Breast Reduction Q&A
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Size 46L - How Small Can I Get with a Breast Reduction?
asked 1 year ago by 6549anon
Latest answer by Tom J. Pousti, MD
Question viewed 288 times
Tags: breasts, female, 270-289 lbs, 5 ft 8 in to 6 ft 0 in
I am a 46 L I weigh about 270 and im 5ft 8 in tall. how small can i go realistically after a breast reduction?
9 answers to Size 46L - How Small Can I Get with a Breast Reduction?
+1
Breast Reduction and Breast Size Afterwards?
Thank you for the question.
Based on your description you may be a good candidate for breast reduction surgery; it may be in your best interest to drop weight first.
The concern with breast reduction surgery is always related to blood flow to the remaining breast tissue; it is important to perform the operation in such a fashion that the blood flow to the nipple/areola/breast tissue is not compromised.
Communicative goals clearly with your plastic surgeon.
Best wishes.
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+1
Weight Loss and Breast Reduction Surgery
Your body mass index is 41 and you should consider a comprehensive weight loss regimen to get your weight in a more healthy range. Weight loss will help reduce your breast volume to some extent. In discussing breast size after breast reduction surgery your desires are of greatest importance, but bear in mind that with your height and current weight you would not want to reduce your breasts too small.
Leo Keegan, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+1
How small can you go with a breast reduction
It depends upon your goals and body habitus. If you maintain the nipple areola on a pedicle the pedicle has to be certain size and thickness to survive. So goes for the skin as well. You would be better off losing weight first.
+1
Breast reduction has functional as well as aesthetic objectives
Like the other consultants, I agree that breast reduction has two objectives: a) relief of the functional complaints of musculoskeletal strain, skin rashes and activity restriction; and b) enhancing a woman's sense of balance of her body. Given your height and weight, reduction to a flat chest might achieve the first objective but completely miss the second. Consult several PS and formulate a plan of pre-operative weight reduction, prior to proceeding. Good luck.
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Breast reduction volume varies by technique
The volume of breast reduction is limited by the amount of breast tissue that is needed to give enough blood supply to the nipple. So if your breast is long and the nipple very low, more breast is needed to maintain a healthy nipple. There are ways to design the breast supporting the nipple, also called the pedicle, to decrease the length of the pedicle. It is also possible to take the nipple off completely and put it back on as a skin graft, reducing the need for the long pedicle...
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+1
Breast Reduction what size will I be post operatively
You may already know that a bra cup size varies according to manufacturers. What is right for you depends on many different factors.
Some of the important factors in determining your postoperative size:
1. Patients desires are of primary importance and this is discussed in preoperative consultation. Some women are really looking for a lift and would like insurance to cover what is considered a cosmetic operation. Insurance companies may use many...
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Dennis J. Bang, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+1
Size result in breast reduction
There is no actual limit. The breast can be removed entirely i.e. reduced to nothing, but that wouldn't be a reasonable solution to the problem of overly large and heavy breasts.
In general, from a functional standpoint, the breast needs to be reduced to a full C cup (for the chest around) to solve the functional problems and get into proportion. The female chest is built to handle A, B, and C cup sized breasts, but not larger. D cups are by definition, out of proportion...
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Scott L. Replogle, MD
Denver Plastic Surgeon
Denver Plastic Surgeon
+1
Proportionate size after breast reduction
Depending on the technique used, a surgeon can reduce the breasts to as small as size as wanted. Reducing the breasts to a very small size, however, is not usually aesthetically pleasing. It is better to reduce them to a proportionate size to your weight. You can always go smaller.
+1
Limits of breast reduction
IT depends on what your want and the risks you are willing to take. As more and more breast tissue is resected, there is a greater risk to compromising the blood and nerve supply to the nipple. The more agressive results could essentially be a mastectomy but then the nipple and areola would be treated as a graft and get you down to an A
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon


