Prior to surgery, the plastic surgeon will most likely take a medical history and perform a physical examination in order to evaluate the overall physical health of the patient. It is important for the patient to share any previous problems relating to the breasts, including any breast pain, lumps or cancer.

Patients may be asked to donate blood prior to the breast reduction procedure in case a transfusion later becomes necessary. The woman should inform her physician about all medications she is taking to ensure that none of them will cause complications. In some cases, the physician may recommend that the woman have a mammogram before the procedure to screen for any signs of disease prior to the reduction surgery.

Patients are typically asked to refrain from eating or drinking for eight to 12 hours prior to surgery. The patient should also abstain from smoking for at least two weeks before and two weeks after the surgery since it can delay healing time. It is also advisable to avoid taking certain vitamins or even aspirin for a period of time prior to surgery.  

Prior to the procedure, the plastic surgeon will measure and mark the breasts. These marks will serve as a guide during surgery. During this consultation, the physician will discuss the surgical technique, the type of anesthesia to be used and the patient’s expectations. Other areas for discussion that should take place before the procedure include:

• A description of the procedure
  
  
• An idea of what the scarring will look like
  
  
• An examination of the patient’s breasts, including taking photographs and measurements of the breasts
  
  
• Discussion of factors that may affect the outcome, including age, size and shape of the patient’s breasts
  
  
• Discussion about the position of the nipples and areolas, especially if the patient plans to breastfeed after the reduction procedure
  
  
• Costs and insurance issues
  
  
• Possible complications and risks
  
  
• Pre-operative and post-operative instructions