Can I go from a 36J to a full 36D or C? (Photo)

Question

Hi, I am currently wearing a size 36j and looking to get a Breast reduction done. I want to go as small as possible. Is it achievable?

Omar Lazos, MD · Answer

Breast Reduction it’s a 
reconstructive nature procedure as the objective is to eliminate the 
sagged tissue caused by the excessive weight. Patient has symptoms 
include of back pain, shoulder pain, headaches and rashes con the breast
 folds (intertrigo) due to excess sweating. 
  
The reduction technique improves the shape, size, position by the 
lifting effect which also produces a cosmetic result. Every breast 
reduction regardless the technique carries a risk of nipple blood supply
 (necrosis) compromise, especially with additional factors such as: 
mammary reduction >2.2lb (1kg) ; nipple areola complex lifting 
>3.9” (>10cm), dense and fibrous mammary tissue, breast lift with 
implant, secondary reduction, BMI >30, smoking, diabetes, mammary 
scars, malnourishment in post bariatric patients, predisposition to 
thrombotic events and the use of certain medications. The blood supply 
of the nipple is mobilized and disrupted during the reduction and 
lifting, thus the risk of necrosis. This complication can be partial or 
complete. Both complications are resolvable. When the loss is partial, 
proper wound care and the use of certain dressings will recover almost 
all the areola tissue, the only drawback is that it takes some time (3 
months). When all the nipple areola complex is lost, the aim objective 
is to the tissue heal properly and the scaring and inflammatory process 
subsides. When the time is right several reconstructive nipple 
techniques are available with good results, also there’s the easy option
 in having a 3D tattoo.  A breast reduction with a lifting more than 
15-20 cm, a free nipple graft is recommended. The free NAC graft has 
also drawbacks: limited graft intake, areola hipopigmentation, lack of 
sensitivity and projection (it flattens). The type of technique (pedicle
 or free graft) used depends on the surgeon´s experience and with he 
feels more comfortable. Patients have to be aware of the complication 
and accept the risk implicated in this type of procedures in case they 
decide to have breast reduction surgery.

Joel M. Stewart, Jr., MD · Answer

You have very large breasts and while a reduction would certainly improve the appearance of your breasts, you may not be able to get down to a B cup or even C cup. The larger the breast size and the greater the degree of reduction, the greater the risk for nipple loss.Hope this helps.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  You appear to be an ideal candidate for a breast reduction/lift.  Exactly what size your breasts will be after surgery though is nearly impossible to predict.  You need to be seen in person by a board certified plastic surgeon to determine what would be both realistic and best for you.All the best,Dr. ResultsMiami, FL

Larry S. Nichter, MD, MS, FACS · Answer

Sounds like you would be a good candidate for a breast reduction.Also known as reduction mammaplasty, this is an operation intended to reduce the size of a woman’s breasts and improve their shape and position. Frequently, the areola (dark skin around the nipple) is also made smaller. Women with excessive breast size, which may decrease a sense of attractiveness and self-confidence, are candidates. Functional symptoms (medical disorders) caused by excessive breast weight may be relieved or improved by this operation.Women who have large, heavy breasts, which may be the cause of movement difficulties, back, shoulder and neck pain, poor posture, bra-strap indentations and chafing under the breasts will benefit from reduction. Large breasts that interfere with normal daily activities or with exercise will be more comfortable when reduced#breastreduction#smallerbreasts

Andre Aboolian, MD · Answer

Yes you can go down to a D cup safely, however, going smaller in size towards say a B cup will increase the chance of nipple/areola loss and may not look proportionate to your body.

Steven Wallach, MD · Answer

Often with extremely large breasts you can not reduce them to a very small size  and maintain  good shape.  Likely a D or DD.

Ciro Adamo, PhD, MD · Answer

A breast reduction is always a compromise between a smaller cup size and a shape that is not too flat. It is impossible to guarantee a specific cup size, but you should surely notice a very significant improvement. If your goal is to go as small as possible, you may want to discuss a free nipple graft with your surgeon, which would allow to achieve a more extreme reduction compared to a normal, pedicled breast reduction.

Francisco Canales, MD · Answer

You appear to be a good candidate for a breast reduction. I would consult in person with a board-certified plastic surgeon to make sure your expectations can be met.  Although you will probably have a significant reduction and improvement in symptoms, t is difficult to predict a cup size after surgery.  Best wishes.

Sherwood Baxt, MD (retired) · Answer

Looking at your pictures that is a major undertaking. Doesn't mean it can't be done but it's a lot of surgery. If you find A board-certified plastic surgeon in your area that specializes in the Scarless reduction, liposuction only, it may be worth consider

Can I go from a 36J to a full 36D or C? (Photo)

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