Breast Reduction Q&A
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32H Extremely Dense (>75%), Risks of Reducing from H to B? (photo)

asked 4 months ago by EmbraceMe in La Mesa, CA
Latest answer by Robin T.W. Yuan, MD
Question viewed 281 times
Tags: density, risk

I am a lean, athletic, large breasted 5'8" woman with size 32H breasts. The density is level IV, per BI RADS. I would like to reduce them to a B. Aside from the obvious symptomatic problems I imagine a B since I just don't favor larger breasts. I envision a loose button-up shirt, baggy jeans, hanging out in my art cottage, in a mostly private setting. I am a bit of an introvert. Plus, I am a lesbian and more tomboyish. Does this pose special risk's due to density, like to nipples?

8 answers to 32H Extremely Dense (>75%), Risks of Reducing from H to B? (photo)

+1

Breast reduction

The risk in breast reduction is diminished blood flow to the nipple or to the skin edges. The larger the reduction, the more tissue removed, the less blood flow remains, the higher the risk of healing problem, sensory changes, and fat or skin necrosis. The density may contribute to reduction in blood flow but the technique of reduction should take this into consideration. Your surgeon should customize your surgery to your anatomy and desires and will review specific risks with you. The other... more
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+1

Imagine the B-cup after reduction

Your breast is full and dense and the nipple is pointing to the floor. To under stand what a B-cup in a 32 is like you should go look at one, and try to imagine how you could possibly fit into it. Even with a full 'T' reduction the geometry of your breast will allow a D-cup after reduction, but the loose button up shirt (even without a bra) should be a go. Best of luck, peterejohnsonmd.com
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

Breast Reduction Safety

Hello EmbraceMe, I understand your desire to minimize your breasts with your concerns of the safety of over-reduction. Having dense breast tissue does not necessarily increase your risk of reduction, and in fact gives a nicer appearance to the mound after the reduction and lift. Your photos are not revealing, but I can still get an idea of the relative size of your breasts and the position of the nipple areolar complex. I would see only surgeons that have a... more
Gerald Minniti, MD, FACS

Beverly Hills Plastic Surgeon
+1

32H Extremely Dense (>75%), Risks of Reducing from H to B? (photo)

Your posted photos are useless. Can not see the appearance of the breasts. Seek in person examination from a boarded PS in your area.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast reduction from an H to a B?

A breast reduction is definitely a good option for someone with large breasts; however, it is very difficult to predict cup sizes post-operatively. As you already probably know, bra sizes vary from manufacturer to manufacturer as well as according to your chest measurements -- for example a 34B is not the same as a 38B. That said, there are considerations in how much you can reduce a breast. A breast reduction removes enough tissue to alleviate your symptoms (back... more
Anureet K. Bajaj, MD

Oklahoma City Plastic Surgeon
+1

Breast reduction

A breast reduction sound reasonable, but to go from an "H" donw to a "B" and still maintain a nice shape is unrealistic. To maintain viability of the nipple and skin flaps that close over the pedicle of tissue requires a certain amount of tissue to be maintained on the flaps.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast Reduction to a Very Small Size?

Thank you for the question. Yes, it is possible to reduce the breasts size very significantly. Sometimes when patients want “almost nothing left” the reduction should be done in 2 stages. The concern with the amount of tissue removed is related to blood flow to the remaining tissue; if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola) may be compromised. Part... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Breast reduction from H to B - free nipple graft

Without an actual photo of your breasts we can't say for sure and also realize that the bra maunfacturers are not held to standards of sizing. But to go from an H to a B will almost certainly involve removing enough breast tissue that the blood supply to the nipple will suffer and the chance of the nippla dying is exceeding high. To minimize this, you might need a free nipple graft where the nipple is skin grafted abck on at the end of the surgery. This leads to... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

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