Can I Go from a 34DD to 34C and Still Meet 500gram Insurance Requirement

If you wear a size 34 bra then each 100 cc's is 1 cup size change.  To go down 500 cc's, you will be about a size B.  However, you described that the purpose of the breast reduction is to reduce the stress on your small frame.  You are a candidate for a new procedure that transfers weight to the underlying pectoral major muscle to relieve neck, back and shoulder pain.  From what you have described you will NOT meet insurance requirements and you will end up paying for it yourself.  If that is the situation, you would be better off getting what you want then getting too small of breasts just to meet the insurance criteria.

Best of Luck,

Gary Horndeski, M.D.

An exam would be necessary to answer your question. Bra sizes vary and a 32C is basically equivalent to a 34B. You should discuss your expectations with a board certified plastic surgeon. I have seen few companies which permit 350 gram reductions at this time and many have additional requirements. If you are truly seeking a reduction because of back pain, then at your height and weight, a slightly larger resection may be in your best interests in terms of alleviating your symptoms.

The amount of weight that needs to be removed per cup varies by chest wall measurements as well as the density of the breast.  Based upon my personal experience, I would expect a 500gm reduction  would be more likely to result in a B cup breast.  When you mention the insurance requirement of 500gm, you should be advised that insurance company rules do vary - for example, for someone your height and weight, Aetna would require an approximately 300gm reduction (please note, this is not meant to endorse any specific insurance carrier, and they each have their own additional requirements).

I recommend that you consult with a board-certfied plastic surgeon experienced in breast reduction.  After performing a physical exam, the surgeon should be able to give you a better idea where you may end up after surgery (keeping in mind that bra sizes are not standardized across manufacturers).

Good luck.