There are many factors which must be balanced when considering breast reduction. Cup size is one important one, as is nipple position relative to the fold under the breast. Others are the amount of skin and laxity within the breast, the projection of the tissue (full or soft and long), and the base diameter of the breast. On average most patients will wear a D cup after a significant reduction, often over two thirds of the breast present, The reason is the geometry as it relates to the aesthetics. After reduction we would like the breast to be much smaller, higher with good projection, a natural S line from underarm to breast to chest and fold under, a nipple 2 cm. above the fold or front and center, and a minimum of visible scar.
The A and very often the B cup cannot be achieved because the base diameter of the breast is large at a starting D or DD cup and it is very difficult to reduce to a very small cup without a sacrifice in projection and shape. You might find it helpful to look at several bras while shopping in an A and B cup to notice the differences from your current cup size. If you are indeed a C cup, reduction to a B cup may well work however I suggest that you not set your sights any smaller.
Best of luck,
peterejohnsonmd


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