Is it possible to get a breast reduction from a D down to an small A/B size? (photo)

 I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Hello,Yes, I think you can achieve this. The next best step is an in-person consult with a plastic surgeon. All the best!Dr. BlaggAustin, TX

You are an excellent candidate for The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.Best Wishes,Gary Horndeski, .M.D.

Dear YElisa54,it is possible to reduce the size of your breasts, however, it is hard to tell which is your minimum. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The cup size measure has inherent variability.  Tissue density will always play a big role in the number of grams removed.  Going too small can sacrifice the shape of the breasts.  The nipple has to have a blood supply to survive from the underlying tissue.

Hello,
The breast can be reduced in volume and the position placed higher on the chest.  However, removing too much tissue may compromise the blood flow to the nipple / areola.  Additionally, it is difficult with these techniques to achieve longterm upper pole fullness.  Depending on your insurance inclusion / exclusion criteria and the density of your breast tissue, insurance may cover the procedure (although I would suspect it will be cosmetic).  Obtain multiple consultations and good luck.
ABPS board certified plastic surgeon

but if you must have an A cup to be happy, that is hard to deliver consistently and to have an aesthetic look at the same time.  Let your surgeon be as aggressive as he/she can and hopefully you will end up with the outcome you desire.  And if not, revisions can always be done later in attempts to hit the grand slam.

Thank you for your question!  It is definitely possible to reduce the size of and lift your breasts to achieve a smaller and perkier breast shape.  I would encourage you to schedule an in person consultation with a board certified plastic surgeon to best determine your candidacy and to discuss your concerns and cosmetic goals in greater detail.  Please be sure to consult with only board certified plastic surgeons and to seek out the professional advice of one whom is well-experienced in breast reduction and breast lift procedures.  I hope that this answer has been helpful.  I wish you my very best!

Thank you for sharing your question and your photographs. 
When consulting patients regarding breast reduction, I emphasize that I operate with the goal of achieving an aesthetically pleasing result without compromising blood flow to the nipple-areolar complex, skin, and breast soft tissue, as opposed to aiming for a non-standardized cup size. 
For patients who wish to have a more drastic reduction in their breast volume, it’s possible to perform free-nipple grafting (taking the nipple-areolar complex off at the beginning of the reduction and replacing in position at the end of the procedure like a skin graft), as a way to help assure and promote nipple-areolar complex survival. Downsides to this technique involve sensation changes and inability to breast feed. 
I recommend you have a consultation with a Plastic Surgeon and ask him or her about what reduction volume is safe and appropriate for you based on your history and physical exam. 
I hope this is helpful for you and others, best of luck to you!
Peter A. Felice, MD

It is definitely possible to reduce patients' breast size greatly during a breast reduction. In fact breast reduction is one of the most satisfying procedures that plastic surgeons perform because of the significant relief of symptoms patients' achieve after the procedure. I always counsel my patients that our goal is to achieve a pleasing breast shape and size which is proportional to their body frame, and so if you were a ~B cup size previously, we can certainly work towards this goal. We also always want to perform your surgical safely with attention to the blood supply to your nipples.