Remember the Stones' song: "You can't always get what you want?" Breast reduction is a combination of reconstructive surgery, which has cosmetic benefits. From the insurance company's perspective, the weight removed per side is specified. You and your doctor should agree in principle to your targeted size and how to get there, however there should also be some areas of negotiation. For example, if breast feeding is a priority, you must allow adequate preservation of the nipple-areolar complex. You shouldn't feel constrained to conform to a "societal norm" but you also need to understand and support the plastic surgeon's perspective, that there is an important trade-off between maintaining blood supply and resecting sufficient tissue. Good luck.
You get what you need...
Lavinia Chong, MD answers: Disproportionately small breasts during reduction?
If I want a disproportionately small breasts, will a doctor be willing to do this type of Breast reduction procedure? Why or why not? I don't want just a form to suit what society thinks my body should look like; I want something around an A or small B cup. I am currently somewhere around a 44 F. I want to be as flat as possible without nipple grafting, but still be able to breastfeed.
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