The Decision to have breast reduction:
I think for the most part many of us considering breast reduction have needed it for many years. I myself needed it done for 14 years but put it off because of the price.  Most of us do this for medical reasons such as back or neck pain, shoulder groves, rashes and or bruises.  For me it was a matter of trading in my large pendulous breast that caused me pain for smaller scarred breast that are in proportion to the rest of my body that don't cause me pain.

Finding the right Plastic Surgeon:
Ask questions, and then ask some more.  I took my gynecologist recommendations, checked out the plastic surgeons credentials and set up a initial visit. You have to feel comfortable with the plastic surgeons attitude and the way he or she does the procedure.  I think I floored mine when I came in with my LONG list of questions. I also took in before and after pictures of things I liked or didn't like. He took a lot of time talking and listening.

Size / Grams / Insurance:
Choosing a size was incredibly hard for me because it was like picking a letter out of the sky.  I wanted to go as small as possible and stay in proportion to the rest of my body, i.e.: I wanted to look "normal".  The gram issue really comes into play when you are dealing with insurance because most require a certain amount to consider the surgery medically necessary.  Anything under that amount is considered cosmetic.   The gram issue is also based on your height, weight and breast size.  Insurance doesn't usually understand that most of us could become underweight and still have large breast.  I have varied my weight tremendously and my breast stayed the same big size.  Insurance reviewers also don't take into account any of the emotional issues or how hard it is to buy clothing. They just look at the medical facts. Whatever information you get from your insurance, get them to put it in writing.  Always write down the name of the person you spoke to and when you called. Although I don't know the metric system at all, the dictionary says 1000 grams equals 2 1/5 pounds or if I did the math correctly 453.6 grams equals 1 pound or try this conversion to convert grams to ounces/pounds. 28.3 grams in an oz 16 ozs in a lb= 452.8 grams in a pound (28.3 x 16) Take the number of grams removed and divide it by 452.8.   My insurance required 404 grams per side.

When it's all over you can request a copy of your surgery report. Maybe just for yourself or to fight insurance with.   One last note on insurance... fight fight fight for your insurance coverage!

Possible Problems & Complications:
There were lots of possible complications. Infection, nonsymmetrical breast, nipples or areolas, loss of feeling or sensitivity,  loss of nipple, fat necrosis, a shape or size you didn't like, death, loss of breast.  For me I think my biggest worry was fat necrosis. Although it is more common in smokers, which I am not, I still worried about it and just didn't want to deal with the time it takes to heal and the possibility of extra surgeries.  The plastic surgeons tell you it's very rare. My PS also felt that the type of procedure used made a difference in your chances of developing fat necrosis. I feel lucky to have had no major problems.