I am an 18 year old girl who is 5'1, 170lbs and a 36I cup; would I be able to go down to a small C cup or is this too drastic?

Thanks for your question.After having analyzed all the information provided to us, i can realize that you have very large breasts for your height and weight, and can be responsible for head, back, neck and shoulder pain.

In the future may cause  permanent osteo-articular damage in the back and shoulders and skin problems (mainly under the breasts). For for this reasons, certainly you need a breast reduction surgery.I recommend you to send your photos to us to give you the advice you need and want. Respectfully Dr. Emmanuel Mallol

You sound like a great candidate for a breast reduction.  Often, your insurance will cover the entire cost of the surgery.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery.

Best wishes!

Dr. Desai

Obviously you sound like a good candidate for breast reduction but it is best to meet with a board certified plastic surgeon to determine if the breasts can be reduced that much. It is possible, but the anatomy has to be favorable and the only to determine that is with an exam.

You would have to be seen in person to determine if it is possible to reduce your breasts to that extent. Difficult to say without an exam.  I will say if you are truly that large, reducing you to that size might be difficult.

The goal in a patient your age is to go as small as possible. Most insurers use 19 as the cutoff point and will also require documentation of conservative medical management regardless of size. You may also face the BMI hurdle given your weight and height. Some companies will waive this for gigantomastia as opposed to conventional macromastia. See a board certified plastic surgeon who can discuss your options and is knowledgeable about insurance rules.