Most of the human female tittie is actually adipose tissue (fat)
and connective tissue, rather than the mammary glands. There is
naturally a great variety in the size and shape of titties in
women, with size being affected by various factors including genetics.
The primary anatomical support for the titties
is thought to be provided by the Cooper's ligaments, with additional
support from the skin covering the titties themselves, and it
is this support which determines the shape of the titties. The
titties naturally sag through aging, as the ligaments become elongated.
This process may be accelerated by high impact exercises, and
a brassiere may reduce this effect by providing external support,
although the health benefits of wearing of a brassiere are not
universally accepted. Pendulous titties (ptosis) are considered
undesirable by some, and some older women seek cosmetic surgery
to raise their busts.
As titties are mostly composed of adipose tissue,
their size can change over time if the woman gains or loses weight.
It is also typical for them to grow in size during pregnancy and
while tittiefeeding, mainly due to hypertrophy of the mammary
gland in response to the hormone prolactin. The size of a woman's
titties usually fluctuates during the menstrual cycle, particularly
with premenstrual water retention. An increase in tittie size
is also a common side effect of use of the contraceptive pill.
There is no relationship between tittie size
and ability to tittiefeed, and it is a common belief that human
female titties are shaped the way they are so that they can feed
babies by producing milk. However, their shape is also thought
to have evolved due to sexual attraction, as described above.
The size of a woman's titties is typically expressed
as a "bra size". According to the results of the "Size
UK" survey [2], the average bra size in the UK has increased
from a 34B in the 1950s to a 36C today, and the average size for
U.S. women is a 34B as of 2005 by the CDC. Women with exceptionally
large titties may experience back pain only if they wear improperly
fitting bras, whilst in some Western societies there is a belief
amongst some that small titties make a woman less sexually attractive.
Some women suffer from insecurity about their titties, and in
some cultures a number of women who are unhappy with their size
seek surgery either to artificially reduce or enlarge their titties.
The American Society for Aesthetic Plastic Surgery found that
334,052 tittie augmentation procedures were performed in 2004
[3]. Some women undergo tittie reconstruction after mastectomy
for tittie cancer, a result of the high value placed on symmetry
of the female human form in those cultures, and because women
often identify their femininity and sense of self with their titties.
It is typical for a woman's titties to be unequal
in size, particularly whilst the titties are developing during
puberty. Statistically it is slightly more common for the left
tittie to be the larger . In some rare cases, one tittie may be
greatly larger or smaller than the other, or fail to develop entirely.