I only order a mammogram prior to a breast reduction in line with standard screening protocols, unless you’re a particularly high risk, with a strong family history. If you’re over 45, I would usually recommend a mammogram prior to a breast reduction. The reason for this is due to the internal scarring that occurs with the surgery, which can last up to one or two years, and so make mammograms a little bit more difficult to interpret in that period. Longterm, there are no issues with having a mammogram. After your surgery, when everything’s settled down, you’ll go back to having normal routine screening and self examination. What most people don’t appreciate is that all of the tissue that we remove as part of a breast reduction does get sent to pathology for assessment. Rarely, this may show an undiagnosed tumor. If that’s the case, then we’d refer you to a breast cancer specialist for further management of this.