the need for surgery. Males with gynecomastia also require evaluation by an endocrinologist. In many cases, surgery may be required.

Treatments and services we offer

Surgery to treat breast deformities

The timing and type of surgery to treat breast and chest wall disorders depends on the needs of the individual patient. Many factors are considered when determining the best treatment plan for your child, including age, degree of disfigurement and psychological health.

Surgical procedures used in the treatment of breast deformities include:

Make an appointment

To make an appointment with the Pediatric and Adolescent Breast Program, please call 215-590-2471.

Our clinic is held one day a month on the first floor of the Wood Center in the Division of Plastic and Reconstructive Surgery. If you’d like to schedule an additional visit or if you need to speak with a member of your care team between appointments, please call us.

Directions, maps and parking information »

Our team

Our multidisciplinary team consists of specialists in plastic surgery, endocrinology, adolescent medicine and general surgery, and our comprehensive clinic meets monthly to coordinate patient care.

Program Director

Oksana Jackson, MD

Plastic Surgery

Howard Caplan, MD
David Low, MD
Joseph Serletti, MD

Pediatric Surgery

Holly Hedrick, MD
Joy Collins, MD

Adolescent Medicine

Michele Zucker, MD 


Andrea Kelly, MD 


Leanne Magee, PhD

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