I wouldn't try to go that small for breast reduction

John Philip Di Saia, MD answers: Breast reduction from 36DD to an A?

My 29-yr-old daughter is a 36DD and wants to have reduction down to an A cup. Is that feasible?

She would rather have a double mastectomy than have breasts larger than A. She has been planning on this surgery for many years.


John P. Di Saia, MD
6 months ago

Hello,

Extreme breast reduction, like a mastectomy, is kind of a "one way street." I would recommend to preserve the sensation and the shape of the breast and reduce it within those parameters via a conventional breast reduction operation.

The choice she is considering is not one she may be able to easily reverse later should she desire to do so.

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A: Small breasts after breast reduction

Farbod Esmailian, MD
6 months ago

I guess you can say anything is possible, but unrealisttic.  It would be hard for you to find a plastic surgeon that would do that surgery.  You have to have some reasonable breast tissue after the surgery for the nipple and areola to live off of.  If you reduce the breast that much, the chances of the nipple and areola dying off is very high.  Most plastic surgeons would recommend going with a size that is reasonable and that fits her body well and does not compromise the blood supply to the nipple and areola.

 

Hope that helps.

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