42L, BMI 40. Too Obese for Breast Reduction?

Thank you for your question.
In order to reduce the risk of infection and wound healing, your BMI should be no higher than 32. Reach out to your primary care physician for guidance on weight loss. Best wishes!

Based on the information that you have provided it is unclear on whether or not you would be a good candidate to undergo a breast reduction.  There are many factors that one must look at in determining whether you are a good candidate.  I recommend you schedule a consultation with a board certified plastic surgeon so that they can give you a physical examination and determine the best route for you and your body type.

Hi there-

It would be in your best interests to lose as much weight safely as you can before proceeding- the operation and its recovery will be safer for you, and your outcome in the short and long term will be better.

On the other hand, at some point, your large breasts may make it difficult for you to exercise- when and if you get to this point, that's when you should visit a surgeon certified by The American Board of Plastic Surgery for a consultation.

Here's some advice on choosing one...

Your risks of infection, bleeding, wound healing problems, ckot firmation, etc are higher. You must make this informed risk.

Without examining you and evaluating your medical record, it is impossible to tell if you are a good candidate for surgery.  If you post pictures and give a more detailed medical history then we may be able to give you more specific advice.   Good luck.