200g from each breast not enough?

Thank you for the question and congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform.
As you can imagine, much will depend on your current breast size (cup sizes can be quite arbitrary…) and goals.  Generally speaking, I would consider a 200 gram reduction a relatively small reduction.
If I were seeing you in consultation, I would ask to look at your goal photographs; after doing so, I would be able to help you with a prediction of what you might expect in terms of anticipated weight of tissue removed. Keep in mind however that there is no specific/reliable correlation between the amount of tissue removed and cup sizes achieved. 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 or D cup” means different things to different people and therefore prove unhelpful. Again, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate.
In your case, given the concerns, I would suggest that you spend more time communicating your goals directly with your plastic surgeon, prior to the day of surgery. Ultimately, you will  want to feel comfortable that your plastic surgeon has a significant/demonstrable experience achieving the types of outcomes you will be pleased with. You will also want to feel comfortable about your both on the same page when it comes to desired outcome.  Again, careful communication is key.
 Best wishes.

Your concerns are understandable, schedule another consultation with your surgeon to discuss your issue. Be sure to see before and after pictures of the surgeons patients. Show your surgeon what outcome you are anticipating by pictures of his/her patients or bring in your own pictures. Good luck.

Hi there, thanks for your question. Generally speaking, your insurance company will require a minimum amount of breast tissue to be removed, so it's still considered an "insurance" surgery if your plastic surgeon takes more than the required amount.  If you are worried 200 grams isn't enough to make the change you're hoping for, touch base with your surgeon. It's vital to clearly establish your desires before the actual surgery. One question to ask yourself is, "What's worse, to wake up a touch too big, or a touch too small?" Unfortunately, we surgeons cannot ask you while you're asleep during surgery!  Good luck!