Many who seek breast reduction would like to be as small as possible and I frequently hear from patients who would like to be a B-cup, or perhaps a small C-cup. The key to reduction of the breast is preservation of the circulation and sensation within the nipple as the breast is reduced, and preserving the shape or aesthetics of the breast. Shape is very important and after reduction the breast should be pretty to look at.
The skin remaining after reduction will only contract to a certain degree and also the base diameter of the breast must be considered. Therefore is is very possible that after a even a large reduction the breast may still fit into a D-cup. For some a C-cup is possible if the chest is small. This may disappoint but my own experience, and some large studies have shown these results to hold true.
We have seen some patients who have been over reduced in an attempt to reach a very small cup, though these results can be very upsetting. If your daughter would really prefer double mastectomy I would suggest very careful consultation, and perhaps counseling to explore her feelings and motivations.
Best of luck,
peterejohnsonmd
