Breast Reduction: BMI or Body Fat %?

Question

Since Jan. 2011, I've lost ~26 to 27 lbs (from 170 to 143). I'm 5 foot even & a 36DD to 34DDD depending on brand, assuming that I can find a 34 inch band (which is what I need). I've got the indents in my shoulders from my bra straps. I have come to realize that my "girls" seem heavier now that I've lost weight. Even with well supporting bra's I still find myself slouching &, at times, my upper back hurts. For a reduction/lift, do you focus more on the BMI or fat %?

George Bitar, MD · Answer

Thank you for your question. Breast enlargement plays a significant role in upper back, neck and shoulder symptoms.   Weight and BMI not necessarily correlated with symptoms, although higher BMI can be correlated with a slightly higher risk of perioperative complications.   If you weight loss has stabilized, you are a candidate for a reduction.  Even small reductions can have a large impact on your symptoms. Consult with a Plastic Surgeon to discuss your options.  All the best.

Joshua Cooper, MD, FACS · Answer

It is always best to be as close to your ideal body weight and BMI as possible prior to your operation.  Congratulations on your recent weight loss!
	
		Many insurance companies will look at your BMI in relation to how much weight your plastic surgeon estimates he/she can remove from your breasts.  Based on that calcuation, the insurance company may either approve or deny the operation.   Simply put, the lower the BMI and the larger the breasts, the more likely the insurance company is to approve the operation.   Additionally, insurance companies may look at other factors such as your symptoms and any therapies you've tried to alleviate them.
	
		I wouldn't worry to much about these deatails though!  It is likely that you woud benefit from a breast reduction, and I definitely encourage you to meet with a plastic surgeon to find out more regarding the operation itself, the recovery period, as well as potential risks and benefits. 
	
		Best of luck to you!

Steven Wallach, MD · Answer

A breast reduction can be performed for patients that want their breasts reduced.  If you are looking to have insurance cover it, you have to check with the insurance company regarding their requirements.

Jeffrey Zwiren, MD · Answer

The real question about being a candidate for a breast reduction is a combination of the size of your breasts in comparison to the rest of your body.  This is coupled with the symptoms that you describe including shoulder indentations, neck, back and shoulder pain.  A consultation with a plastic surgeon will help answer your questions.

Naveen Somia, MBBS, PhD, FRACS · Answer

Congrats on your weight loss.

	BMI is a guide to your ideal body weight. Reducing the breasts will certainly feel better with reduction in the symptoms, if you were to achieve your ideal body weight and then have your reduction you will feel better and you will love the way you look

	Hope this helps

Breast Reduction: BMI or Body Fat %?

Answers (6)

Answer: A good candidate for a breast reduction

Answer: A good candidate for a breast reduction

Answer: BMI is an important consideration for Breast Reduction

Answer: BMI is an important consideration for Breast Reduction

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

Breast Reduction: BMI or Body Fat %?

Answers (6)

Answer: A good candidate for a breast reduction

Answer: A good candidate for a breast reduction

Answer: BMI is an important consideration for Breast Reduction

Answer: BMI is an important consideration for Breast Reduction

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.