My breast is continuously increasing in size and the nipples also appear odd, as in they are not circular in shape, but conical. My breast is also sagging and this is not normal at my age. I have had sexual relations with a male friend. Could this be the reason for my problems or is there any other cause?
Let me start by reassuring you that you do not have a problem. Your nipples have a different shape but this is a normal variation and fairly common. The breast sagging however needs to be addressed. You should wear the correct bra that supports. Check the shoulder straps and pull them up till they fit snugly and give your breast the necessary lift. Breast tissue requires support as it increases, or it will sag. Also do exercises like bench press and pushups to tone your pectoral muscles.

I am an avid reader of medicalquestionsanswers.com. Please, I want to know what the most effective way of reducing breast size is.
Weight of the breasts can be reduced either by massive weight loss or surgery, called reduction mammaplasty, which is performed under general anesthesia. The desired final size of the breast is first marked out. Relocation of the nipple areola complex correctly is critical. It will require a number of stitches, and you may be left with a few scars which will fade away eventually. However the operation is tricky and delicate, and should only be performed by an experienced plastic surgeon. In some cases, milk secretion is preserved while in others, it may have to be sacrificed. The choice depends on the age of the patient and the size of the breasts.

I was a 90-kilo elephant but I really worked my ass out in the gym and whittled down to 56. However the skin on my breasts is wrinkling, which has taken the shine out my weightloss. To tell you frankly, when I was 90 kg my breasts were really huge, now I’m a size 34, but the skin has shrivelled up. I don’t know what to do and in need of your advice.
Yours is a very common problem after massive weight loss. Due to loss of elasticity, the stretched skin presents a very unsightly appearance. Patients sometimes feel the weight loss was not worth the effort. You are lucky that you are concerned only about your breasts. A few months back, I operated on a 41 -year-old American lady who lost 60 kilos. She was distressed with her weightloss because afterwards she had folds of loose skin hanging all over her body. She required a tummy tuck, breast lift, thigh lift, arm lift and face lift. You need a procedure called ‘mastopexy’, in which the nipple-areola complex is relocated to a new higher position and excess loose skin is cut away. The operation, done under general anaesthesia, takes about 3 hours. The results are very satisfactory. There is no other line of treatment once the breast tissues have shrunk.