I had a consultation with my surgeon and it seemed somewhat rushed. I still feel like there's more I should know.

The best way to determine what your breast size should be with respect to your anatomy and give true advice would be another discussion with your board certified plastic surgeon. Not only does proportion depend upon the aesthetic balance of your breasts with your shoulders, waist, hips, and buttocks, but also upon your objectives, active lifestyle, soft tissue quality, muscular anatomy, and long-term concerns. A breast reduction also includes a breast lift.
There is also a limit to how small you can go due to tissue that needs to be retained for the nipple/areola to maintain a good blood and sensory nerve supply. A PS cannot guarantee that a breast will be a specific cup size after reduction. Very large breasts rarely are reduced by more than two or three "cup" sizes.

Hello and thank you for your question.
Glad that you are having a 2nd consultation with your surgeon. Just discuss your concerns and the goals of this surgery. You both need to be on the same page so you will have a positive outcome. Best of luck!

Breast reduction is a very customized surgery, and every body type will have a significant range of sizes that can be proportionate depending on what the patient’s personal goals are. Some reduction patients prefer to be as small as possible for maximum weight reduction, while others wish to maintain a fuller breast size for their personal aesthetic reasons. If you feel your surgeon has a “one size fits all” mentality, or doesn’t really explore what your personal aesthetic / goals are, I would advise you to be very cautious and would likely recommend a second opinion. Alternatively, you could go back and discuss size and aesthetics further with your surgeon, but if this visit feels rushed or incomplete again, take that as a sign to seek help elsewhere. I personally have patients show me photos from my website photo gallery drrobertcohen.com so I know what they have in mind for a final result, and although two patients can’t be matched exactly, I will at least go into surgery knowing what my patient likes so I can match them as closely as possible for their anatomy. Best, -RC

That is one of the most critical aspects of breast reduction. There is nothing accurately measurable with breast surgery since cup sizes are not volume dependant and they are so different based on bra manufacturer. You have to make an effort to imagine the size you would like and guide your surgeon to provide close to desired result. In some offices there may be a 3D imaging software where surgery result may be simulated to give patient and surgeon an idea about final size. Considering your current size and BMI you should expect larger breast. However, larger breast also mean more sagging in the future, so be prepared to have revision once your body weight goes down. Good luck.

Dear msglamourlife,
finding the right Dr. is extremely challenging especially with the number of online platforms and resources available. There a lot of great Dr's available. Make sure he/she is a board-certified plastic surgeon. Definitely check to make sure your choice specializes in the procedure you want and spend the time to read through patient testimonials. There is a number of different sites where you can check for reviews (Realself, yelp, google, etc.).You can always pick up the phone and call around also, find an office you feel comfortable with and set up a few consultations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It's a good idea if you are still unsure what to expect to return to your surgeon for further discussion. Perhaps bring some photos along of women about your size whose results you like. Cup sizes are variable but they do help to give you and your surgeon a starting point for discussion. An exact cup size guarantee is not realistic as this surgery has an artistic component, meaning you don't just want a certain size you also want them to look nice.