Is 36B Too Small for Breast Reduction Surgery?

Happiness with your breast size is a very personal decision. If you feel that you would look good with an A-cup and desire an A-cup, that can certainly be done safely based on your photos with a breast lift including small breast and areola reduction.

What you are describing is more of a breast lift.  The areola will be reduced in size with this procedure.  One can make an argument for taking a small amount of tissue.  Best to see a few Board Certified Plastic Surgeons.  Take photos of what you want to achieve.  Ask to see his before and after photos.   Together you will come up with a good plan.

You are correct in requesting a breast lift and reduction in areolar size, but reducing the size of your breasts is not recommended.  At B cup size, they appear to be proportionate with your body, just spread out over a large area.  The mastopexy alone will result in more compact, comfortable, well positioned, attractive breasts. 

A breast lift with small reduction and reduction of the areola would enhance your appearance.  Just lifting the breasts and removing excess skin will make them look smaller and perkier, so none or very little breast tissue removal will accomplish your goals.  The symmetry can also be improved.  Congratualtions on your weight loss!

I think that you are the candidate for a breast lift (mastopexy) along with a small reduction and areola reduction. I would suggest that you communicate your goals carefully (I like to use pictures for this communication) with your surgeon. The use of pictures is helpful since different words (for example “natural”) means different things to different people. Talking cup size is also somewhat arbitrary since cup sizes differ depending who makes the bra.

You should also  consider how much fullness/volume you wish to have along the superior poles of the breasts. Although it may sound counterintuitive, you may elect to have small breast implants used to achieve the fullness superiorly.

It is important to consult with well-trained/experience board-certified plastic surgeons to get the best advice possible. Good luck!