I Have 32HH/J Bust I Would Like to Have a Breast Reduction Down to DD is That Possible?

At 32 inches, each 100 cc corresponds to 1 cup size change. You descirbed going down from HH/J to a DD, corresponding to 4 cup sizes which is 400 cc's.  Certainly this amount can be removed.  This can be done without the traditional boat anchor, vertical or lollipop incisions.  These scars should be avoided because they are unsightly and tend to widen over time.  There is a new technique (Ultimate Breast Lift) which transfers the weight of the breast to the underlying chest muscles relieving pain without vertical scars.

Best of Luck,

Gary Horndeski, M.D.

It is certainly possible to reduce your breasts down to a double "D".   An exam in person would be essential to determine this possibility.  Good luck.

You should be able to go from an HH/J cup down to a DD. I generally recommend to my patients that they try to limit breast size to a D cup to avoid recurrence of musculoskeletal complaints. In the absence of photos, it is difficult to be definitive but many women with the cup size you mention will require free nipple grafting so this should be discussed with your plastic surgeon at the time of consultation.

Thank you for the question.

Although it is not possible to give you good advice without direct examination or viewing pictures, it sounds like you may be a good candidate for breast reduction surgery. It is one of the most patient pleasing operations we perform.

I would suggest that you do your due diligence and find a well experienced board-certified plastic surgeon who can demonstrate significant experience achieving the results you are looking for.

Before undergoing the breast reduction procedure it will be 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 "DD cup” etc 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.