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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: A good plastic surgeon would turn down her request

Richard P. Rand, MD

There are many psychological problems she could get into after a surgery like you have described.  Most good surgeons would counsel her to go down to a reasonable size, not lock in on a cup size, and keep her breasts in balance with her body. 

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: Small breasts after breast reduction

Farbod Esmailian, MD

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... more

A: Breast reduction surgery to reduce heavy breasts

Raffy Karamanoukian, MD

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... more

A: Careful consultation is required

Robin T.W. Yuan, MD

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... 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

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: 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: 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: 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

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