Would I be a candidate for breast reduction after weight loss? Currently a 32 DD, concerned about looking flat chested. (photos)

You should only proceed with a reduction if you are sure that you want smaller breasts. That is a matter of personal preference. A breast reduction surgery will generally also result in longer scars.
A breast lift alone is an option if you want to preserve the volume you have, but lift the nipple higher. I feel like you would have a very nice result with this type of surgery.

The best thing that you can do is be open with your surgeon about your expectations following surgery regarding size, shape, and symmetry. When considering how much tissue to remove, a surgeon should consider symptom reduction, how far the nipple can/should be moved, and the desires of the patient. Some of these factors can be modified based on the type/style of reduction, and others cannot. The best thing you can do at this point is to be open with your surgeon regarding your concerns so that you and your surgeon go into the operation with the same expectations.

Thanks for your question! I think it's important to be clear about your goals and make sure that is achievable with how much your surgeon intends to remove. I do think you are still a candidate, but you want to be sure your goals aren't undermined by the amount of breast tissue the insurance company requires. Good luck!

Hi,
Thank you for the question.
First of all, congratulations on your weight loss!
Based on your photos, you appear to be a great candidate for breast reduction surgery. During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller. It is easiest to think of breast reduction as including the breast lift.
Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms.
The goal of breast reduction surgery it to make the breasts smaller and lifted, but also proportionate with the rest of your body. It is reasonable to to expect full C/small D cup breast size after the breast reduction surgery.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Dear Intellectual397503,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello @Intellectual397503, thank you for your question. If a patient's breast begins to cause physical, psychological, and functional problems, then she should undergo surgery according to my criteria. As long as the surgical technique is adequate, and the patient knows what to expect there is no problem. It is advisable to consult a board-certified plastic surgeon for more information and recommendations. Best wishes! Alan Gonzalez MD, FACS.

The ideal candidate for breast reduction is someone who is having symptoms from large breasts. Common symptoms include neck, back, or shoulder pain, rashes underneath the breasts, indents from the bra straps, and headaches. As you noticed, your breasts have gotten smaller with weight loss, so these symptoms may have gotten better or gone away. The other consideration is whether you think the breasts are too large. If you are happy with the size, then you would not need breast reduction. If you want to be smaller, then breast reduction is an option. Most techniques aim to create a C-cup sized breast, which would be appropriate for your frame.

Most insurance companies need a certain amount of tissue removed to be covered. I suggest checking with your company. Otherwise, you can still have the surgery and pay for it.

Thank you for sharing your photos! It sounds like you maybe a good candidate for a breast reduction. Large breasts may not only interfere with your physical ability to function in daily activities but can be emotionally burdensome as well. Breast reduction surgery removes excess breast tissue and reshapes the contour of the breasts so that they are smaller and perkier. It is possible to do a breast reduction with a minimal scar technique and can also be done as an outpatient procedure under twilight sedation. I suggest you make an appointment with a board certified plastic surgeon who will examine you and go over your surgical options and discuss potential results in detail