Would a vertical / lollipop breast reduction help me get from a DDD to B cup? (photos)

Thank you for your query. Based on your photographs you appear to be a good candidate for a vertical scar only breast reduction. If you are in otherwise good health and are a non smoker, getting your desired breast size of a B cup should be possible. Please discuss all your concerns with the Board certified plastic surgeon you choose. All the best!

Hi Rational,
As you probably know, bra sizes are not scientific! You could go to three different stores and come back with three different bra sizes. I gather from your question, that you're looking to be much smaller than where you currently are. And that's achievable! As long as there is good communication between you and your surgeon- you feel like you are heard and understood- I'm sure you'll be happy with the results. All that is to say, don't get caught up on the cup size! I perform most of my breast reductions with the anchor pattern- especially for those looking to go down significantly in size. That pattern allows for optimal repositioning of tissue in my opinion.
I wish you the best of luck in your search for treatment!
- Dr. Nik

Dear Rational409790,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

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.

Thanks for your question! I do think getting you a smaller, perkier size is achievable, but I try to tell patients not to focus on the cup size. I would also encourage you to discuss your goals with your plastic surgeon. Good luck!

From the photos it appears you are a good candidate for a breast reduction. This will remove excess skin and breast tissue as well as downsize and lift the areola. An in person exam is best to determine the best approach to get you the results you are wanting. I've included a video I hope you find helpful.

A vertical mastopexy is an excellent procedure because it avoids the scar along the breast fold. However, it is best reserved for patients with good skin tones. Otherwise, you will end up getting revisions. A board-certified plastic surgeon will be able to give you a more definitive answer after examining you

I would recommend the full anchor incision. In patients who opt for the vertical or lollipop incision, they are more likely to have revisions later on because you cannot remove as much skin at the time of the procedure. The full anchor incision removes the maximum amount of skin and if placed properly, the horizontal incision is hidden nicely in the fold under the breast. Please visit with a board-certified plastic surgeon and review before-and-after photos. Good luck!

You might wind up a "C" cup because enough breast tissue much remain to keep your nipples alive. A "B" cup is small.