Possible to Go from a D Cup to a B Cup on Petite Woman?

Hi, I am in early twenties, 5'2, weigh 110. I have been 34D since I was 14. My nipples are 2 inches lower than I want them to be, and my breasts are heavier than compatible with a lifestyle as active as I want. (I have tried many different bras and sports bras.) I want to be a B cup, not D. What do you think? Thanks!

Doctor Answers 10

Impossible To Guarantee Cup Size

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Although it’s impossible to guarantee a cup size following breast reduction surgery, it’s highly probable that a B-cup is attainable in your case.The majority of patients who are undergoing breast reduction surgery want resolution of their symptoms and improved breast aesthetics.
Improvement in breast aesthetics requires the creation of new breasts with good shape and contour that have been lifted into proper position.It’s important that they have good harmony, balance and proportion with the surrounding structures.For many women, this occurs when their breasts are measured as B-cups.
Unfortunately, cup size means different things to different people and there’s virtually no correlation between breast volume and breast weight.For this reason, it’s important to have good communication with your surgeon.In the final analysis it’s important that your breasts fit nicely on your body.

Breast Reduction and Breast Size Afterwards?

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Thank you for the question and pictures.

Congratulations on your decision to proceed with breast reduction surgery. It is one of the most patient pleasing operations we performed. 

I think your stated goals are perfectly reasonable.

Before undergoing the breast reduction procedure it is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

Best wishes.

Breast uplift with small reduction

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You are an excellent candidate for a small reduction in your size and an uplift of your breasts. This should help you achieve your goal. Unfortunately, because you have been large for so long, your breasts have sagged at a much earlier age. Watch my video.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

Breast Reduction Surgery

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You have large, sagging and asymmetric breasts which can be readily transformed into smaller and perkier breasts. I doubt the amount of breast tissue removed would be permitted under your insurance plan. You will probably have to pay for it out of pocket. A Short Scar Hall-Findlay Breast Reduction would,in my opinion, give you the best and longest lasting result.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Easy to go from D cup to B cup with breast reduction.

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I think your expectations for breast reduction are entirely realistic.  You need a vertical breast reduction (Hall-Findlay technique) with lollipop scars that will give you good long term shape.  You probably need to have about 300 to 350 grams of breast tissue removed from each breast.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Risks of breast reduction

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More aggressive breast reductions carry the risk of compromising the nerve or blood supply to the nipples.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Breast Reduction Surgery

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From your measurements and your photos, it does appear that you may be a very good candidate for breast reduction surgery.

Of all the surgeries that we as plastic surgeons perform, breast reduction has one of the highest satisfaction rates.  It is life changing!

I would recommend you see a board certified plastic surgeon to go over your options.  Your insurance may also cover this as well.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

D to a B cup

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In performing a breast reduction, you have to maintain a certain amount of tissue on the breast mound as well as the skin flaps to preserve the blood supply to the tissues. Getting down to a "B" cup may need leave you with enough soft tissue for shape as well as blood supply.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

D cup to a B cup

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Of course a reduction mammoplasty will accomplish this for you. Seek 3 opinions from boarded surgeons in your area. Happy 4th

Dr. B in MIAMI 

Breast Reduction to B Cup

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It appears that a reduction to a B cup in your case is certainly possible.  You should seek a consultation with a Board-certified Plastic Surgeon.  You can either ask your family doctor for a referral or check the ASAPS or ASPS web sites.  Good luck!

John Whitt, MD (retired)
Louisville Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.