All physicians have made excellent points for you to consider and I just wanted to add one additional thought.
The more agressive you are with reduction, the more potential you have for compromising the nerve and blood supply to the nipple and areola. There are many techniques to do a breast reduction, but all depend on leaving an intact blood and nerve supply to the nipple. There is only one technique where you completely sever the attachment and re-apply the nipple as a graft in which case you are guaranteed to lose nerve supply and are depending on chance for survival of the entire nipple and areola.
So if this is your request, which can be accomplished, be prepared to risk a higher chance of losing sensation and possible survival of the nipple and areola.
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