I'm 34ddd How Many Grams Would I Need Removed to Be a 34b? (photo)

     This is largely dependent upon tissue density of the breast and cannot be predicted.  I would recommend that you not go too small initially as all breasts deflate with age and with any additional weight loss.  It would be a bad outcome to reduce the breasts only to have to place an implant later.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts and reductions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA
 

Breast Reduction is a complicated procedure that is best done by those with the most training and experience. It is very difficult to determine the resultant cup size and shape based solely on the number of grams that are removed from your breast to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast reduction and lift surgeries, including different approaches, techniques and even fat transfer and implant choices if you are lacking superior breast fullness.This is because several measurements—not to mention breast characteristics such as density—are needed to determine how much and where to remove breast tissue to meet your goals. Without knowing your existing breast shape, dimensions, and the density of your breast tissue, it would be difficult to make this determination. For example, the same volume of breast tissue will weigh different amounts (measured in ounces or grams) in different people depending on its density. The existing base width of your breast and what you will ultimately want to look like will determine, in many cases, the maximal volume and weight that will need to be removed for the best result.Please click on the link below for more information!

Thank you for the question and pictures.  Despite best efforts, online consultants will not be able to, with any degree of accuracy, predict exactly how much breast tissue will need to be removed to achieve your goals.

 Most important and this regard will be careful communication with your plastic surgeon. Specifically, beforeundergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon.  Most patients wish to achieve  enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. 
With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small)  very helpful. I have found that the use of words such as “natural” or “B cup”  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 with your breast reduction procedure; hopefully you will be very pleased with the outcome of the procedure performed.

In my opinion between 600 to 1200 grams per side needs to be removed in order to obtain a b cup size. 

You can estimate that 200 cc of breast volume equals one cup size. Looking at your breasts a 500 cc reduction would be appropriate.  This should get you to a Full B to C cup size.  Remember this is only an estimate and an examination is necessary.  There are many factors to consider when making technical decisions about a breast reduction.  

A breast reduction is certainly possible, but reducing to a B cup may not be possible without leaving a poor shape. Remember a cup size may not correlate to volume reduced.

Glad to hear that you are considering a breast reduction.  Unfortunately, the question you are asking is very difficult on multiple levels.  First, cup sizes for bras aren't standard -- they vary based on the manufacturer of the bra, the way the bra is fitted, the style of the bra, the chest circumference, etc.  Because cup sizes are so variable, the exact number of grams per bra cup size cannot be accurately guaranteed.  Second, breast tissue varies in weight based on how much gland is present relative to fat.  I usually advise my patients that the goal of a reduction is to alleviate your symptoms related to having large breasts, but still have an aesthetic, proportionate breast mound with a viable nipple.  It is much better to base your satisfaction from surgery based on the breasts look and how you feel, not in trying to fit into a particular bra size.  I would suggest that you discuss your goals with a board certified plastic surgeon.  Good luck!

Unfortunately, it is impossible to guess what size breasts will be after a reduction even after an in-person exam--let alone an on-line opinion from pictures. There are just too many variables including how much glandular tissue is present, where it is located in relation to the tissue being removed, etc. Make sure your surgeon is certified by the American Board of Plastic Surgery and be sure to discuss your goals with him or her. Just remember: what is left i smore important than what is removed. Good luck to you.
 

Unfortunately there is no easy answer to that question and surgery is not designed to make a patient fit a specific bra. See an experienced surgeon and let him know your goals. Then be realistic when you go for surgery that you will have a much better and more comfortable proportion but it may not necessarily fit a 34B.