Thanks for the question. Breast reduction surgery tends to be one of the most patient pleasing operations we perform. In my experience, patients in your situation, tend to desire to have quite a significant breast reduction procedure performed; in other words, their goals tend to be achieving as small an outcome as possible. Careful communication of your goals with your carefully selected plastic surgeon will be key. In my practice, I find the use of goal photographs very helpful during this communication process.When it comes to costs of surgery, there may be many “variables” involved. The specific surgeon's credentials/experience level (or lack thereof), the specific geographic area you are looking at, the different operations available, the location of the procedure (quality of surgery facility), type/quality of anesthesia provider, insurance company involvement… are some of the potential variables involved. You will find some average costs of surgery on this website and on individual plastic surgeons' websites as well. In regards to outcome of the planned procedure, more important than costs of the procedures will be careful selection of your plastic surgeon. I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to SEE lots of examples of their work AND preferably speak/see patients who have had similar procedures done. I would also suggest that you do not base your selection of plastic surgeon primarily on costs of surgery; keep in mind that revisionary surgery may be more costly in many ways. Best wishes.