I Had my Breast Reduction and There's Not Much Different from Before?

It is much too early to evaluate the results of the breast reduction procedure, one week after it was performed. As you know, there are variables including postoperative swelling that influence the appearance of the breasts at this point. 

 I would suggest that you exercise patience and allow for your breasts to go through the healing process.  You can expect the breasts to change size/shape over the course of the next few months. Evaluate the end results of the procedure performed 6 months to one year after it was performed.

 I would also suggest that you evaluate the outcome of the procedure based on overall breast size/shape as well as proportionality to the remainder of your torso;  do not base your evaluation and/or satisfaction with the outcome of the procedure on achieving a specific cup size (which, as you know, can vary from one bra manufacturer to another).

 In the meantime, continue to follow-up with your plastic surgeon. Hopefully, you will be very pleased with the long-term outcome of the procedure performed.

 Best wishes.

You did not mention how much tissue your doctor removed.  I would assume that he removed a fairly large amount if your insurance company paid for the surgery.  That should certainly make a difference.  As for the cup size, even bra manufacturers do not have standard cup sizes so doctors cannot guarantee a post-operative cup size.  You are early in your recovery and I tell my patients not to look for their final results for at least three months post-operatively.  There is still a lot of tissue swelling and settling that needs to occur.  If you are still unsatisfied after that time then you should discuss your concerns with your plastic surgeon.

I realize it's a little frustrating not to see immediate results after surgery, especially breast reduction.  If liposuction was utilized in additional to excisional techniques, the swelling may be compounded.  Since there are no standards for cup sizes, I always ask patients if they like they way they look as opposed to fitting into a particular bra.  But that question has to be answered in 3 to 4 months once the swelling has completely resolved. Keep the faith, things will change.