How Many Cup Sizes Can I Lose After 38DDD to C Breast Reduction?

It may be possible to make you a C cup, but you should use it more as a guideline for your plastic surgeon.  This way they will know what tissue to remove at the time of the surgery.  Ultimately, they will need to reshape the breast, so you may end up somewhat larger than a C cup.  These are all things that are set as parameters before surgery, but will only become apparent to the surgeon as they are doing the procedure.

Size and contour are two important considerations in breast reduction. We would recommend that you balance size with the overall natural look of your new breasts. Raffy Karamanoukian Los Angeles

Although it’s impossible to guarantee a cup size following breast reduction surgery, it’s highly probable that a c cup is attainable in your case.  The majority of patients who are undergoing breast reduction surgery want resolution of their symptoms and improved breast aesthetics.
  Improvement in breast aesthetics requires the creation of new breasts with good shape and contour that have been lifted into proper position.  It’s important that they have good harmony, balance and proportion with the surrounding structures.  For many women, this occurs when their breast are measured as C cups.
Several factors must be considered when creating a C cup breast.  Of these patient safety should have the highest priority.  Attempts to over reduce the breast can potentially damage the blood supply to the nipple areola complex and lead to an increased complication rate.  In some cases, it may not be safe to make the breasts to small.
In other cases, insurance carriers may have weight criteria which can potentially result in the breasts being smaller than the patient desires.  In this situation, the insurance company requires removal of a set amount of tissue.  Finally, everyone definition of a cup size might be slightly different and for this reason confusion can exist regarding cup size as well.
In the vast majority of cases a C cup is attainable. It’s important to discuss breast size with your surgeon prior to proceeding with breast reduction.  Your surgeon should be able to give you a relatively good ideal of your final breast size by examining you and considering insurance criteria.