If I'm a 38i in a bra size what's the smallest size I can go down to with a reduction and a lift? No implants.

In general, large breast reductions are better left at D cups (which vary by bra manufacturers), because if the breasts are left too small there is not a great solution.  It would be silly to perform a breast reduction and then turn around and perform a breast augmentation because the breasts are now too small.  You have to realize that after breast reduction, your belly, legs, and arms will appear bigger as well.  Finally, the skin envelope and fullness generated from a D is usually more aesthetically pleasing.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA
 

Thank you for your question! Because a breast reduction can be personalized it is important to find a plastic surgeon that agrees with your expectations. You can definitely go down to a D cup from an I cup, the surgeon will just have to agree to remove enough tissue to get you there. Depending on your body frame and stature a C cup might be too small but that is something you can discuss with surgeons in person at your consultations. I recommend consulting in person with a board certified plastic surgeon and even having pictures with you of breasts you would like for yourself. Good luck!

Thank you for your question.
There are number of factors that are involved in predicting the smallest breast size achievable with breast reduction. Usually you can have very significant decrease in your breast size and could almost choose what size you want to be. You should have your surgeon examine you and discuss with you the various options and techniques. All The Best !

Final bra size after breast reduction can't be guaranteed. Regardless, results are dramatic. When you go in for your consultation, your plastic surgeon can give you an idea of how much tissue to remove, and what your final bra cup size might be. 

Hello, Technically, your breasts can be completely removed, but I'm assuming you would like to keep some curves and look proportionate. My recommendation to you is to seek out consultations with Board certified plastic surgeons in your area to be seen in person and go over what would be the best fit for you. Hope this helps. Best Wishes, Dr. Lane Smith Las Vegas, NV 

Great question!  First off, your BMI or body mass index needs to be less than 30 for surgical safety.  Higher than this, your anesthetic and post-surgical complications significantly increase.  You are currently at 38 and thus will need to be around 150lbs, therefore you will need to loose 40 pounds.  For elective surgery like this, it is best to be at your optimal health.  The weight loss will help decrease the size of the breast then you should have a consultation to see how small you can go.Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon