I Need A Breast Reduction From D cup to A cup. What are the risks? (photos)

Question

I am 22 and needing a breast reduction from a size D to a size AA or A. I was wondering about the risks, scarring, other procedures that may do this better. Please help. I am a transgendered person when desperately needs this.

Nana N. Mizuguchi, MD, FACS · Answer

A breast reduction will require a scar that looks like an anchor.  The scar will encircle the areola, vertical scar from areola to fold followed with scar across the fold area.  Every surgery will leave a scar.  At about 2 weeks post-op, you may apply silicone strips to scars or apply a topical scar gel for the best results.  It is imperative to keep scars out of sunlight for one year.  The scars may darken by UV rays.  Risks, as with any surgical procedure include bleeding, hematoma, problems healing, and respiratory issues during surgery.  Many risks depend on your health status prior to surgery.  Good luck!

E. Ronald Finger, MD · Answer

I can well understand your dilemma. The reduction mammaplasty probably want result in your goals. I'm assuming you want to be flat-chested. If you want a chest like a man, this will require a mastectomy and the simplest way would be to put the nipple/areola complex on as a graft. To reduce your present breast would definitely require a reduction of skin, and this would result in scars on your breast or chest. If you simply want a massive reduction of your breast, there will also be scars which can readily be found on the Internet. Look up reduction mammaplasty to review the anchor-like scars from a reduction mammoplasty.

To reduce your breast from a DD to an A or AA would be quite a challenge because when you go that small from breasts so large there is usually some significant distortion of the breast and the shape is not as attractive as when there is less of a reduction. You will need to discuss this with your plastic surgeon, of course, and he/she will offer the alternatives and expected outcomes. I hope this has helped you.

Good luck.

Tom J. Pousti, MD · Answer

Congratulations on your decision to proceed with breast reduction surgery; it is one of the most patient pleasing operations we perform.
Before undergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon.  Most patients wish to achieve a enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. prior to in to undergoing any further surgery, it will be important to communicate her goals carefully.Yes, it is possible to reduce the breasts size very significantly.  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. Sometimes, in order to achieve the patient's goals of relatively small breasts ( for example for the transgender patient) safely, it is best to proceed with a 2 staged ( repeat breast reduction) approach. I hope this, and the attached link helps.

I Need A Breast Reduction From D cup to A cup. What are the risks? (photos)

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