Can I reduce my breast size from a D to A/AA cup? 23 y/o not concerned about nipple sensation or breast feeding

Hello and thank you for your question! I will preface this by saying that everyone is different in their body size, proportions, breast tissue density, etc and we as plastic surgeons cannot promise specific cup sizes with any procedure. Moreover, a large percentage of women aren't wearing the proper bra size and this measurement can also vary from manufacturer to manufacturer. However, in general, most women can go down about 2 cup sizes (possibly 3 if you are starting from a very large cup size) with a standard pedicled breast reduction. In your case, if you truly are a D cup, I would expect ending up in a full B cup range after a breast reduction is reasonable. Going down to an A cup, however, would be a more unrealistic jump, unless you were to have a breast reduction with free nipple grafting. As you mention, this procedure will sacrifice nipple/areola sensation and function; however, it allows surgeons to remove more tissue. As always, I recommend an in-person consultation with a board certified plastic surgeon to do a full history and exam and answer your specific questions fully.

Hello @Resourceful543288, thank you for your question. A consultation is essential to develop a surgical or non surgical plan that meets your needs, fulfills your expectations, and takes into account what can actually be achieved. During your consultation, your surgeon will be able to assess your unique needs and develop a treatment plan that is tailored to your needs. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Hi, thank you for sharing your question. The ability to achieve a particular cup size will depend on your in person examination but in principle, yes.

It would be good for you to get a specific evaluation, but based on what you mention, i don't see the problem with getting a meaningful reduction!

Under the conditions you described (not concerned about breast feeding, nipple sensation or nipple grafts) the answer is yes!

Thanks for your question! You can certainly get your breasts very small. I would caution going too small. You have certain goals now, but they may change in the future. Keeping a functional breast is the ideal choice if it's possible. Please consult with a qualified surgeon in your area. Good luck!

Thank you for your question. Several factors like the amount of volume you have to lose or what incision technique is used affect how many sizes you can expect to lose with breast reduction surgery.
We recommend you lose one or two cup sizes. I don't recommend my patients go from size D to A in one surgery. The reason s blood supply. If too much tissue is removed in one operation, the blood flow to the areola may be compromised. As you mentioned, you aren't concerned about the sensation so this will not be a big problem for you. However, I still recommend you go down to size B instead of A to lower the risks and still maintain a feminine look. Best wishes.

Yes, this can be done but I do not recommend it. Free nipple grafts often have complications with partial nipple necrosis and is not always the safest thing to do.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your question. Unless you were wanting to get rid of all breast tissue (mastectomies), it would not be wise to take that much breast tissue. Taking that much breast tissue would not be ideal for aesthetics or healing. You would risk necrotic tissue and other healing concerns in the post op period.

I would not reduce anybody that small. If you do the shape will be terrible. I answer questions commonly from women whose complaint is that their breasts were over reduced