I wear a size 34DD bra size and I want to reduce to a 34B. Any suggestions?

Thank you for the question. Based on your description, you may be an excellent candidate for breast reduction surgery. This operation tends to be one of the most patient pleasing operations we perform. “Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts.Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.
Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well. Poor scarring, for example may be associated with the procedure. Additional surgery may be necessary in the short or longer term for a multitude of reasons.When the time is right, I suggest that you seek consultation with well experienced plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with. I would suggest that you communicate your goals clearly with your plastic surgeon and make sure that you have realistic expectations prior to proceeding with any type of surgery. Ask to see lots of examples of his/her work so you feel comfortable that he/she can achieve the outcome you are looking for. In regards to breast size desired, also communicate carefully. In my practice the use of goal pictures are helpful in this regard; a discussion of cup size can be confusing and imprecise. For example, “B cup” or “proportionate" may mean different things to different people, and therefore may be a source of miscommunication. In other words, I would not suggest that you communicate your goals and/or base your satisfaction with the outcome of surgery on achieving a specific cup size. Also, keep in mind that removal of a certain amount of tissue does not necessarily correspond to the achievement of a specific cup size. I hope this, and the attached link (dedicated to breast reduction concerns) helps. Best wishes.

as a B cup is quite small, even more so on wider chests.  Bottom line, no one can guarantee a cup size when having a reduction.  I allow my patients to instruct me on whether I should do the normal procedure (results usually C+ or more), be aggressive (C cup or less), or be as conservative as possible (but why are you having this operation then) and have the biggest cups possible, yet meeting your insurance minimums.  You should discuss your concerns with your surgeon and be allowed to direct your surgeon towards the goals you desire.