What will my breast look like from a reduction from a 44h and taking off 200 grams? What size will I be?

At
size 44 H each 400 grams removal corresponds to 1 cup size change. 200 grams removal would take you down about ½
a cup size and would not be worth doing.
More important than breast reduction is reshaping the breast tissue
creating upper pole fullness, elevating them higher on the chest wall and more
medial to increase your cleavage. There
is a new technique called The Ultimate Breast ReductionTM that
transfers the weight of the breast to the underlying muscle eliminating pain
while maintaining the size proportionate to your body size. This technique avoids the ugly vertical scars
of the lollipop or boat anchor shaped incisions, maintains nipple sensation and
the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

No one can predict exactly what bra cup size you will end up wearing after reduction of a certain amount of tissue. Having said that, 200 g is generally too small of a volume reduction to be functionally or aesthetically “significant”. I would suggest that you communicate your goals clearly with your carefully selected plastic surgeon. In my practice, I find the use of goal pictures helpful during this communication process. Stay away from the use of cup sizes as a reference point, as this reference point may be a source of miscommunication.For most patients, I recommend that they try to decrease the size of the breasts such that symptoms are relieved as much as possible; yet the breast size remains proportionate to the remainder of their torso. I hope this, and the attached link, helps.

If your breasts are starting out as a 44H, then removing 200 grams is unlikely to provide a significant change in size or shape. If you would like smaller breasts you will need much more tissue removed. Without an exam or photos it is difficult to give you a tissue estimate. Make sure you are being evaluated by a board certified plastic surgeon. Good luck!