Can D cup breasts go to AA cup?

Hello and thank you for your question.
It is possible to go from a D to AA with breast reduction. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!

Hi Callie,
I would recommend making a consultation appointment with a Board Certified Plastic Surgeon. Upon examination of the chest, the surgeon will make physical measurements of the breast that allows them to determine whether or not they would be able to perform such a reduction to achieve the desired AA cup. A limitation to such a radical reduction would be whether the surgeon felt that they would be able to preserve adequate blood flow to the tissue/nipple after removing such a large amount of tissue. Again, a consultation with a Board Certified Plastic Surgeon would provide the answers you are searching for.

Hi Callie lowe,
Keeping the nipple alive in breast reduction requires that the nipple remains attached to underlying breast tissue. The tissue that keeps the nipple alive is generally called the "pedicle". There is a minimum volume of breast tissue which needs to be kept, in order to accomplish nipple movement and nipple vascularity. As such, there is a minimum size that your surgeon can make you after reduction.
I would suggest meeting with a board certified plastic surgeon to discuss how small you could be after reduction.
Hope this helps.
Sincerely,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in New York City. A breast reduction is a customized surgery that is tailored to each individual. The amount of breast tissue and skin removed depends on the aesthetic goal of each patient. There are many surgical techniques for breast reduction surgery. My recommendation is for you to see a trained plastic surgeon who can discuss your surgical options so that you can make the best decision for yourself.

Generally you want to avoid going that small with breast reduction. Breasts that are over reduced tend to look terrible and have poor shape

Yes, breasts can be removed so that you are very flat, but this will require that your nipples are removed and then grafted back in place. You will have no sensation or feeling in your nipples and some nipples may not survive. This is very drastic and most plastic surgeons will try to talk you into a reduction keeping enough breast tissue present to keep your nipples alive. This mastectomy is usually done for transgender patients and those who are in institutions and are difficult to control rashes.

When a breast reduction is performed it is important that there is adequate tissue remaining to form an aesthetically pleasing breast shape and adequate blood supply for the breast and nipple/areola complex. I encourage you to visit with a board certified plastic surgeon near you to discuss your surgical goals and learn what you can expect in terms of results.

The amount of tissue that can be reduced during breast reduction surgery depends on the multitude of variables. Without seeing pictures, we can’t make an assessment. A distance of the nipple to be inframammary. Fold is one variable that may limit how the procedure can be performed. Removing too much tissue can damage the blood supply to the nipple and areola leading to severe complications, including tissue necrosis.
Sometimes the procedure can be altered. If it more drastic result is desired. This could include removing the nipple in areola and replacing them as free tissue grafts.
In that case, there is no limit to how much tissue can be removed, but the outcome may not be aesthetically desirable.
I suggest having a few in person, consultations for local board-certified plastic surgeons in your area.
Best,
Mats Hagstrom, MD