How many cc is needed to be at wanted size? (Photo)

Question

I am 22, 5’9”, 160lbs with size 36DDD/F breast I’m looking to be a size 34C. How much cc would I need to be removed to get to this size.

Gary M. Horndeski, MD · Answer

At size 36, each 200 grams removed corresponds to 1 cup size change. You would need 600 grams removed from each breast to go from a 36 DDD/F to a 36 C. The reduction will not change your diameter of your chest so you will still be a 36 not a 34. The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Irena Karanetz, MD · Answer

Hi,

Thank you for the question.

Based on your photos, you appear to be a great candidate for breast reduction surgery.  During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller.  It is easiest to think of breast reduction as including the breast lift.

Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed (in grams) in order to improve your physical symptoms.  In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management.

The goal of breast reduction surgery it to make the breasts smaller and lifted, but also proportionate with the rest of your body.

I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss  your options, specific techniques, concerns and expectations.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 
I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Alexandrish Karvendrish Rodríguez Tavárez, MD · Answer

Hello! Thank you for sharing your photos. It's important to consult with a board-certified plastic surgeon for personalized advice based on your unique situation. The amount of breast tissue that needs to be removed to achieve a specific cup size can vary widely among individuals. Factors such as breast density, chest wall dimensions, and overall body proportions are crucial considerations in determining the appropriate amount of tissue to be removed. During the in-person consultation, clear options will be determined for your case. However, based on the photos you have sent us, we can achieve excellent results that align closely with your desires. Thank you!

Murat Diyarbakirlioglu, MD, FEBOPRAS · Answer

It is hard to provide this information according to the photos only however, depending on the previous surgeries done, we would need to remove between 400-500 grams of excess skin to gain the wanted result. 
Breast lifting and reduction will be done.

Connie Hiers, MD, FACS · Answer

Your surgeon can measure you to see what cup size you truly are. Each cup increase is around 150 grams of tissue. Your insurance company would need a minimum of 500 grams per breasts, and some increase that amount if you are over ideal weight based on your actual weight.  Your surgeon can send for prior approval with your insurance company to see if you would be covered.

Camille Cash, MD · Answer

Breast cup sizes are not exact so it's difficult to give you an exact amount.  We use them as guidelines to help the surgeon and patient understand expectations from surgery.  I encourage you to visit with a board certified plastic surgeon near you.  Bring along wish photos of those who have a similar body type as yours who have the breast size you are wanting.

Scott C. Lindsay, DO · Answer

Hello, thank you for your recent question and photos.  Breast size and cc is subjective as different bra makers can range in size.  Your breasts could be very dense so the amount of cc could be different from someone with less denser breasts. It just best to give your surgeon a ball park on the size you want and if they can safely get you close to that or that size is best. Best of luck!

Mark Eberbach, MD · Answer

This is always a tough question because there is no standard in bra sizing and chest circumference and armpit fat and breast width is confounding.

Having said that, it is about 200 to 240 gm per cup size at your height and weight. No guarantees.

Good luck.

Mats Hagstrom, MD (license on probation) · Answer

Measurements for breast reduction surgery is usually done by weight rather than volume.
1 mL is pretty close to a gram so you can probably use either measurements.
Surgeons usually anticipate an approximate amount of tissue to be removed for insurance purposes.
In reality I think it’s best to review a lot of before and after pictures to explain what you’re hoping to achieve to get an idea of what typical results look like for each provider you consult with.
I typically don’t like working with because it’s subjective and imprecise.I usually describe outcomes more in ratios like removing 1/3 to 1/2 of breast tissue sometimes 2/3 can be removed.
There are some inherent limitations of how much tissue can be removed without incurring increased risk with breast reduction surgery.
There are also different techniques that can create certain benefits or limitations as well.
I suggest having multiple in person consultations with plastic surgeons in your community.
Best,
Mats Hagstrom, MD

How many cc is needed to be at wanted size? (Photo)

Answers (9)

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