Optimal timing for Breast Reduction

Lavinia Chong, MD answers: When is a good time to have Breast reduction done?

I would like to know when it is a good time to have a Breast reduction. I have wanted to have a Breast reduction for a number of years. I used to have a 36 DD on a frame of 5'7" and 145 pounds. I recently had a baby (2 months ago) and am not breast feeding, nor do I plan to do so anytime in the future, if I have more children. I am still maintaining a very large breast size (36 G) and would like to know if I should wait longer to consider having the surgery in hopes that my chest may shrink down some more.


Lavinia Chong, MD
5 months ago

As a generality, a woman will experience significant volume and shape changes at three periods of her life: a) menarche, when as an adolescent, your breasts erupt; b) post pregnancy and lactation, when your breasts are subject to significant hormonal variations; & c) menopause, when your breast composition changes to a predominantly fatty component.  Most of my best reduction patients have waited to schedule surgery until after they have done a thorough cost-benefit analysis.  Some of the issues they need to have covered include: a) Is the trade-off of scars for a smaller, more shapely, functional breast ok? b) Do I have adequate time to recover from the procedure? c) Is insurance going to help me or will this be a self-pay procedure? d) Am I psychologically, physically capable of accepting a smaller breast volume? e) Should I wait until I finish my family, to conserve the ability to breast feed?

There are many other considerations which may be relevant to your case, so I would encourage you to visit with several specialists.  Ask to review their best and worst cases, including speaking to patients who have had a similar surgery.  After doing your "due diligence" you will be the most qualified to decide the timing of surgery.  Most specialists will advise you to wait at least 3-6 months after your delivery to avoid having residual milk complicate the procedure.  Good luck

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