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

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 great reputation for breast reduction surgery.  These people would of course be certified by the American Board of Plastic Surgery and also be members of the American Society for Aesthetic Plastic Surgery.

Although I don't think a B cup is realistic, a relatively high and tight C cup is.  I have posted a link to a photo of a large breasted woman who got a similar result.

Best of luck!

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

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 of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible)  then patient will likely have problems with tissue survival.  Doing the procedure in more than one stage allows the tissues to  acclimate to the surgically decreased blood flow before  further tissue removal (and potentially further decreased blood flow)  occurs ( with the 2nd stage operation).

I have taken care of several patients like yourself ( who happen to be of same "lifestyle" as yourself) and have achieved very small breasts  using the  staged procedure described above.  This approach avoids the need  for free nipple grafting ( and the downsides of complete numbness//risks of skin grafting...).

The other concern with overly aggressive breast reduction surgery is patient dissatisfaction  afterwards.  It is not unusual for patients who have lived with very large breasts to want to have as much as possible removed. Care must be taken to be judicious in this removal to avoid an outcome where the breasts  are too small in relation (proportionately) to the patient's other body parts.  Again, it is not uncommon, for patients'  breasts to become smaller ( after the breast reduction procedure) with time and/or weight loss-  breast augmentation may become necessary to achieve the patient size goals.

I hope this helps.