How small could I go from a 34DD?

The real answer to your question is that breast reduction surgery is one of the most highly satisfying surgery for patients, with 95% plus patients feeling relieved of symptoms AND happy with their cosmetic appearance. The degree of nipple malposition will determine how much breast tissue the surgeon will need to keep; the greater the distance the nipple is from its desired location, the more tissue is needed to support the nipple's circulatory supply.

At size 34, each 100 grams removed corresponds to 1 cup size change. If the breasts are hanging to the bottom of the ribcage then you need more of a breast lift than a breast reduction. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Hi, thank you for sharing your question. You can reduce the breasts to as small as you would like. Most often, I find, that in order to match a patients frame, a general cup size correlating to 400-600 grams of remaining breast tissue is ideal. This can vary based on patient goals, symptoms and how much tissue can be safely removed without compromising circulation to the nipples.