How much weight do I actually need to lose to get a breast reduction?

Question

Right now I vary between 195 and 204 lbs and I am 5'7" and wear a 36G. I had a consultation with a doctor who was willing to do the surgery but since COVID-19 his office is closed indefinitely. When I had the consultation I asked how much weight I would need to lose and he said it varied between 10 to 15lbs. Any specific weight I would need to be??

Finny George, MD · Answer

Hi, thank you for sharing your question. You would be a candidate for breast reduction at your current BMI. Approximating a BMI of 30 would be ideal, but if you are having symptoms from your heavy breasts, and your primary care doctor can clear you to have surgery, there is no reason why you can't have it done after the restrictions from COVID are lifted. I hope this helps. Best of luck!

Martin Jugenburg, MD · Answer

Hello! In addition to being healthy over all your BMI should be below 30 in order to be considered for cosmetic surgery. At a higher BMI you are at a greater risk of developing complications. Be sure to consult with a board certified plastic surgeon once you have achieved your goal.

Gary M. Horndeski, MD · Answer

At 5’7 and 204 lbs, your BMI is 32, which puts you in the obese category and high risk for complications.  However, a BMI of 30 would require 192 lbs.  It is possible for you to lose weight and be a candidate.  The technique I recommend for breast reduction is 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 (in 95%) and the ability to breast feed are maintained.  Best Wishes,Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Reserved448479,
Generally speaking, you want to reach your goal weight before you consider a breast reduction, otherwise your results will be suboptimal if you continue to lose weight after the surgery. 
Breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

If you are intending to lose weight it is best to complete that goal before considering surgery as your breast volume may change with weight loss.  Being as close as possible to your ideal body weight is recommended but sometimes not realistic due to the restrictions from having larger breasts.  I encourage you to begin by visiting a board certified plastic surgeon near you for a consultation to learn more.

Scott C. Lindsay, DO · Answer

Hello and thank you for your question. 
Your BMI is 32. Typically we like to see you around 30.  So you are not far. Maybe a 10lb weight loss. Consult with your surgeon again to discuss his or her guidelines. Best wishes!

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