38M, soon to undergo Breast Reduction: How much reduction is advisable to hope for?

Thank you for the question but it is hard to give an answer without an examination or photos but you did say you are over weight and weight loss prior to surgery would be recommended and might get your breasts naturally a little smaller prior to surgery.  If you are planning to use insurance, the insurance company may also want a specific amount of breast removed for your BMI or BSADr. Corbin

Hello and thank you for your question!A BR is intended to give you a projected and more proportional size of breasts.  A D cup, is quite big and should be enough to fill out your cleavage. You need to understand that the proportion for a small woman such as yourself, should be of a smaller size. It would look more symmetrical, and natural - even thinner. Sometimes large breasts give a little bit of an overweight look. A D cup would be more than enough, however you could post or send us some photos so we can better evaluate your case. Please consult a board certified plastic surgeon for further advice and the best, safest results.Good luck!