It really couldn't be done

You really couldn't make a DD an A. Why? Because a DD breast has a very wide diameter. The base diameter of a breast gets narrowed somewhat in a reduction, but it can't be narrowed enough such that an A bra cup would fit, even if you reduced the volume enough so that there were almost no projection, it would still be so wide that pracdtically speaking it would require a larger bra. 

The best thing an augmentation patient can do for herself is to leave the concept of bra sizes at the door when she sees her plastic surgeon. She should select an implant that optimally fills her breast envelope, neither overfilling and stretching it, nor underfilling it so that the breast is not proportionately augmented. 

Similarly, a reduction patient should want the surgeon to reduce her to the size which creates the best shape for her body.

First of all, your daughter should discuss careful what her expectations are. While some patients get fixated on a cup size, breasts are judged by proportional, shape, and symptoms. It is possible that she has been suffering from a fair amount of pain, discomfort, and perhaps embarrassment and self-image issues that she just wants the "damn things gone!" While that might be understandable, she might need gentle and realistic counseling about what would be reasonable and to perhaps not use cup size as an absolute gauge.

Perhaps, a statement like getting "as small a breast as possible safely" would be a reasonable goal and very doable. It is true that the more you try to remove proportionately, the higher the possibility of complications. Current techniques however are very safe. It might also be helpful to advise her of the possibility of a two stage procedure whereby the breasts are reduced as much as a surgeon feel is safe and then if they are still too large a smaller procedure, such as, simple liposuction might be done to reduce them further.

Helpful?

Contact the doctor

Breast reduction is designed to reduce female breast volume while maintaining an aesthetic contour and form of the breast.  The breast is an anatomic structure with glandular properties that should not be underestimated.  Reduction of the breast from a DD to an A cup is very close to performing a mastectomy.

A board certified plastic surgeon would be remiss in performing a surgery that would physically debilitate and deform a young female for life.

Helpful?

Contact the doctor