Breast Reduction - only 200g - 250g can be removed? Doesn't seem like much! He says he can't remove any more than that. (photo)

The answer to your question comes down to the aesthetic appearance of the breast you are hoping to achieve. Your breasts are large but more importantly the skin envelope is loose. If you were expressing concerns about shape and volume a conservative reduction and lift would yield a very nice result with a 200 cc reduction. Seek out a board certified plastic surgeon to evaluate you and discuss your options. I would focus less on the number of grams removed and more on the final shape of the breast you hope to achieve.Good luck and I hope this was helpful

From your photos, it appears that your breasts are more empty and droopy than extremely large. When a breast lift (mastopexy) is done without even removing ANY breast tissue, the breasts LOOK much smaller since they become more compact and not as long. It will not require much removal of breast tissue to give you a beautiful appearance, since much of the change will be due to the lifting. If your main concern is the weight of the breasts, causing discomfort for example, then you could ask your surgeon to remove as much tissue as he reasonably can, even if this results in an appearance that is somewhat empty and lacking nice shape. If your concern is appearance, how you're able to wear clothes, etc., then show him photos or your anticipated look and size, then let the surgeon remove however much tissue is needed to achieve that look.

It's not about how many cc's are removed. It's about what your final result will look like. However, given the fact that your surgeon's recommendation isn't sitting right with you, why not get a second opinion and see if the two recommendations line up? Best, Dr. Nazarian

I've had similar discussions with patients. Your breast reduction result will depend on what is left behind, not necessarily on the amount of tissue that is removed. Discuss your case with an expert plastic surgeon if you're not getting the answers you seek.

The key is not so much the amount of weight that is removed (as some breast tissue is light and with others it is dense and heavy) but rather the final result. That is, achieving what you want to look like. Provide a photo demonstrating a "want to be" example from a plastic surgeon's website and show it to your plastic surgeon and/or seek another plastic surgeon's advice.

 Thank you for your pictures. It looks like more than 200 to 250 g can be removed in my opinion. You must rely on your plastic surgeon's judgment and physical examination for the final determination on what he or she believes it is the right amount to remove for an excellent results and minimal to no complications. 

I appreciate your question.

For improvement in shape and volume, a conservative reduction and lift would yield a very nice result with a 200 -250 g reduction.



The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!



Dr. Schwartz

Your surgeon is estimating, and telling you that his/her preference is not to remove more than 200-250g.  More than 250g CAN be removed, but SHOULD more than 250g be removed?  Your entire breast can be amputated, and you can be left with little or no breast tissue, but is that what you want?  How would over-reduction impact your femininity, your body silhouette, and, as important, how would over-reduction be corrected if necessary?  An under-appreciated aspect of reduction mammaplasty is the very real bio-mechanical benefit resulting from the lift component of the operation.  Lifting your existing breast mass also visually narrows and lengthens your waist.It is generally wise, if doubt exists, to under-reduce rather than over-reduce.  You are small in stature, smaller than many women here on RealSelf.com who have had over 300 grams removed.  If you remain in serious doubt, a second (and/or third) opinion is advised.

In situation like yours, the most important question is what do you want your breasts to look like after a surgery. An experienced and talented surgeon will remove just the right amount of tissue to give you the desired look. It appears from the photos, that your issue is both excess tissue and significant droop.  In some cases like yours,  concurrently with the reduction, we place a small implant to give patients the desired look.  Seek out an expert  breast surgeon for an in person evaluation.

Unless you want to be very flat, I would not remove more than 300g.  If you are unsure, get a second opinion from a board certified Plastic Surgeon