Can I Go From a DD to a Perky and Firm C?

A breast reduction, does just that - reduces the size of your breast.  In doing so, it will also shape your breasts and bring your nipple-areolar complex to a more appropriate position, as those that typically require breast reduction will have large and ptotic ("drooping") breasts.  A breast lift does the same, however, the difference being that not as much, if any breast tissue is excised. Both will give a rejuvenated, fuller, and more "perky" appearance of your breast shape.  

Now, what you are wishing for, it sounds as if you may need an implant along with your breast lift in order to accomplish the results that you are looking for.  While the concepts of reducing the breast and also placing an implant may sound antagonistic, it is certainly an option for those seeking for an appearance similar to what you are describing.  It is difficult to answer your question without examination, but it is certainly possible to get the results that you describe.  A consultation with a plastic surgeon to evaluate your breasts and assist you in making the decision as to which procedure(s) would be right for you in achieving the results that you desire is advised.   Thank you for your question!  Hope that these answers help!

Most of the firmness you will have after a reduction is going to come from your natural breast tissue.  If it is mainly fatty, firmness will be hard to achieve.  If it has a lot of firm breast tissue, we can get a firmer result.

 

Using an implant can help, but it requires performing a more extensive reduction and then making up for the volume with an implant. there are limits and pitfalls to this approach and your surgeon will need to exercise their judgement here.

Thank you for the question.

 Generally speaking, patients who undergo breast reduction surgery do not achieve the “tight firmness” that can be achieved with breast augmentation surgery. I would suggest that you communicate your goals clearly with your plastic surgeon and make sure that you have realistic expectations prior to proceeding with any type of surgery. In regards to breast size desired, also communicate carefully. In my practice the use of goal pictures are helpful in this regard; a discussion of cup size can be confusing and imprecise.   Therefore, I would not suggest that you communicate your goals and/or base your satisfaction with the outcome of surgery on achieving a specific cup size.

 Best wishes.