I have extremely large breasts. How can I find the surgeons who are most experienced at reducing gigantic breasts like mine?

I wear a 38K bra, I'm 5'7", 215lb 39 yo. Notch to nipple is 44cm. 2 surgeons have recommended a FNG. The first surgeon uses inferior ped. only, the 2nd is at USC and would use medial ped. But I don't want to lose all nipple sensation! Many on realself say that FNG is an "outdated" practice, and recommend finding the "right" doctor. I will do a FNG if that is my only option, but I want a few more experienced opinions. How do I find the "right" doctor, to get their opinion?

Doctor Answers 10

Lipo-lift, breast lift, breast reduction, mastopexy, benelli, augmentation mastopexy

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same. This can be used for very large breasts in a safe matter. 

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.  

Best of luck!    

Dr. Schwartz 

Board Certified Plastic Surgeon



Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

Find the right surgeon

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. 
See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BBL Always insist on a board certified plastic surgeon.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Nipple grafts work great with reductions

and if yours is massive, its the safest way to ensure you have a nipple.  There are many patients who have lost nipples over this so find out from your surgeon if he/she insists you do not need a FNG, what will happen if you do lose your nipple.  A sorry and a shrug is not good enough in my book.  FNG will result in losing half the nipple projection but that technique allows for excellent contouring when not trying to create a pedicle.  Avoid inferior pedicles as they are outdated if anything here is 'outdated'.  I authored the article on amputation reductions on medscape.com.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Best breast reduction surgeon

This is a fantastic question. With so many doctors in the Los Angeles area, how do you find the best one? First, the surgeons you consult with should be board-certified plastic surgeons who specialize in breast reduction procedures to make sure you have a safe surgery. Next, I recommend consulting with a few different surgeons so you can get a few different opinions and see who makes you feel the most comfortable. During the consultation ask all of your questions, including why the surgeon will use one technique over another, and ask to see several before and after pictures of patients who are similar to you. After your consultation google the doctor and make sure all of the reviews about him/her online are very positive overall. Without examining you in person I cannot make any specific surgery recommendations. My office is located in Beverly Hills and I would be more than happy to consult with you. Feel free to call my office to schedule an appointment. Best of luck!

Jimmy S. Firouz, MD, FACS
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 18 reviews

I have extremely large breasts. How can I find the surgeons who are most experienced at reducing gigantic breasts like mine?

Most plastic surgeons in practice over ten years who perform at least 5-10 breast augmentations a year should be able to satisfactory treat you.

Fred Suess, MD (retired)
San Francisco Plastic Surgeon
4.5 out of 5 stars 8 reviews

Extra large breast reduction

Thank you for your question. The best thing to do is to if you are not comfortable with the opinions that  you have received is to consult with one or two more board certified plastic surgeons. I am sure that you will find someone that you feel comfortable with their method. Best wishes

Leilie Javan, MD
Thousand Oaks Plastic Surgeon
4.7 out of 5 stars 15 reviews

Large Breast Reduction

You should definitely consider additional consultations.  Most surgeons do not do free nipple grafts any longer, and a Superior or superior/medial pedicle does not necessarily mean loss of nipple sensation and still allows a significant reduction.  Be sure you select a Board certified PS member of ASPS and also ASAPS.  Good luck.  

Dr. Schwartz

Michael R. Schwartz, MD
Thousand Oaks Plastic Surgeon
5.0 out of 5 stars 29 reviews

Breast reduction

Thank you for the question and I would get the names of surgeons in your area from ASPS and go on complimentary consults or just select some from this website and go on consults, look at photos of similar patients and become informed what is the best operation for you

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 62 reviews

How can I find a surgeon for breast reduction surgery?

Thank you for the important question; careful selection of plastic surgeon will be the most important decision you make.

 Although I cannot provide you with specific names, I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, 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. Basically, patients should look at the overall "quality" of the outcomes achieved;  in other words, it will be important that patients see lots of examples of outcomes that they would be pleased with.  In doing so patients will be able to get an idea of each  plastic surgeon's "aesthetic sensibilities".  

Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.

 I hope this, and the attached link/video dedicated breast reduction surgery concerns helps. Best wishes.



Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Scarless reduction

 There is a simple safe quick alternative to the major surgery which is a liposuction only operation. find a board-certified plastic surgeon in your area who specializes in this operation and you might be  pleasantly surprised. 

Sherwood Baxt, MD
Paramus Plastic Surgeon
3.8 out of 5 stars 25 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.