Can I Go From a DD to a Perky and Firm C?

A breast reduction, does just that - reduces the size of your breast.  In doing so, it will also shape your breasts and bring your nipple-areolar complex to a more appropriate position, as those that typically require breast reduction will have large and ptotic ("drooping") breasts.  A breast lift does the same, however, the difference being that not as much, if any breast tissue is excised. Both will give a rejuvenated, fuller, and more "perky" appearance of your breast shape.  

Now, what you are wishing for, it sounds as if you may need an implant along with your breast lift in order to accomplish the results that you are looking for.  While the concepts of reducing the breast and also placing an implant may sound antagonistic, it is certainly an option for those seeking for an appearance similar to what you are describing.  It is difficult to answer your question without examination, but it is certainly possible to get the results that you describe.  A consultation with a plastic surgeon to evaluate your breasts and assist you in making the decision as to which procedure(s) would be right for you in achieving the results that you desire is advised.   Thank you for your question!  Hope that these answers help!

Most of the firmness you will have after a reduction is going to come from your natural breast tissue.  If it is mainly fatty, firmness will be hard to achieve.  If it has a lot of firm breast tissue, we can get a firmer result.

 

Using an implant can help, but it requires performing a more extensive reduction and then making up for the volume with an implant. there are limits and pitfalls to this approach and your surgeon will need to exercise their judgement here.

Your desire to go from a DD to a C and change the shape of your breast is very reasonable and can be accomplished by a breast lift / reduction.  Many times I use the patient's own breast tissue and fold it up under the breast to give more upper pole fullness and simulate the use of an implant.  This is termed a vertcal mastopexy with a dermal pedicle autoaugmentation.  

A reduction may give you the volume of breast your looking for. It is difficult to say for sure without seeing you, but it will not give the look of an implant.

Breast reduction surgery can improve significantly the shape of the breast especially when a vertical breast reduction is performed. However, with time ,gravity will make the breast look deflatedvon the upper part of the breast. Breast implants on the otherhand help to maintain a firm  perky look.

If you are going to have a breast reduction surgery a vertical breast reduction  such as superio-medial pedicle breast reduction will help to look as perky and firm as it can be without breast implans.

 

Traci Temmen M.D

Breast Reduction Surgery Specialist

Plastic Surgery Center of Tampa