Doctor Only Recommended 300 Cc Removal for Breast Reduction?

Question

I went for my first breast reduction consult yesterday. Currently I am 4'11" and 132 pounds. My bra size is a 34DDD. The plastic surgeon only recommended 300 cc removed from each breast. Does that seem like too little? It seems like I have a lot more boob that that to work with. I would like to end up in the large B small C range but from what I have read 300 cc's would only take me down about a cup size??

Larry S. Nichter, MD, MS, FACS · Answer

Breast Reduction is a complicated procedure that is best done by those with the most training and experience. It is very difficult to determine the resultant cup size and shape based solely on the number of grams that are removed from your breast to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast reduction and lift surgeries, including different approaches, techniques and even fat transfer and implant choices if you are lacking superior breast fullness.This is because several measurements—not to mention breast characteristics such as density—are needed to determine how much and where to remove breast tissue to meet your goals. Without knowing your existing breast shape, dimensions, and the density of your breast tissue, it would be difficult to make this determination. For example, the same volume of breast tissue will weigh different amounts (measured in ounces or grams) in different people depending on its density. The existing base width of your breast and what you will ultimately want to look like will determine, in many cases, the maximal volume and weight that will need to be removed for the best result.Please click on the link below for more information!

Antoine A. Hallak, MD, FACS · Answer

Hi, the tissue removed in a breast reduction is measured in grams not in ccs and there is no accurate way to predict exactly how many grams or ccs can be removed. In order to maximize the amount of tissue removed as in your case, the procedure has to be marked and planned according to known techniques that preserve the blood flow to the nipples and areolas, only then the surgeon can weigh the tissue and tell you how much could be removed. 300cc or 300 grams both seem too little to remove per side if you are really a DDD and want to become a B/C. A 300 gram reduction is considered a small reduction in general and I recommend you consult with a board certified plastic surgeon and go over pictures to have an idea about the result vs weight removed and also to look at the resulting scars and their location.

Steven Wallach, MD · Answer

To properly give an estimate of resection amounts, an exam in person is critical. While your initial size sounds large, it may not be that large a volume on your frame to accommodate the reduction amount that you suggested. As for final cup size, again it is hard to determine exactly even in person, because cup size does not always correlate with volume of excision due to the differences between bra manufacturers.

Tom J. Pousti, MD · Answer

Thank you for the question. There is no direct correlation between the amount of breast tissue removed during breast reduction surgery and the ultimate cup size achieved.  Therefore it is best NOT to communicate your goals by discussing cup sizes. It  maybe better to communicate  using visual aids such as photographs of  breast size that you wish to achieve.

	It will be important for you to find a plastic surgeon who you have confidence in; once you  do so communicate your goals carefully/clearly and ask him/her to remove whatever amount of breast tissue is necessary to  meet your goals as closely as possible.

	Best wishes.

Kris M. Reddy, MD, FACS · Answer

Your surgeon's recommendation seems reasonable. Without an exam and consultation to review your objectives, lifestyle, and lifestage, there would not be basis for me to recommend otherwise.

Ronald V. DeMars, MD (Retired) · Answer

That sounds like a reasonable amount of tissue to remove for such a petite patient. Understand that weight is at best an educated guess and once the surgery is done and the actual tissue removed, then you get the real weight. Surgery doe not stop just because a certain weight is removed. Surgery stops when the reduction is complete.

Mary Lee Peters, MD (retired) · Answer

Thank you for your question. It is impossible to give you an answer you could rely on without an in-person consultation. I would need to examine you, talk to you about your goals and educate you about what might be realistic. It is also difficult for you as a patient to know what specimen weight means in terms of final size. Express your preferences to your surgeon, view some of his or her pre and post op photos, and then let the surgeon you choose make this decision for you. It is not one you can make for yourself. 300 gms might be just right.

Doctor Only Recommended 300 Cc Removal for Breast Reduction?

Answers (7)

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