38M, soon to undergo Breast Reduction: How much reduction is advisable to hope for?

If you have a nipple graft, you should not expect sensation.  Photos would help.  M to D is only possible with free nipple grafting probably.

can be done but predicting an outcome cup size is very difficult.  Nipple grafting is likely as is use of the anchor scar.  You should let your surgeon know you want to be aggressive in the reduction so you can achieve the maximal amount.  And you should anticipate losing sensation, regardless of what technique is used and if you do have some after, wonderful.

Can you please provide us a photograph of your current breasts and torso; the appropriate size for you is dependent on your shoulder width, your torso girth, etc. When your breasts are made smaller, the optimum size for your breasts are a size that makes you look proportionate. Try to avoid free nipple grafts if possible.

Thank you for the question but it is hard to give an answer without an examination or photos but you did say you are over weight and weight loss prior to surgery would be recommended and might get your breasts naturally a little smaller prior to surgery.  If you are planning to use insurance, the insurance company may also want a specific amount of breast removed for your BMI or BSADr. Corbin

Hello and thank you for your question!A BR is intended to give you a projected and more proportional size of breasts.  A D cup, is quite big and should be enough to fill out your cleavage. You need to understand that the proportion for a small woman such as yourself, should be of a smaller size. It would look more symmetrical, and natural - even thinner. Sometimes large breasts give a little bit of an overweight look. A D cup would be more than enough, however you could post or send us some photos so we can better evaluate your case. Please consult a board certified plastic surgeon for further advice and the best, safest results.Good luck!