Breast reduction and still too large. Very depressed and stressed. Need suggestions. (Photo)

500g removed during a breast reduction is a pound per side, so you should see at least some difference in size. That said, if you are still larger than you would like, it is certainly possible to have a second surgery. In rare cases insurance may even cover a second operation if you are still having symptoms of back and neck pain etc. It's definitely worth seeing a plastic surgeon about- if you're not happy with your original surgeon, seek a second opinion. Best of luck to you!

If you feel as though your breasts are still too large after a breast reduction surgery, you can begin to consider a second reduction surgery. Have an honest conversation with your surgeon about the results you expected. If that conversation doesn't meet your expectations, consider scheduling a consultation with another surgeon. No matter who you choose to go with, it may be best to avoid using the "cup" system to determine your desired size. This can be less accurate than other methods of measurement.  

I am sorry to hear about your concerns after breast reduction surgery.  At this point your best option: communicate your concerns/goals directly with your plastic surgeon. A revisionary operation will likely be necessary to achieve an outcome that you are happier with.   Best not to communicate desired outcome in terms of cup sizes. Goal photographs may be much more helpful. Best wishes.