Beverly Hills Breast Reduction FAQs

Dr. Firouz often answers questions from people like you on RealSelf.com. We thought these breast implant removal questions and answers might be useful for you as well!

Question:

Is it reasonable to go from a 34DD cup to a 34B cup in a breast reduction surgery? I suffer from back pain and insecurity from breasts, 5 ft 2 in, 120 pounds, 19 years old.

Answer:

To give you the most appropriate answer to this question I would need to examine you in person. Yes it is possible and reasonable to reduce your breasts this much, but I like to examine patients and listen to their reasons and goals for breast reduction surgery before determining how much to reduce the breasts. Also remember that cup sizes vary from brand to brand, so you want to have a thorough conversation with your surgeon to make sure you are both on the same page about what size you want your breasts to be after surgery. Your next step should be to consult in person with a board certified plastic surgeon and find out what they think is an appropriate amount of reduction. Best of luck!


Question:

Can I have multiple breast reductions done?

Right now I am a 38 DD – DDD I’m not sure which one I am to be completely honest. I was just wondering if after I go down from that size to a C cup, how long do I have to wait to go down to a 32B + a lift, to prevent scaring and other problems? Would I be able to have these procedures done in the same year? Or do I need to wait?

Answer:

The final results you want (B cup size and a breast lift) are most likely achievable in just one surgery; however I would need to examine you in person to give you a final answer. There is no reason to put your body through two surgeries when it can be completed in just one operation. You should consult with a board certified plastic surgeon who specializes in breast reduction surgery to learn more about how your desired results can be achieved. Good luck!


Question:

I am 3 weeks post op and don’t think any swelling has gone down. Is that normal?

My breasts feel hard and swollen. The sides hurt and the underneath scar feels thick. I know I must have gone down in size but I fill my old bras because of swelling. I was a DDD before and my surgeon only took out 400 grams that does not sound like a lot. Am I really swollen or still really big?

Answer:

Swelling and firmness at 3 weeks post-breast reduction is generally normal. However, for peace of mind and proper follow-up, you should call your surgeon’s office and confirm with him/her that you are healing properly. Every patient heals differently, so it is important to make sure that the swelling and firmness you are experiencing are just part of the healing stages.


Question:

What should be done first, nipple inversion correction or breast reduction surgery?

I have one inverted nipple and a 34g cup that I want reduced. Which surgery should I consider first to get the best results and not compromise the results with additional surgeries?

Answer:

These two procedures can be performed safely in just one surgery. You should consult in person with a board certified plastic surgeon who has experience with both of these procedures. Upon examination, the surgeon will be able to tell you if you are a good candidate for having both procedures at the same time. Best of luck!


Question:

Can I get a breast reduction before weight loss? My breasts make it impossible to work out without immense pain. I’m a 5’5 woman, about 200lb, and I wear a 38HH bra. My breasts are very large + heavy, causing my back, shoulders, and shoulder blades to hurt to the point I become unable to work out. Is it an option to have my breasts reduced prior to weight loss? (Target weight of 140).

Answer:

Women with very large breasts often times are not able to work out at all to lose weight, and they end up being stuck overweight; it is unfortunately a vicious cycle. When this is the case, perhaps the patient can diet but exercise is mostly out of the question.  So I actually tell patients to get a breast reduction now so that they are able to exercise and lose weight. However, some patients may end up needing some kind of revision in the future if their breasts do become saggy and they aren’t happy with the shape anymore. But I can say that in my practice it is very rare that a patient seeks out or requires a second surgery. Hope that helps!


Question:

How to talk to doctor about breast reduction?

I want to start probing my doctor to find out if I’m a candidate for breast reduction. I don’t even know where to start. Is that something you schedule an appointment solely for or bring up randomly. I guess I just am curious of how that is initiated.

Answer:

Breast reduction is a very common procedure so you should not be nervous about initiating a conversation about it with your doctor. I recommend finding a board certified plastic surgeon in your area who has a lot of experience with breast reduction procedures and make an appointment for a consultation with him/her. Prepare a list of questions you may have prior to your appointment so that you don’t forget anything you want to ask. Good luck!


Question:

I’m 45 Years Old. I am a size 32J in Bras, 5’6 and 170 lbs. Am I eligible for a Breast Reduction?

In past 3 years I have pain in my neck and shoulder I take pain relief mediation every day.

Answer:

Based on your breast size and neck/shoulder pain, you do sound like a candidate for breast reduction surgery. Your next step should be to make an appointment to have an in-person consultation with a board certified plastic surgeon who can examine you in person to truly determine if you are a good candidate for breast reduction surgery. Additionally, you will need to undergo some pre-op lab testing to ensure you are in good health for surgery. Hope that helps!


Question:

Appropriate size for breast reduction for 5’3″, 155lbs?

Following bariatric surgery I’ve lost 100lbs my weight has been stable 10mo. Initially I wanted a breast lift but after seeing groove marks from my bra the surgeon and I discussed a reduction. I’m a 34H, have always had large breasts but never considered going down in size. When the surgeon was assessing my breasts I heard him say “almost a C”. My husband took that to mean a small D but I assume it means a large B/nearly C cup? What size is common for patients after reduction?

Answer:

First off, congratulations on the weight loss and maintaing your new weight! As far as the breast reduction, I would not say there is a “common size” for women after reduction surgery. I take a very individualized approach to surgery and perform each surgery to meet the needs of each patient. With that said, I spend a lot of time with my patients during their consultation so that I can learn what their goals are for surgery and explain to them in great detail what I can help them achieve with surgery. So without examining you in person, what I recommend you do is find a board certified plastic surgeon who is well experienced with breast reduction surgery. He/she should be able to tell you what kind of results YOU should expect. But ultimately the goal is to reduce and reshape your breasts so that they are proportionate to your body. Hope that helps and good luck!


Question:

I am a DDD, how many grams will I lose if I go down to a C?

Answer:

Without examining you in person it is difficult to say. You should schedule a consultation to speak with a surgeon so he/she can properly examine you and determine if you will qualify to have your breast reduction covered by insurance.


Question:

Is it best to lose weight before a breast reduction?

Answer:

Every case is different, but it is usually best to be at your ideal weight before undergoing any type of breast reduction surgery. Losing too much weight after the surgery can cause a sagging effect. Also, being at your normal weight may make a difference on your recovery time as well.


Question:

I’m wondering if I’m able to get get a breast reduction at my age?

I’m age 16 and my cup size is I32. i have bad back pain, stiff shoulders, and sometimes I even have trouble breathing, I also haven’t grown for almost 2 years now.

Answer:

Based on your description of breast size and associated symptoms, such as back pain, stiff shoulders and trouble breathing, you may be a good candidate for breast reduction surgery. At 16 years old, it is possible you are ready for the procedure, but this must be determined in-person with a board certified plastic surgeon. When considering breast reduction surgery as a teenager, not only is it important to wait to have the procedure until your breasts are fully developed (this is different for every young woman), but it is also important to make sure you are mentally and emotionally ready for surgery and that you have a strong support system from your parents. I highly recommend making a few appointments with board certified plastic surgeons so that you can be examined in person and learn more about the surgery from the doctor. You will want to make sure you feel comfortable and truly trust your plastic surgeon so that they surgery goes as smooth as possible. This is a big decision for any woman and you should be well-educated before the procedure. Good luck!

Call 310.274.4321 for more information about breast reduction with Dr. Firouz in Beverly Hills!

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