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.

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14 answers to “Breast reduction from 36DD to an A?”

A: It really couldn't be done

Steven Teitelbaum, MD

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... more

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

John P. Di Saia, MD

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... more

A: extreme breast reduction

Steven H. Williams, MD

Thanks for your question - Such a dramatic change is possible but not without consequences that would make most plastic surgeons defer to treat her. A breast reduction from a DD to an A cup is unlikely to leave enough tissue to keep the nipple/areola complex alive.  This means the nipple and areola would... more

A: Not a Good Idea!

Michael S. Beckenstein, MD

This magnitude of a change is drastic and would probably not be proportional to her body. She should consider being reduced to a size that is in proportion to her body and maybe slightly smaller. This will alleviate her symptoms and make her look much better. Pondering mastectomies instead of being larger than... more

A: Breast reduction to an A cup is not likely

Peter E. Johnson, MD

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... more

A: Drastic change

Michael C. Edwards, MD

    It isn't that women who have breast reductions are all by and large very happy with their change we try to keep some proportion. I would recommend that she pick a local board-certified plastic surgeon to have a consultation with to review her options. When a women comes in to see me... more

A: Probably not in her best interests...

Armando Soto, MD

Hi there- One of the primary considerations in breast reduction surgery is maintenance of the blood flow to the remaining breast tissue and nipple. With greater tissue removal, there is a greater risk of losing blood supply and therefore losing the remaining breast tissue and nipple to necrosis. The... more

A: Breast Lift and Reduction in size

Trevor M. Born, MD

Dear Wondering Mom, Breast Lift and reduction in size is an excellent procedure and patients who have had symptoms for years do very well.  A complete consult with the risks of the procedure is necessary and perhaps some photos of what shape/size your daughter would like would be helpful for the surgeon... more

A: Good shape and uplift is more important than size

James F. Boynton, MD

I perform a large number of breast reductions and I would counsel the patient  carefully into why trying to reduce her to an "A" cup would NOT BE RECOMMENDED.  It is never good to go to extremes.  Many patients that are quite large breasted can't wait to be smaller and... more

A: It's All About Proportion

Christopher L. Hess, MD

I hear this a lot from women with large breasts.  They want to go completely in the opposite direction.  But the reality is that the breasts should be in a natural proportion to the patients body.  Most women should be a "C". This letter has limited real bearing but most women... more

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