Should I get implants while I'm getting my reduction? (photo)

Thank you for the question and picture.  Based on your description and picture I think you're making an excellent choice to proceed with the breast reduction surgery; one of the most patient pleasing operations we do. One piece of advice: IGNORE YOUR FRIENDS.

Another piece of advice: COMMUNICATE your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" or "top heavy" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.


You are about to undergo a major operation which often involves a significant physical and emotional recovery. A few more words of advice may be helpful:

1. Make sure you are doing the procedure for the right reasons (for yourself)  and that you have realistic expectations.  Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life   situation.  You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven.

2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be  more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation.

3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful. 

4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary.

5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina  of your caretakers.

6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery.

7. Be prepared to distract your mind with things of interest such as books, magazines, and movies.

8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change).

9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the   emotional swings that you may experience.

10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery.

11. Keep in mind the end results as you go through the tougher emotional times after your surgery.
 

I hope this helps.
 

You look like a great candidate for a breast reduction. I would advise against implants, you should get a great result with out them. Why have a lifetime of maintenance if you don't need them? I am sure your friends mean well but it sounds like you and your surgeon are on the right track. You might ask to see photos of other patients (or take some with you) to make sure you and your surgeon agree on size. Good Luck!

HI,

Listen to your heart, mind and surgeon, not your friends. You have a great deal of droop to your breasts and a fair amount of volume as well. It is important to ensure that your surgeon understands exactly how much volume you desire to retain at the end of the surgery, but it is clear that the reduction (which is by nature also a lift) is the right choice for you! Be reassured that you have made the right choice.

All my best,

Daniel Medalie, MD