Why won't doctors accommodate D cup to B cup breast reduction?

Thank you for your Question, Breast Reduction surgery techniques vary- it can be done with a vertical incision, anchor type pattern or with liposuction- depending on the size and shape of your breasts.  The change of size can vary and precise cup prediction can be difficult.  Surgeons try to... more

If the patient is planning on losing weight I always suggest that the patient lose weight before having surgery as the size and shape of the breast may change after surgery.  When discussing final size of the breast after breast reduction two points most be taken into consideration. The first being... more

Although you can never promise an exact bra cup size after surgery, it should be possible to go from a D to a B with a breast reduction.  Sometimes if you go too small during a breast reduction, the breast can become slightly distorted or flattened.  However a B cup isn't necessarily too small if you... more

It is impossible to reliably determine breast cup size with a breast reduction. Breast cup size is very nonspecific and is related to the chest width and the breast size itself. As such we are unable to be reliable regarding what is a B, C or D cup during surgery. I give my patients 3 options; small, medium... more

You can't guarante a cup size after any breast surgery.  So, don't get hung up on that. The problem with trying to go too small with a reduction is with blood flow to the nipple and the overall cosmetic result.  If to much is taken away, your nipple might die and if you are too small for your frame,... more

There is no intrinsic reason why this is not possible or advisable. You should ask your surgeon why this is not specifically recommended for you. I generally will listen to the patient and try to give them what they want along with the risks and pros and cons of the treatment necessary. Your surgeon should... more

Without a physical examination and review of your medical history I can't say why the surgeon you consulted with won't agree to reduce your breasts from a D to a B cup.  If you are seeking insurance approval for this surgery they have specific standards for medical necessity which differ from... more

For two reasons:  I. Most women who have frames that naturally carry a D cup will look bottom heavy or pear shaped after a B cup reduction. We are trained to bring about balence, equilibrium and harmony and in most cases such a reduction runs against  the grain. 2. In many cases over -aggressive... more

There should not be a problem in having D-cup breasts reduced to a B-cup.  Perhaps the surgeons that you have seen were concerned that insurance companies would not cover the procedure or there may have been other issues (health concerns, etc.) which dissuaded them.

In consultation wtih the plastic surgeon, let them know your wishes and cooridinate body type consideration accordingly. Sometimes with a larger chest and trunk, reduction to very small breasts invites other problems with disproportion and inability to find bras/tops that fit well.  With any intervention,... more