Is a FNG the only way to remove the majority of the weight of my breasts? (photo)

Question

I have 34FF (42" at fullest) breasts and dense tissue. My surgeon said he's unable to reduce my size to C or B or salvage my nipples as my breasts are too saggy. He proposed a FNG and removal of 300g from each, leaving me with a 25% chance of no breast tissue and 75% of an A cup. The only other procedure he would do is a lift/reduction of approximately 50g. My N2N is 27cm and F2N is 17cm. Can you recommend a good surgeon who can preserve my nipples and reduce my size to a medium B or small C?

Karl William Schwarz, MD · Answer

What?! That doesn’t make a lot of sense. You don’t need a free nipple graft! You can undergo a regular breast reduction and reduce your breast to a B or C cup. You have a lot of breast tissue on the outside of your breast that can be removed and I would leave more tissue on the inside aspect of your breast to preserve your cleavage.
For me I don’t go by cup size but if someone wants to be very small what I do is to try and make them as small as I can but still preserve enough breast tissue so as to maintain a pretty shape. But I would not recommend a free nipple graft as they do not look very good at all and you lose all projection of the nipple and the scaring is not typically very good.

Gary M. Horndeski, MD · Answer

You
are an excellent candidate for 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, nipple sensation and the ability to breast feed are maintained.  I would never recommend a free nipple graft.Best Wishes,Gary Horndeski, M.D.

Daniel A. Medalie, MD · Answer

HI,Based on your pictures you should be able to get to a C cup without free nipple grafting. I would strongly recommend seeing another surgeon in consultation and making sure that you are fully comfortable with whoever performs the operation. I also strongly advise against free nipple grafting. It is only reserved for the largest reductions and you fall well below that criteria.Regards,Daniel A. Medalie MD

Erik Miles, MD, FACS · Answer

Based on your measurements and photographs, you are not a very large breast reduction.  It is true that to preserve the nipple the surgeon needs to leave an adequate amount of breast tissue behind (the pedicle).  However you do not appear to be someone who would require a nipple graft. I would seek a second opinion.  Best wishes.

Steven Wallach, MD · Answer

In my opinion, based upon your photos, you can have a traditional breast reduction using a pedicle and a "T" closure without requiring a free nipple graft. Best to be assessed in person.

Is a FNG the only way to remove the majority of the weight of my breasts? (photo)

Answers (8)

Answer: Rest reduction

Answer: Rest reduction

Answer: No free nipple graft

Answer: No free nipple graft

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

Is a FNG the only way to remove the majority of the weight of my breasts? (photo)

Answers (8)

Answer: Rest reduction

Answer: Rest reduction

Answer: No free nipple graft

Answer: No free nipple graft

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.