I am a 36DD and would like to go down to a C cup. How much tissue should be removed? (Photo)

At size 36, each 200 grams removed corresponds to 1 cup size change. 400 gram removal will take you down from a DD to a C. The technique I recommend is 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 without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

In the most general of terms, 125 - 150 grams equates to roughly one cup size of breast tissue. This is of course variable but at least a starting point.

Hi,
Thank you for the question.
Based on your photos, you appear to be a great candidate for breast reductions surgery. During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller. It is easiest to think of breast reduction as including the breast lift.
Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms. In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management.
It is difficult to predict the exact cup size, but I typically tell my patients that the goal should be for the breasts to be smaller and lifted, while proportionate with the rest of the body.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results