How Would A 325 Gram Reduction Look On My Current D Cup Breasts? (photo)

I'm seriously looking into have a breast reduction after suffering from terrible back pain. I called my insurance company recently, and was told that 325 grams of tissue from each breast would be the minimum requirement based on my height and weight. I am currently a D cup and was wondering how small 325 grams would make me? I would ideally like to be a B cup. Would this be achievable or make me too small? Thank you!

Doctor Answers 11

How Would A 325 Gram Reduction Look On My Current D Cup Breasts? (photo)

Sounds like you are having a Lift/small Reduction. If you truly desire a B cup than more tissue could be removed. Even liposuction might be an option with the Lift. 

Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Plastic surgeon works for the patient not the insurance company

Based on your photo it appears that a reasonable breast reduction on you would remove from 350 to 400 grams of tissue.   I also think that it is unreasonable for the insurance company to arbitrarily command the plastic surgeon to remove a pre-set amount of breast tissue in order for the procedure to be covered.   If too much breast tissue is removed it can jeopardize the blood supply to the nipple and areola thus causing healing problems.   Remember the insurance company is only trying to differentiate between a breast lift, which is a cosmetic procedure, and a breast reduction which is a reconstructive, thus covered procedure.  If you have a problem because the plastic surgeon removed excessive breast tissue in order to meet the requirements of the insurance company who is responsible, not the insurance company.   As a plastic surgeon I work in the best interests of the patient.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Breast Weight Transfer Adds Relief to Breast Reduction

A rule of thumb is that each 200 grams removed corresponds to one cup size.  325 gram reduction results in about one and a half cup sizes smaller.  If you're a small D then this could result in a B.  However, the point of your surgery is to relieve your terrible back pain and that is why insurance companies authorize it. An alternative procedure that has recently been developed is breast weight transfer instead of just reduction.  The excess skin from your breasts is used to make an internal bra which transfers the weight to the underlying pectoral major muscle.  As you know, muscles are strong and can take the added weight. Skin alone is simply not enough to hold/support the weight of breasts. This would be the best alternative for you in that it creates upper breast fullness without the vertical scar and should improve your back pain.  It also lifts your breasts to the normal anatomical position giving you a more youthful appearance and increasing the length of your torso.

Best of Luck,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
4.6 out of 5 stars 223 reviews

How much tissue should be removed during breast reduction?

You will benefit from breast reduction not only because the breasts will be smaller but also because skin will be tailored and you will have a significant lift at the same time.  From your pictures and your body habitus I would think it would be covered by insurance. To get a great result I estimate removal of about 450 gms of tissue and significant skin reduction.  You would be a c+ cup which should match your frame proportionately.

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 46 reviews

Breast Reduction

Based on your pictures, it looks like a 350 cc per side reduction and lift would give you a nice result but still leave you in the large C range.  It all depends on what you are looking for in your results.  However, it appears that would easily fit the criterial for at least a 350 cc reduction.


Good Luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Breast Reductions and Post-Op Size

It is very diffcult to truly know where a patient is going to end up size-wise after a breast reduction.  Every patient is different, and all the bra makers are different, so one can tell you that you are a B afterwards, while another can tell you that you are a C.  Based on the photographs, you look more like a DD than a D.   Removing 325 grams from both breasts would probably put you in that C range, as well as lift the breasts into a better shape.  I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon
4.8 out of 5 stars 75 reviews

Breast Reduction

Breast Reduction is a complicated procedure that is best done by those with the most training and experience. It is very difficult to determine the resultant cup size and shape based solely on the number of grams that are removed from your breast to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast reduction and lift surgeries, including different approaches, techniques and even fat transfer and implant choices if you are lacking superior breast fullness.
This is because several measurements—not to mention breast characteristics such as density—are needed to determine how much and where to remove breast tissue to meet your goals. Without knowing your existing breast shape, dimensions, and the density of your breast tissue, it would be difficult to make this determination. For example, the same volume of breast tissue will weigh different amounts (measured in ounces or grams) in different people depending on its density. The existing base width of your breast and what you will ultimately want to look like will determine, in many cases, the maximal volume and weight that will need to be removed for the best result.

Please click on the link below for more information!

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

325 gm reduction

325 gm reduction may knock off a cup or two depending upon the bra company that you use.  It is always best to be evaluated in person.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Breast Size After Breast Reduction?

Based on your description,  you may be an excellent candidate for breast reduction surgery; it is one of the most patient pleasing operations we perform.

Unfortunately, there is no direct correlation between the amount of tissue removed and the ultimate cup size that a patient will wear after breast reduction surgery.  325 g removal in your case would likely leave you with a C cup ( keeping in mind that this is only a guess  and not an accurate method of predicting final breast size).

Before undergoing the breast reduction procedure it is very important to communicate your size goals with your surgeon.  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 use of words such as “natural” or “C cup”  means different things to different people and therefore prove unhelpful. 
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

325cc Breast Reduction

Based on your pictures, it looks like one side is bigger than the other. A 325g reduction may take you from a D cup to maybe a C cup (or may not change your cup size). If you desire a B cup, your surgeon may remove more than 500g per a side. However, keep in mind that there is no guarantee that the amount removed will result in a specific cup size. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 68 reviews

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.