The results of breast reduction surgery are better when patients are near their ideal body weight. When patients are overweight they’re encouraged to lose weight prior to surgery, unfortunately the majority of patients with weight issues are not successful dieting. Despite this, patients who are overweight derive significant benefits from breast reduction. Many have increased exercise tolerance following reduction and are able to lose weight as an absolute contra indication to breast reduction surgery. Although it’s possible to perform a breast reduction of this magnitude, it may not be advisable for several reasons. In some cases, removal of large amounts of breast tissue might damage the blood supply to the nipple areola and the surrounding skin and increase the potential for complications. It’s also important to consider the aesthetic implications of creating B cup breasts in someone who is overweight. Aesthetically attractive breasts have harmony, balance and proportion with the surrounding structures. For this to happen, larger, fuller breasts will be needed, possibly in the C cup range. To obtain the best possible result from your breast reduction, it’s important to discuss these issues with your plastic surgeon. before proceeding. This procedure has high satisfaction rates and is associated with long term health benefits.