I Am 5'1" and a 34G. I Want to Be a C, but the Dr. Says D. Doesn't He Do What I Want? (photo)

Hi there-

It is very important for you to understand that while Board Certified Plastic Surgeons may sometimes seem like miracle workers, we are, in fact limited by the human anatomy and the limits of safety.

If the goal is to end up with attractive breasts in which all of the breast tissue is healthy and both nipples are present and alive, there is only so much that a breast can be reduced...

It sounds like your surgeon is simply trying to help you understand that your goals for your breasts may not be safely possible to achieve. 

Thank you for the question.

Unfortunately, no plastic surgeon is able to predict exactly what cup size you will be after breast reduction surgery. As you know, cup sizes vary depending on who makes the bra; this makes discussing cup size an inaccurate way of communicating your goals.  

Also, every patient's chest width varies;  if the patient has a wide chest wall it may not be possible to achieve a smaller width  or cup size.

In my practice I use goal pictures to communicate with patients.  With this technique patients are able to demonstrate what they are trying to achieve and what type of looks they do not like as well.   The patient's goal pictures are hanging on the wall, and allow for direct comparison.
 I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible. 


Congratulations on your decision to proceed with breast reduction surgery;  it is one of the most patient pleasing operations plastic surgeons perform.

Best wishes.

Your posted photo does not help to give me an idea of the appearance of your breasts. Seek in person second opinions from boarded PSs in Cleveland.