Breast Reduction: Q&A

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How Do You Know What Size to Tell the Surgeon when Getting a Breast Reduction? (photo)

I am 21 and i am 5'3 and about 160 to 175lbs an is has a somewhat tiny figure and have not yet had children. I have upper back pain an sagging with my breast. I am a 34O in bra size and have been sized with professional's more than once and i would like to be a D or DD but family and friends are telling me to do a C cup seeing i have not yet had children. Sizing wise what do you tell the surgent and how do you know what is the right size for you??

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7 Doctor Answers | Asked by Katie6134 in North Providence RI

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Sizing in breast reduction

In young women, I generally recommend going on the smaller side as, in all likelihood, you will pick up a few pounds as you age or go through pregnancies. However, let me also say that, if your breasts are truly an "O" cup ( and I suspect that you are compensating in cup size rather going for a bra with a wider circumference) then there may be a limitation in how small the plastic surgeon can make the breasts. In cases of G+ breasts, often free nipple grafting is required and this is... more

The best way to convey the breast size you would like is to show the surgeon a picture.

In both augmenation and reduction of the breasts, the surgeon wants to deliver the size the patient wants. In my practice, if the patient brings in a picture of the size of breast she desires, this helps greatly in determining how much breast tissue to remove (reduction) or how large an implant to insert (augmentation).

Size after breast reduction

Unfortunately, there is little standardization in bra sizing particularly in the larger sizes. Rather than talk bra size with my patients, I try to discuss with them what their goals are: as small as possible, smaller but nott too small, in proportion to the rest of their body, etc. And then I try to demonstrate on their breasts how much tissue I anticipate will be removed and where I guess the nipple will be. And guess is the correct word as it is impossibe to know for sure either where the... more

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Breast reduction

If you have quite larger breasts, you are probably right in thinking that a "D" ish breasts is about right for you to maintain a nice shape. Of course, all bra companies are different and no one could guarantee a cup size.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

How Do You Know What Size to Tell the Surgeon when Getting a Breast Reduction? (photo)

Sorry to say the photo was o\f no help, but thanks for posting it. Size discussion with your chosen surgeon pre operatively is soo very important. So both are on the same page. This is informed consent. Review before and after photos so you can understand about size results, scars, effects of reductions. Follow up please

What Size will My Breasts Be After a Reduction?

In our culture, bra size is the only language we have for discussing breast size. Unfortunately the garment industry has not standardized bra sizes so it can be a way to miscommunicate. I avoid bra language so as not to disappoint someone. I find before and after photographs are a better way to discuss size. I try to find previous patients' photos with a similar body type to demonstrate what is possible and what is likely. I ask women if they... more

Communication is Key Prior to Breast Reduction.

Thank you for the question and picture. Congratulations on your decision to proceed with breast reduction surgery; it is one of the most patient pleasing operations we perform. You are correct in that it will be very important to communicate your size goals with your surgeon prior to undergoing breast reduction surgery. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Breast Reduction: Q&A