Will Removing 750 grams per breast be too much? I want to be left with full C/small D (Photo)

It is difficult to answer this question without an examination. 750g is very different from one person to another. The best thing to do is discuss your desired cup size with your surgeon who can remove as much tissue as needed to get you to that approximate size. #PlasticSurgery #BreastReduction #Brasize 

Breast Reduction is a complicated procedure that is best done by those with the most training and experience. It is very difficult to determine the resultant cup size and shape based solely on the number of grams that are removed from your breast to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast reduction and lift surgeries, including different approaches, techniques and even fat transfer and implant choices if you are lacking superior breast fullness.This is because several measurements—not to mention breast characteristics such as density—are needed to determine how much and where to remove breast tissue to meet your goals. Without knowing your existing breast shape, dimensions, and the density of your breast tissue, it would be difficult to make this determination. For example, the same volume of breast tissue will weigh different amounts (measured in ounces or grams) in different people depending on its density. The existing base width of your breast and what you will ultimately want to look like will determine, in many cases, the maximal volume and weight that will need to be removed for the best result.Please click on the link below for more information!

It will be hard to determine based on your pictures.  Secondly, in my opinion cup size is not the end point of a breast reduction surgery.  Good proportion of your breast in comparison with your hips, waist and chest.  Insurance dictates the amount that MINIMALLY needs to be removed.  Once that has been achieved in surgery then the artistry of plastic surgery begins removing and shaping breasts to have good proportion with the rest of the body.  If you are overly concerned and want better control over your final size then you will need to forego the insurance route.

Its impossible to offer much advice based on your photographs alone, especially wearing a bra.  At the end of the day, cup size is not the ultimate goal of surgery, rather proportion to the rest of your body.  It is unconscionable how insurance companies are placing such strict and unreasonable restrictions on these type of surgeries.  Efforts to comply with the insurance companies requirements may end up giving patients such as yourself a compromised aesthetic result by taking too much tissue.   Best to seek the advice of a fully qualified plastic surgeon to assist you in achieving your goals.  

If you are a true H cup, there would be no problem removing over 1000 grams per breast. Having performed many such reductions, I am unconvinced that you are that big. Proportion is the key.  Also keep in mind that you cannot have your cake and eat it,too on the insurance company's dollar. If you want a reduction to be covered, then the consequence is to accept the minimum gram resection.  It used to be 500 but apparently they felt that too many patients were abusing the system to have lifts so some insurers, notably Aetna, have upped the ante.

It is difficult to say with a bra on, and best to be evaluated in person to determine what might be possible.  Best of luck.

Congratulations on your decision to proceed with breast reduction surgery; this operation is one of the most patient pleasing operations we perform. Based on your question, I think that you will be best off spending more time communicating directly with your plastic surgeon. Keep in mind that there is no accurate correlation between the weight of tissue removed and specific cup sizes achieved.Before undergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon. Most patients wish to achieve enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. In other words, there is no “ideal”; much will depend on your preferences/goals.
With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small) very helpful. I have found that the use of words such as “natural” or “full C, small D cup” means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. Bottom line: spend more time with your carefully chosen plastic surgeon. Communicate your goals carefully. Make sure that you have carefully considered the pros/cons (and learn about potential risks/complications) associated with breast reduction surgery. You may find the attached link, dedicated to breast reduction surgery concerns, hopeful to you as well. Best wishes.

This is exactly the problem with the government controlling health care decisions (or controlling insurance company's coverage). This is why I went to refusing all third party payers for breast procedures. The patient and the surgeon should decide what is to be done and what the result should be, not an insurance or government requirement. The reality is that there is no way to accurately assess how much volume equals 750 grams in any breast before the surgery. The requirement of removing 750 grams is arbitrary and uncontrolled, much like choosing a number of cc's for an implant and making it work rather than fitting the implant to the breast and the expected result. 750 grams is also a lot for a small woman but not as much for a very large woman. Essentially the surgeon is required to keep cutting out breast tissue until the arbitrary amount is achieved (or lying about it) rather than operating to achieve an agreed upon size result and the removed breast tissue weighs whatever it weighs. In general, the female body is designed to handle A, B, and C cup sizes relative to chest circumference. Larger than a C cup can result in symptoms relative to the size/weight of the breast, but the patient should really be in charge of what size she would like to end up with and the surgeon should perform the procedure to leave that size of breast. The best answer is to find a surgeon who will do the procedure to achieve the agreed upon result and not base it on arbitrary insurance requirements, but this may mean you will have to pay for the procedure as if it were cosmetic. 

Cup size as a goal is hard to predict 100% because bras are all different based on design and maker.An experienced surgeon is usually quite good in predicting but if wise can't guarantee it.Regsrdless of cup size most women postoperative feel so dramatically better from all their symptoms the cup size becomes secondary