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

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.