Thank you for the question and congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform. As you can imagine, much will depend on your current breast size (cup sizes can be quite arbitrary…) and goals. If I were seeing you in consultation, I would ask to look at your goal photographs; after doing so, I would be able to help you with a prediction of what you might expect in terms of anticipated weight of tissue removed. Keep in mind however that there is no specific/reliable correlation between the amount of tissue removed and cup sizes achieved. With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small) very helpful. I have found that the use of words such as “natural” or “C cup” means different things to different people and therefore prove unhelpful. Again, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. In your case, given the concerns, I would suggest that you meet with your plastic surgeon again. Ultimately, you will want to feel comfortable that you are both on the same page when it comes to desired outcome. Again, careful communication is key. Best wishes.