Breast Reduction Size Question For my Frame?

I am 50 years old. 5'4 and 125 lbs. I just had my consult with a PS and he said my breasts were about 800 grams each. The insurance company requires him to remove 400 grams. First, do you this the insurance company would allow him to take more? I am concerned about them still being too large after surgery. My band size is a 32 (although I prefer looser bands as to not aggravate heartburn). Any guess as to what cup size I would be with this reduction?

Doctor Answers 5

Breast Reduction

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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.

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Reduce size and cup size

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At size 32 with about 800 gram breasts, you are size H.  Removal of 400 grams would take you down to about a size D.  Yes, he can take more if he wants but then you would be smaller than a D.  For your size, each 100 cc corresponds to 1 cup size change.

Best Wishes,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Breast Size After Reduction Surgery

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Depending on your desired outcome the surgeon should be able to take more, the 400 grams is just your insurance company's minimum requirement for coverage.  Your new cup size after the reduction depends on how much more than 400 grams you would like your surgeon to remove, but many women are happy with a C-cup breast after a reduction.  Without photos or seeing you in-person it is hard to give a definite answer.  I hope this helps and good luck with your procedure.

Norman M. Rowe, MD
New York Plastic Surgeon
4.9 out of 5 stars 62 reviews

Breast reduction size

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The insurance company might give minimums based on height and weight for insurance coverage, however your surgeon could take more if the size better fits your life style and frame, and the geometry and aesthetics of your breast. Sometimes as the full breast has a wide base, the D-cup often appears 'right', though a C-cup may work out for you. Have a good discussion beforehand with your surgeon.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Breast Reduction and Size Concerns?

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Congratulations on your decision to proceed with breast reduction surgery; this operation is one of the most patient pleasing operations we perform.

Insurance companies may authorize breast reduction surgery and “require” a MINIMUM  of a certain amount of tissue to be removed. Your plastic surgeon will be able to remove more tissue if indicated. 

There is no direct correlation between the amount of tissue removed and the ultimate cup size that a patient will wear after breast reduction surgery.

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. 

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 “C cup” or "fake looking" 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.

Best wishes with your breast reduction procedure; hopefully your only regret will be not having had the procedure performed earlier in life.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.