I recently just got approved for a breast reduction with my insurance BCBS and they are requiring 500g to be taken from at least one breast since one is bigger than the other. Do you think that will make me too small? I am currently a 38G and I am striving for a full C or small D cup. Thank you so much
December 16, 2019
Answer: Reduce breast to a size proportionate to your body At size 38, each 200 gram removal corresponds to 1 cup size change. I do not recommend a C or D since it may be disproportionately small relative to your body. The technique I recommend for breast reduction is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Best Wishes,Gary Horndeski, M.D.
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December 16, 2019
Answer: Reduce breast to a size proportionate to your body At size 38, each 200 gram removal corresponds to 1 cup size change. I do not recommend a C or D since it may be disproportionately small relative to your body. The technique I recommend for breast reduction is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Best Wishes,Gary Horndeski, M.D.
Helpful
December 16, 2019
Answer: 500 gm reduction A breast reduction is often a balance between the patient goals and the limits of anatomy. Your surgeon will know what is necessary with regards to weight resection. Anatomic limits are non-negotiable as a certain amount of tissue must be preserved in order to maintain vascular supply to the nipple areolar complex. This amount tends to rise with the distance the nipple must travel from where it is to its planned destination. Technically speaking, the larger breast (and greater the ptosis) the more tissue that will need to be preserved in order to maintain vascular supply to the nipple areolar complex. Ultimately, you do play a role in the decision making process. The anatomic restrictions are, on the other hand, more rigid. With regards to your specific question, it is difficult to predict the size of safe reduction. However, as stated above, there will be limits based on anatomy. A 500 gm reduction is reasonable and used to represent the minimum standard. From a very large started cup size, a 500 gm reduction will likely leave you larger than a D cup. Thus, in answer to your question, 500 gms resected will not leave you too small (according to your stated goals). It is also important to remember that we deal in weight and volume (which are standardized) whereas "cup size" goals can be extremely variable (depending upon the manufacturer). There is no correlation between cup and grams resected. Much like in augmentation, focus not on the cup but on the look and resolution of symptoms. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified Member RealSelf Top 100 RealSelf Hall of Fame
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December 16, 2019
Answer: 500 gm reduction A breast reduction is often a balance between the patient goals and the limits of anatomy. Your surgeon will know what is necessary with regards to weight resection. Anatomic limits are non-negotiable as a certain amount of tissue must be preserved in order to maintain vascular supply to the nipple areolar complex. This amount tends to rise with the distance the nipple must travel from where it is to its planned destination. Technically speaking, the larger breast (and greater the ptosis) the more tissue that will need to be preserved in order to maintain vascular supply to the nipple areolar complex. Ultimately, you do play a role in the decision making process. The anatomic restrictions are, on the other hand, more rigid. With regards to your specific question, it is difficult to predict the size of safe reduction. However, as stated above, there will be limits based on anatomy. A 500 gm reduction is reasonable and used to represent the minimum standard. From a very large started cup size, a 500 gm reduction will likely leave you larger than a D cup. Thus, in answer to your question, 500 gms resected will not leave you too small (according to your stated goals). It is also important to remember that we deal in weight and volume (which are standardized) whereas "cup size" goals can be extremely variable (depending upon the manufacturer). There is no correlation between cup and grams resected. Much like in augmentation, focus not on the cup but on the look and resolution of symptoms. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons RealSelf Verified Member RealSelf Top 100 RealSelf Hall of Fame
Helpful