For breast reduction surgery, I think that the best cosmetic results occur when patients get relatively close to their goal weight (within 10-15 lbs). That being said, it is sometimes difficult to achieve this, because the shear size and weight of the breasts keep many patients for exercising effectively.
It's important to discuss these concerns with your surgeon so that he may give you his best advice, so that you can weigh the pros and cons in your mind and make the choice that suits you the best.
Good luck,
Dr. S



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