I'm 5'1 and my cup size is at least a 34dd, is a breast reduction the best route without implants or with? (photos)

Thank you for your question and photos. I’m sure you realize that an examination in person would be required to provide you with a definitive opinion or treatment recommendation, however from your photos you should be able to achieve an excellent outcome from a small reduction but primarily a breast lift that preserves enough tissue to reshape the breast and provide you with the upper pole fullness you desire, along with proper repositioning in of the nipple/areola complex. In my practice it has never made any sense to perform a breast reduction and simultaneous augmentation. We do indeed have to add an implant on occasion for the woman whose overall volume is inadequate to achieve a pretty and full appearing breast (“augmentation ). Thankfully that is not the case for you based on your photos alone.

There are many types of breast reduction techniques. The one I have employed for many years includes reshaping of the breast to achieve the desired upper pole fullness that so many women seek. Do your research. Select a board certified plastic surgeon whose results appeal to you based on his or her Before and After gallery, and whose aesthetics seems to align with your own. Best of luck to you.

In your situation a breast reduction (always includes a lift) would be the best option to improve symmetry and lessen your neck/shoulder/back pain.

Always visit with a board certified plastic surgeon and remember that in some circumstances, insurance may cover your procedure.

Adding implants would add weight to your breasts and worsen any pain you’re having, so that wouldn’t be recommended.

Good luck!

Good afternoon!
Some surgeons do the reduction and add implants later, some do it at the same time, and some don't recommend implants at all- it really depends on your surgeon's philosophy, your anatomy, etc. However, they can be done together, when judged safe, and the outcome can be very nice. In my own personal practice, I will perform both together if I believe it will not endanger the blood supply to the skin flaps and nipples.

Thank you for sharing your question and photographs. It does appear that you could improve upon your breast appearance and your neck/back symptoms with a well-designed and executed breast reduction. Hope this helps.

The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

By definition, any breast reduction (other than one performed using only liposuction) includes a breast lift. Since you are reducing your breast size from a 34DD to a 34C, a nice shape should be possible through reduction alone. Removing additional tissue in order to place an implant only adds a lifetime of potential implant complications. I would recommend that you consult with board-certified plastic surgeons experienced at performing breast reductions. Best wishes.

Dear meliscarano,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I appreciate your concerns however breast reduction alone is by far your best option.
This operation will not only reduce and lift your breasts, but your surgeon will also be able to shape them in a most attractive fashion. There is a misconception that breast implants provide a magical foundation for certain procedures like breast reduction. This is completely false. Consult with a board-certified plastic surgeon in your area to greatly increase your chances for the best and safest result. Good luck.

Hello, thank you for your question. Breast reduction surgery is one of the most patient pleasing plastic surgery procedures. Breast reduction surgery will also help to reshape your breast. Very large breasts have the natural tendency to sag or hang low, so breast reduction surgery will lift them up and help them look perkier under tight clothing.

From your photos it appears you would be a good candidate for a breast reduction. This would reduce the breast size and weight as well as raise the position of the nipple. You have enough tissue to achieve a nice result without implants. See a board certified plastic surgeon near you for a consultation.