Breast Reduction from DD Cup to B Achievable?

I wear a DD bra. I am a heavy woman at 200 lbs and am 5'7 tall. I am 41 years old and want to go to a B cup. My back is killing me, my neck hurts and my shoulders look like I have cut-out marks in them. Is this a realistic goal for breast reduction?

Doctor Answers 10

There Could Be Complications From a Breast Reduction of That Magnitude

         The results of breast reduction surgery are better when patients are near their ideal body weight. When patients are overweight they’re encouraged to lose weight prior to surgery, unfortunately the majority of patients with weight issues are not successful dieting. Despite this, patients who are overweight derive significant benefits from breast reduction. Many have increased exercise tolerance following reduction and are able to lose weight as an absolute contra indication to breast reduction surgery.


         Although it’s possible to perform a breast reduction of this magnitude, it may not be advisable for several reasons. In some cases, removal of large amounts of breast tissue might damage the blood supply to the nipple areola and the surrounding skin and increase the potential for complications.


         It’s also important to consider the aesthetic implications of creating B cup breasts in someone who is overweight. Aesthetically attractive breasts have harmony, balance and proportion with the surrounding structures. For this to happen, larger, fuller breasts will be needed, possibly in the C cup range.


         To obtain the best possible result from your breast reduction, it’s important to discuss these issues with your plastic surgeon. before proceeding. This procedure has high satisfaction rates and is associated with long term health benefits. 

Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Breast reduction

Yes I believe this can be done. You should check with your doctor if he can do this as well. Its always best to consult with your doctor about this as well.

Norman M. Rowe, MD
New York Plastic Surgeon
4.9 out of 5 stars 58 reviews

Breast reduction from aDD to a B. Good idea or not.

This is too big of a reduction, in my opinion.  The circulation to the nipple and areola is critical to maintain and significant breast reductions can compromise this.  I would advise you that a reduction to a size more closely approaching a C cup might be more appropriate.


Good luck to you.


Frank Rieger M.D.  Tampa Plastic Surgeon

Breast reduction

Achieving your size goals is possible but sometimes needs to be done in more than one stage  (more than one operation) for safety reasons. In other words, removing too much tissue in one operation  may lead to compromise of the blood supply to the nipple/areola  and breast tissue. Be careful when communicating with your plastic surgeon because talking specific  cup goals may not be the most precise way to communicate your goals.  As  you know, breast  cup sizes vary depending  on who makes the bra. Make sure also that you do not overdo the reduction and end up with a breast size that is out of proportions with the rest of your torso. Best wishes.  

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,504 reviews

Breast reduction

Requesting to go down to a B cup in someone with large breasts and with yor body habitus is probably not a good idea. If you decied to lose weight, the breast will get smaller as well. You will more than likely look out of proportion with the rest of yoru body. I try to get people down to a "C" or small "D" depending upon what they started out with. You have to leave a certain amount of tisse on the skin flaps and on the pedicle so that the tissue heals well. In most cases that comes out to a "C" or "D".

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

Breast reduction from DD cup to B cup can be done.


1) I don't agree with some of the other answers about your weight. You will be more comfortable after a breast reduction whether or not you lose weight, and I would recommend the surgery.

2) Going from a DD to a B is easy. But you might not want to be quite that small. You might feel disproportionate. Occasionally, I do see a woman who really says: "I never want to wear a bra again." And then I make her really small.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Breast reduction from DD to B

First of all, you should lose weight before surgery. The risks go down and the cosmetic result goes up. Secondly, the base width of your breast is probably too wide to ever fit into a B bra and this base width doesn't change with surgery. Finally, to reduce you that much would probably compromise the blood supply to the nipple so much that you would need to have a "free nipple graft" reduction after which the nipple is numb forever and looks flat and has variable color.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Breast Reduction from DD to B

It is realistic for you to undergo a breast reduction, although it would be safer and you probably could obtain a better result if you first lost some weight. With you current body surface area, you probably would need to be reduced to a C or B cup in order to have your insurance company to cover the procedure.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

Risks of agressive breast reduction

The general concern with being overly agressive with a breast reduction is the risk for compromising the blood or nerve supply to the nipple with the potential for tissue loss or numbness, respectively.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Breast reduction from DD to B

Large breasts can restrict your lifestyle and cause a variety of medical problems. Even drastic weight loss won't result in more than negligible shrinkage. Breast reduction surgery removes excess breast tissue and reshapes the contour of the breasts so that they are smaller and perkier. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patients body. Your surgeon knows exactly how much tissue he or she is taking out, because it is weighed after removal. And breast reduction comes with an added bonus: the extracted breast tissue is always sent to the lab and examined by a pathologist for signs of cysts or cancer. Having smaller breasts can take years off your appearance!

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 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.