Is It Possible to Get a B Cup from 40DD After Breast Reduction?

Doctor Answers 13

A "B" cup can be created from a "DD" breast with a reduction.

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This amount of reduction is substantial, but can be accomplished with a breast reduction.  The areola might need to be grafted for safety which would render it anesthetic, but the operation can be done.

Breast Reduction - Is It Possible to Get a B Cup from 40DD After Breast Reduction?

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Yes - but that may not be in your best interest.  In general, it's ABOUT 200 grams per bra cup size, but it's less than that when you're going from a AAA to a AA, and more if from a C to a D.  It's also more if you're a larger person and less if smaller.  With this procedure (breast reduction) there is a volume reduction but you have to maintain enough tissue to support (ie, allow adequate blood supply for) the nipple and areola and, at the same time, you want to have an aesthetic shape.  Going too small could impair the blood supply and/or adversely impact the overall shape.  I would, therefore, suggest that you discuss this with your plastic surgeon and take his or her advice rather than setting your sights on a specific bra cup size.  And, finally, bra sizes vary widely from manufacturer to manufacturer; in the end, what's important is finding out what's appropriate for you, your frame and the look you'd like to achieve.  And that's a critical part of your discussion with your plastic surgeon.

I hope that this helps, and good luck,

Dr. E

Breast Reduction and Small Cup Size Result?

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Thank you for the question.

Unfortunately, there is no direct correlation between the amount of tissue removed and the ultimate cup size that a patient will wear after breast reduction surgery.

Before undergoing the breast reduction procedure it is very important to communicate your size goals with your surgeon.  Most patients, like you, wish to achieve a enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. 

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 “B cup” or "very small looking" means different things to different people and therefore prove unhelpful. ‚Ä®Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

It is possible to reduce the breasts size very significantly.   Sometimes  when patients want “almost nothing left”  the reduction should be done in 2 stages.  The concern with the amount of tissue removed is related to blood flow to the remaining tissue;  if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola)  may be compromised.   Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible)  then patient will likely have problems with tissue survival.  Doing the procedure in more than one stage allows the tissues to  acclimate to the surgically decreased blood flow before  further tissue removal (and potentially further decreased blood flow)  occurs ( with the 2nd stage operation).

The other concern with overly aggressive breast reduction surgery is patient dissatisfaction  afterwards.  It is not unusual for patients who have lived with very large breasts to want to have as much as possible removed. Care must be taken to be judicious in this removal to avoid an outcome where the breasts  are too small in relation (proportionately) to the patient's other body parts.  Again, it is not uncommon, for patients'  breasts to become smaller ( after the breast reduction procedure) with time and/or weight loss-  breast augmentation may become necessary to achieve the patient size goals.
Best wishes.

Easy to go down 3 cup sizes after breast reduction.

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I think your expectations for breast reduction sound very reasonable. You can certainly be a B cup.

Talking about cup size is not really enough. In our New York City practice, we have patients show me pictures of breasts that they like, so I have an exact visual image of what they want. Everyone's idea of a B cup is a little different.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Proportions more important then cup size

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Breast reduction surgery removes excess breast tissue and reshapes the contour of the breasts so that they are smaller and perkier. I commonly use a minimal incision technique (Le Jour), eliminating the need for large scars while providing a pleasing breast contour and shape that is proportionate to the patients body.

Your surgeon knows exactly how much tissue he or she is taking out, because it is weighed after removal. And breast reduction comes with an added bonus: the extracted breast tissue is always sent to the lab and examined by a pathologist for signs of cysts or cancer.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 reviews

Cup size after breast reduction?

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Your surgeon should be able to perform a procedure that will establish better proportions, relieve back, neck & shoulder discomfort, and make your life more comfortable. Your surgeon may not be able to assure you a specific post-operative cup size. Your surgeon will not be able to give you the breast you might have had in high school. A C-cup is the most common request I get.

Breast reduction patients are among the happiest patients. I hope you achieve the same.

Sutton Graham II, MD
Greenville Plastic Surgeon

There are several factors to consider in breast reduction

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When undergoing a breast reduction, there are several factors to consider.

Generally speaking large breasts also have a wide base diameter. In order to reduce a large breast, the surgeon must preserve the nipple and the attached tissue that supplies it with blood flow. In addition, the skin that will be preserved must be sufficiently thick to survive.

As a result, if you want to have an attractive and shapely breast, then you will unlikely achieve a B cup.

However, if you want a B cup regardless of the cosmetic appearance of the breast, it can easily be achieved.

Keep in mind that the reduced breast will then appear very flat. Almost like a male breast.

In summary, if shape and appearance is important to you, then achieving a B cup is unlikely. But if you don't care about the cosmetic appearance of the breast, any size is possible.

Think about it carefully before you decide to undergo a reduction.

Good luck with your surgery.

A. Peter Salas, MD
Manhattan Plastic Surgeon

It;s possible, but may not give you the look you want

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While it is theoretically possible to reduce the size of the breasts dramatically, two sets of problems arise when you change their size to this extent. The first has to do with risks of poor healing, including loss of the blood supply to the nipple, or loss of sensation to the nipple. The second has to do with the final cosmetic appearance-- the more breast tissue is removed, the less the surgeon has to work with to create an aesthetically pleasing shape to the breasts.

In general, I have found that most patients are willing to accept a slightly larger cup size (perhaps a full C) if this means a better overall shape and look to the breasts with an operation that poses less risk of complications. Discuss these options with your surgeon in detail so that you can make the best informed decision.

Good luck!

Dr. Salemy

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
4.9 out of 5 stars 155 reviews


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There are a number of variations of reduction techniques that surgeons can use. A good surgeon will choose the most appropriate to fit your situation. However, in general, the greater the difference bewtween pre-op size and post-op goal, the more tissue has to be removed and the greater the risk of complications from nerve or blood supply issues. Also, the same as it relates to the distance the surgeon has to move the nipple. FInally, the more shaping required, the more scars you will need.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Yes, but it may mean using a free nipple graft and you lose nipple sensitivity

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An actual cup size is difficult to predict with a breast reduction. A lot of it depends on how much can be removed while maintaining nipple viability and sensation. If nipple sensation is not a concern, or if getting to the smallest size possible is your goal, then removing the nipple as a free skin graft can be done, the size of the mound reduced, and then the nipple replaced as a graft that will not have sensation.

One other factor to consider is that a at chest size of 40, we occasionally see patients that have been reduced significantly and yet the actual size may still be a D cup. Some of it has to do with the fact that many patients who wear a 40 bra size have some chest fat and axillary fat that contributes to the size, but it is not addressed by reducing the breast size. Only weight loss can reduce the other components.

Consult with a bard-certified plastic surgeon and bring those concerns up during your talk. Viewing photos of previous 40 DD patients would also be helpful in that discussion. Best of luck.

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.