Does the skin removed counts as part as the total weight required for breast reduction?

Thank you for your question. The weight of the skin removed from your breast does count towards the total weight required by the insurance company to qualify for breast reduction surgery. Best of luck! 

Yes the weight of the reduction usually includes the weight of the breast and the skin in combination. 

Although the skin does qualify as part of the weight for a breast reduction, you need to know that the skin itself does not weigh very much.  Every province has different rules and they are less restrictive than most American health insurance plans.  Many patients think that a referral from a family physician means that they can obtain approval - but it is really between the plastic surgeon and the provincial health care plan.  There is no question that a breast reduction can improve physical symptoms, but many patients are more interested in achieving a good cosmetic result.   With your body weight of 200 lb and 5'7", you would likely need some liposuction along the lateral chest wall to give you a nice result.  That is no longer part of the breast reduction itself and is considered cosmetic.   

In the weight of the estimate, skin and the breast tissue itself is all included.  How much is taken off depends on how small you want to be. It sounds like you will likely be able to hit the "target" for insurance coverage, but an in-person consultation with a plastic surgeon will best be able to assess you.  Best wishes!