This is a very common and very valid concern, and I’m glad you’re asking before committing to a number on paper.Is 1000 g per breast a “recommended” amount?No — there is no medically recommended universal gram number for breast reduction.The 1000 g figure your surgeon mentioned is driven by insurance criteria (Schnur scale), not by what is best for your body, age, or long-term outcome.Insurance thresholds are designed to standardize coverage, not to optimize:ShapeProportionNipple safetyOr patient satisfactionRemoving 1000 g per breast does not automatically mean “nothing left”, but it can be overly aggressive, especially in a 24-year-old.What actually determines the right amount to removeThe appropriate tissue removal depends on:Your breast volume and densityYour frame and chest widthNipple-to-fold distanceBlood supply and nerve preservationYour desired outcome (smaller vs balanced)For many patients, a Push-Up Breast Reduction & Lift allows:Meaningful weight removalExcellent symptom reliefPreservation of breast shape and projection— without chasing an arbitrary gram targetThe goal should be symptom relief and proportion, not “meeting a number.”Will losing weight help — and how much?Weight loss can help some, but it is not a requirement for breast reduction.Important points:Breasts contain a mix of fat and glandular tissueSome breasts shrink with weight loss; others do notYou cannot predict where your body will lose fatIf weight loss is considered:Even 5–10% body weight (≈12–25 lbs) may modestly reduce breast fatThere is no specific amount you must loseWeight loss should be for your health, not to “qualify” for surgeryMany patients lose weight after reduction because:Exercise becomes easierPain improvesPosture and mobility improveShould you accept a plan that leaves you “basically flat”?Not without exploring other opinions.At 24, it’s very reasonable to:Seek another consultationAsk what size range you’d realistically end up withDiscuss tissue-preserving techniquesSeparate insurance strategy from surgical strategySome surgeons will:Plan a reduction that meets insurance minimumsWhile still reshaping tissue to avoid a flat resultOthers are more conservative — philosophies vary.***Bottom line-There is no single “recommended” gram amount for you- 1000 g is often an insurance-driven number, not a body-driven one- Shape, proportion, and nipple safety matter as much as grams- Weight loss may help but is not mandatory- A second opinion is strongly encouraged before committingYou deserve a plan that treats you as a 24-year-old patient with a long future, not just a line on an insurance chart.