What if I don’t end up as small as I’d like to be after surgery?

It's best to discuss your goals for surgery at length with your surgeon prior to surgery versus trying to go back for a revision later. Describe what you want, use cup sizes, bring photos of those with breast size you are wanting. Good communication should get you the answers you need. Keep in mind that the surgeon will need to keep adequate blood supply to the tissues and nipple, so that will be a consideration in the amount that can be safely removed. In addition there needs to be enough tissue to shape the breast.

Thank you for your question.
In my practice, the rate limiting factor of a breast reduction is the blood supply to the nipple and areola. Depending on your body surface area, your surgeon will need to remove a certain amount of tissue as per your insurance if they are covering this procedure. If you would like to go as small as possible, I personally would go as small as I can safely while preserving the nipple and areola along with keeping an aesthetic that you would be happy with.

Hello @Straightforward775867, thank you for your question. When considering surgery, it is vital to communicate clearly with the surgeon about the expectations you have regarding said procedure from the beginning in your consult. In terms of breast reduction surgery, you want the breast to appear in harmony with the rest of the body and to be shaped aesthetically. The best aesthetics result for me is a breast that has an adequate shape and proportion, that the projection is slightly conical, that has a slight descent in the upper part so that it looks esthetically adequate. The best course of action is to consult one or several board certified plastic surgeon for more information. Best wishes! Alan Gonzalez MD FACS