Is it possible to become completely flat chested from a breast reduction? I am a C/D cup but I always wanted a flat chest

Hello and thank you for your question.Yes,  It is possible to be flat after having breast reduction surgery. This is a conversation you need to have with your surgeon. It is important that both you and your surgeon  are aware of your goal. Best of luck!

Tissue density will always play a big role in the number of grams removed.  Going too small can sacrifice the shape of the breasts.  The nipple has to have a blood supply to survive from the underlying tissue.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

we would need to review photographs of what result you are seeking. This can certainly be accomplished as we do similar surgery for cancer or transgender surgery. Enjoy the weekend!

Dear alunt,
complete removal of breast tissue is a common surgery in case of breast cancer andd it is called mastectomy. Breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The procedure that results in a completely flat chest is called a mastectomy where all the breast tissue is removed.  It is routinely done for breast cancer patients and it is not indicated for breast reduction patients. Breast reduction is designed to give you smaller but aesthetically pleasing breast mound.   The blood flow and innervation to your nipples must be maintained by leaving some tissue behind.  Discuss these details with your surgeon and convey your goals for an end result to see if they are attainable. Best wishes to you.

You may think you want a flat chest but a breast reduction is easy to over reduce.  Also a flat chest doesn’t look good with all those scars.  You don’t want to go that small then need implants placed later.

Yes, it is possible to be flat after breast reduction.  I would try and understand what your goals are.  Some folks say flat, and mean "a" cup and others say flat and mean "like a boy chest."  If it's the former, it's possible but hard to do.  Risks for nipple numbness and inability to breast feed would be larger than normal.  If it's the latter, it would require a mastectomy or taking the breast off, usually with transferring your nipple as a skin graft.  Would encourage you to talk to several surgeons until you find the one with whom you feel comfortable. I wish you the best. 

It is not unusual for women to want to be as small as possible. But one should temper enthusiasm for very dramatic reduction.
In many ways one of the worst outcomes of a breast reduction is a breast augmentation several years later. So unless your have a definitive diagnosis of gender dysphoria I would be careful what you wish for and trust your surgeon to maintain a smaller feminine shape.

Thank you for the question and congratulations on your decision to proceed with breast reduction surgery. You may be surprised to know that your goals/requests are not that unusual.   I see several patients every year who wish to achieve as small of a breast appearance outcome, for a variety of personal reasons.
 Generally speaking, it is possible to reduce the breasts size very significantly.  The concern with the amount of tissue removed is related to blood flow to the remaining tissue; if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola) may be compromised. Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible) then patient will likely have problems with tissue survival.   Occasionally, a staged procedure is helpful; in others, nipple/areola grafting is helpful.
 In my opinion, successful outcomes with  etc. surgery depend on:
1.  Careful selection of plastic surgeon (and from the surgeon's  standpoint, careful selection of patient).  I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. ***Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.
2.  Careful communication of goals ( which I will discuss further below).
3.  Skillful execution of procedure ( preoperative, intraopererative, and postoperative patient management).
In my practice, I would ask that you NOT communicate your goals, or evaluate the outcome of the procedure performed, based on cup sizes.  There is simply too much variability when it comes to bra sizes between bra manufacturers and even store employees doing the bra fitting measurements.
 
In my practice, I ask patients to communicate their goals with the help of  computer imaging and/or goal photographs,  as you have done here.  Obviously, the outcome associated with the breast surgery will not necessarily match that of goal photographs perfectly, but they do serve as a better communication tool that subjective terms such as "natural", "proportionate", "flat"… Evaluating goal photographs also allows for a plastic surgeon to determine the consistency of the patient's goals and allows for a discussion of realistic expectations as well.  
***Needless to say, when it comes to achieving patient satisfaction with the outcome of surgery,  it is very important that a patient has consistent goals (fully decided on what she would like to achieve) and a good understanding of realistic expectations (what outcomes can and cannot be achieved). 
 Best wishes with your decision making and for an outcome that you will be very pleased with.