Probably the most important
consideration with regards to breast reduction is not so much the cup size, but
whether the breasts are proportionate to the patient’s body weight and
frame. It would be somewhat unrealistic
to attempt a reduction from a B cup to a AA cup due to the fact that removing
the majority of your pre-existing breast tissue could result in a significantly
decreased blood supply to the nipple and areolar area. A reduction this small also, of course, would
be purely cosmetic and nowhere in the realm of consideration for any type of
insurance coverage. While you could
certainly discuss all of this with your board-certified plastic surgeon, it
sounds unlikely that a reduction on a B cup would be very realistic; however,
another consideration is that you may not be truly a B cup due to the fact that
bra sizes are inexact and vary between manufacturers. Therefore, a consult with a board-certified
plastic surgeon is recommended. I hope
this is helpful. Best of luck!
You present a challenging issue. Although your chest may appear large (AA to B) to you, I do not think any medical insurance would cover such a reduction. Furthermore, as you may, or may nor know bra cup sizes are notoriously unreliable and B in Victoria's Secret may actually be a B with other bras. Reducing your current breasts by the smallest amount WILL result in flat breast and would essentially be considered a Subcutaneous Mastectomy, an operation usually done for breast malignancy.
Lastly, a lot of Plastic surgeons may have a hard time performing this operation on you because they are aware that your cosmetic goals run contrary to those of the vast majority of women we see in our offices. There are millions of women with your breast size who love to go larger - not smaller.
I would encourage you to see several Plastic surgeons and discuss your concerns with them and then choose to follow the advice of the surgeon you feel most comfortable with.
Dr. Peter A. Aldea