42H. Can large, beautiful, but hanging breasts remain beautiful after reduction? Does reduction automatically lift the breast?

At size 42, each 300 grams removed corresponds to 1 cup size change.  Insurance companies use the Schuler's scale to determine the weight of breast to be removed.  After breast weight is removed, the breast does not lift significantly.  Instead, I recommend The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided and nipple sensation is maintained.Best Wishes,Gary Horndeski, M.D.

Thanks for your question.
Some health insurance companies pay for breast reduction surgery. Contact your carrier to find out if this surgery is a covered benefit under you plan. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

Breast reduction reduces the size of your breasts and helps with the pain as well as lift the breasts.  None of us can predict what decisions insurance companies will make regarding coverage for BR surgery, what documentation will sway their decision, or the length of the approval process. BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by most medical insurance providers.  If not, they may try to deny you based upon a lot of things such as lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed. The insurance companies will dictate the amount of tissue to be removed, not the PS.
Read your HMO medical insurance certificate of coverage. Determine what medical information is required for your insurance provider to issue a pre-authorization or predetermination of benefits for BR surgery. Seek consultation with a board certified PS who can evaluate your medical condition and history, discuss the pros and cons of this surgery as it applies to you, and help you in completing the paperwork required.  
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

Yes, when you reduce the size of the breasts, you end up lifting the breast.    I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Thank you for your question.  Yes, your large breasts will most likely appear beautiful after your reduction.  The goal of a reduction is to make the breast smaller to reduce your back, neck, and shoulder pain.  A breast reduction will reduce the size, lift the breast up, make the areola smaller, and place the nipple in the proper position.  This procedure has a very high satisfaction rate (almost 99%) with near complete symptom relief.  Best to check with a board certified plastic surgeon for optional advice.  Good luck.