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Thanks for your question and the photo. Clearly you have breasts that are very large and no doubt causing you a lot of pain and discomfort. You are an ideal candidate for a breast reduction. As far as the amount to remove, in order to relieve your symptoms, a certain amount is necessary to take out. 1200gm is a large amount, but seems appropriate for your size. Remember that the goal is to relieve your symptoms. You will still have breast tissue left behind.Best of Luck!
Your surgeon should show you pictures of what that would look like with women similar to your measurements. Sorry, an opinion can't accurately be given from a posted picture alone.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author
Thank you for the question and congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform (both from the physical and psychosocial standpoints). If I were seeing you in consultation, I would ask to look at your goal photographs and computer imaging; after doing so, I would be able to help you with a prediction of what you might expect in terms of anticipated weight of tissue removed. Keep in mind however that there is no specific/reliable correlation between the amount of tissue removed and cup sizes achieved.With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small) very helpful. I have found that the use of words such as “proportionate” or “C or D cup” means different things to different people and therefore prove unhelpful. Again, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. Ultimately, you will want to feel comfortable that your plastic surgeon has a significant/demonstrable experience achieving the types of outcomes you will be pleased with. You will also want to feel comfortable about your both on the same page when it comes to desired outcome. Again, careful communication is key; in my practice, this is accomplished using as many visual aids as possible. Best wishes.
Knowing the amount that should be removed is always an estimate pre-operatively. This estimate is especially difficult from a photo since some women have more breast tissue versus fat than others. That having been said, 1000-1200 grams is probably a reasonable estimate.
It is hard to judge resection weight by a photograph. Size is one factor but density of the breasts will affect resection weight also. Have another discussion with your plastic surgeon about desired size and she/he can tailor the surgery to your wishes. There is a certain amount of tissue that has to come out, the some tissue that is optional. All of it should be sent to a pathologist for evaluation. In looking at your photos, I would guess about 1,000 Gm reduction per side. Good luck to you; it is a wonderful life changing procedure.
I tell my breast reduction patients to sleep in any position they find most comfortable after their procedure. I don't think sleeping position affects the final outcome of a breast reduction procedure. Most women choose not to sleep on their stomach right after their procedure.Best of luck to you!
There are many different opinions regarding antibiotics. Some surgeons give none, some one dose at the time of the anaesthetic and some give oral antibiotics to take home. I would not be concerned. As long as everything is progressing well you do not need prophylactic antibiotics.
Surgeons are not restricted to removing a certain gm amount of breast tissue by insurance companies. They often have a minimum amount that must be removed. I would request a second consultation to discuss how much will be removed and the size you want to be. Better to ask all...