You’ll be asked more about discomfort than appearance
The first thing they ask isn’t what size you want to be. It’s what you feel. Back pain. Neck tension. Shoulder grooves. Skin irritation. Limited movement. Trouble with bras. Trouble with clothes. The consultation focuses on what brings you in—not just what you want to look like.
You’re expected to describe your daily life. Not just your chest. How it affects sleep. Posture. Confidence. You may feel vulnerable saying it out loud. That’s okay. It matters more than numbers or photos.
This conversation sets the tone—not just for surgery, but for understanding your needs.
Measurements happen—but not for vanity
You’ll stand in front of a mirror. The surgeon or nurse will take measurements. Width. Projection. Distance from collarbone to nipple. These aren’t judgments. They’re data. They guide the plan.
Photos may be taken for insurance approval. From the front. From the side. You may feel exposed. But every image serves a purpose. Each angle tells a different story of shape and proportion.
The process feels clinical. But it builds a picture of how surgery can help.
You’ll talk about how much tissue might be removed
The surgeon will estimate grams. That may sound strange. But insurance companies often require a specific amount of removal. Based on height. Weight. Body surface.
It’s not about cup size. It’s about what’s causing symptoms—and how much reduction will help. Sometimes, you’ll be told a lift is included. Sometimes, you’ll be told what won’t be covered. It’s not always what you expected.
But knowing early helps shape a safer, smarter decision.
Your nipple position will be part of the plan
Most breast reductions include nipple repositioning. The surgeon explains how that works. It’s moved upward—still attached to tissue underneath. Not removed. Not detached.
You’ll learn how it might affect sensation. How long healing takes. What risks come with moving it. You might be shown diagrams. Or photos of other results. You don’t have to decide everything that day—but the information stays with you.
This isn’t about perfect shape—it’s about balance, comfort, and function.
You’ll go over your medical history in detail
Even if you’ve had surgery before. Even if you think it’s unrelated. They’ll ask about medications. Supplements. Allergies. Past procedures. Smoking habits. Weight changes. Plans for future pregnancy.
They want to know how your body heals. How you react to anesthesia. What might affect recovery. Nothing is too small to mention. The more they know, the safer you’ll be.
This part may feel personal—but it’s where safety begins.
Questions are encouraged—no matter how small they seem
What will scars look like? How long until I can lift things? Will I feel anything? What if I change my mind?
Your questions won’t annoy anyone. They’re expected. A good surgeon answers them all. Clearly. Kindly. Even twice if needed.
You’re not just preparing for a procedure. You’re preparing to trust someone with your body.
Cost and insurance come up before you leave
You’ll find out what’s covered. What’s not. What needs pre-approval. You may get an estimate. You may be told to wait for insurance review.
The office may help with paperwork. Photos. Letters. Submissions. They’ve done this before. You’re not the first to ask. Not the first to feel overwhelmed.
Money doesn’t define your decision—but it’s part of it.
You won’t make a final decision that day
Most patients go home and think. Read more. Talk to people. Or not. Some decide quickly. Some take months. Either way is fine. The consultation is information—not pressure.
You’re not locked into anything. You’re just learning what it might look like. What it might feel like. What it could mean to live without the weight you’ve carried for years.
The hardest part might be walking in. But the clearest part comes after.