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Breast Reduction from 38D to A?

I'm 5'5", breasts size 38D. Would I look weird if I got a breast reduction to a size A?

Asked 35 months ago by passion589 in Canada
Sort 17 expert answers by:
+2

Reductions aren't done to "cup size"

It would be virtually impossible to go down to an A cup without losing all breast shape and form. Usually when a patient needs a reduction, their breasts are wide enough that they never get down to B or A cup sizes. Breast width doesn't change from a reduction. Also, no breast surgery can be done to suit a cup size because there is no standardization of cup sizes.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Breast Reduction to Small Cup Size?

Yes, breasts can be reduced to a very small cup size them may even look “disproportionate” to the remainder of your torso. It is possible to reduce the breasts size very significantly. Sometimes when patients want “almost nothing left” the reduction should be done in 2 stages. The concern with the amount of tissue removed is related to blood flow to the remaining tissue; if too much tissue is removed in one operation the blood... more
Tom J. Pousti, MD
San Diego Plastic Surgeon
+1

Breast reduction from "D" to "A" cup

There are several factors which limit the amount of tissue that may be removed during a breast reduction, including maintaining adequate blood supply to the nipples and achieving aesthetically acceptable breasts after the reduction. Both of these may be compromised by too large of a reduction, such as would be involved in reducing the breasts from a "D" to an "A" cup.
Olivia Hutchinson, MD
New York Plastic Surgeon
+1

Reduction from a "D" cup to and "A" cup might require amputation and graftin of the nipple.

What you suggest you want is drastic and reduces not only much of the breast but much of the blood supply to the breast that goes with it.  It would be dangerous to the viability of the nipple and your plastic surgeon might consider amputation and grafting the nipple as opposed to allowing it to remain attached to the breast tissue.  There are disadvantages to this as you might imagine.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Going from a D to an A cup?

An A cup is VERY small.  In fact, most women who come into my office with an A cup are requesting breast augmentation.  And going from a D cup to an A cup, I think, would be quite a shock.  Take some photos to your plastic surgeon to show her examples of breasts that you like.  I'll bet they're not truly A cups.  Your surgeon will talk to you about what can reasonably be accomplished--it may not be possible to make you an A cup and still preserve the... more
Carmen Kavali, MD
Atlanta Plastic Surgeon
+1

Going from really big to really small can be really tricky

Going way down to an A cup may not be wise.   A fair amount of residual breast tissue is necessary to "carry" the nipple areola complex and protect its nerves and blood supply.  Also, if your chest is broad, your breasts will look funny that small.  And take into consideration your overall build (height, waist, hips, etc).  I've taken a few D cup ladies down to a B but never down to an A even though some would have liked to go smaller.  In my... more
Lisa L. Sowder, MD
Seattle Plastic Surgeon
+1

Make sure your final breast size matches the rest of your body

  A breast reduction surgery may produce a very significant change in breast size. When discussing your aesthetic goals with your plastic surgeon, make sure that your final breast size will match the rest of your body. Otherwise you may end up with an unbalanced appearance. Consider the width of your hips and the size of your waist when considering the final size for your breasts.
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

D-cup to A-cup may not be possible

Breast reduction is an operation geared to reduce the breasts, but also make that change likely to heal. It is not like changing a tire. You will likely not be able to go that small. Best Regards.
John P. Di Saia, MD
Orange Plastic Surgeon
+1

Breast reduction from D to A cup impossible

I think it would be almost impossible to reduce you to an "A" cup size without leaving your chest very deformed. Reducing from a "D" to a "B" or a "C" would be much easier to accomplish and give you a natural result.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Breast reduction D cup to A cup most likely not possible

Most likely this will not be possible. Unless you agree to a free nipple graft, which will eliminate nipple sensation, it will not be possible to reduce the breast volume enough to acheive an A cup. When the breast tissue is reduced, it removes some of the blood supply to the nipple. If too much tissue is removed, the nipple can lose blood supply and it will die. Then it has to be reconstructed. The way to avoid this is to remove the nipple-areola complex as a graft, which is put back on... more
Tracy Pfeifer, MD
Manhattan Plastic Surgeon
+1

Yes, likely

Although I don't know your weight most patients need to be proportionate. Unfortunately, bra size is not standardized. Regardless of this I have found that most patients need to be a "c" cup. This allows for the shoulders to be proportionate to the breasts, waist and hips. Most of us have had large breasted patients who want to go to the opposite extreme, such as an "A" cup. However, time would reveal that this is probably the wrong size for you and you might consider breast... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+1

You could, but maybe you should not

From a technical stand point you could get that small with a breast reduction. The question that you have to answer is whether this is what you really want. Having a large breast for a long time could make you want to go to the opposite, but it would be wise to go for a smaller cup.
Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon
+1

It all depends on what you want.

It all depends on what you want. If you go from a D to an A, then you are certainly going to look different. If you body shape looks like you should have an A, then you will look great. If your body shape looks more like you should have a D, then you might look disproportionate. Good luck.
David Shafer, MD
New York Plastic Surgeon
+1

Agressive breast reduction

All physicians have made excellent points for you to consider and I just wanted to add one additional thought. The more agressive you are with reduction, the more potential you have for compromising the nerve and blood supply to the nipple and areola. There are many techniques to do a breast reduction, but all depend on leaving an intact blood and nerve supply to the nipple. There is only one technique where you completely sever the attachment and re-apply the nipple as a graft in which case... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Proportionality matter

Cup size is inaccurate and therefore difficult to discuss. However, going from a D to an A cup is a bit drastic and would be a significant shape change that may take some time to adjust to. Having a breast reduction should be help relieve any symptoms you may have as related to a heavy, pendulous breast as well as getting a better shaped, smaller and more proportionate breast size. Right now you may feel disproportionately larger and you do not want to be disproportionately smaller after the... more
Bahram Ghaderi, MD
Chicago Plastic Surgeon
+1

It is possible to make you an A cup, but I would not recommend it.

Hi! An occasional woman says "I never want to wear a bra again. Make me an A cup." But this is very rare. Depending on your frame, I usually recommend a B cup or a C cup after breast reduction. You want to look in proportion. The main thing is to shape the breasts internally with buried stitches during the breast reduction. If one relies on pulling the skin for shape, then you will not get a good long term lift. Dr. Elizabeth Hall-Findlay from Banff is one of the top experts on breast reduction. more
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Different breast reduction approaches for different people

I have had many patients come to me complaining that after years of having large breasts that they want them completely removed--almost like they are diseased! Now of course, the down side to large breasts can be quite daunting, but the downside to no breasts can also be daunting. When patients such as yourself come to my office, I try to suggest small but body appropriate breasts. I am looking to relieve the pain and discomfort, but at the same time, attempting to achieve a well-balanced... more
Robert M. Freund, MD
New York Plastic Surgeon
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