Would it be possible to go from a 36DD to a 36B? Would it require multiple surgeries? (photos)

You would likely only need one surgery to achieve a breast reduction surgery.  This can often be covered by our insurance if you have neck pain, back pain, bra-strap grooving.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable.  Additionally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery, a member of the American Society of Plastic Surgery (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS).
Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach Trained, Double-Board Certified Plastic Surgeon 

Because you've proven that you can maintain a healthy weight and your breasts remain too large for your frame, you seem to be an ideal candidate for breast reduction surgery. I believe you'd get good results from the procedure. While it's difficult to plan the surgery using cup sizes, a reduction from a DD to a B should make for a straightforward procedure. I don't see any reason why you would need to undergo multiple surgeries.  

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BR Always insist on a board certified plastic surgeon.

Yes, yes! You are a great candidate for a breast reduction, and can easily go to a B cup size in one surgery. I ask that you keep a few things in mind as a young woman wanting this surgery. If you have plans for having kids in the future - that your breast size with change with pregnancy and breast feeding, so be prepared for future changes in breast size. Also, your ability to breast feed may be affected - not that you won't be able to breast feed. More that your milk supply may be low, and that you may need to supplement. If you don't have plans for having kids in the future, then I wouldn't worry about this. If you have shoulder, back and neck pain from the size of your breasts, you may even be able to get it covered by insurance. Please find a board-certified plastic surgeon who you feel comfortable with. All the very best to you. 

Thank you for your pictures and questions. You are an awesome candidate for breast reduction surgery. I think if you want to be a B cup, this could easily be achieved in one surgery. Just make sure you communicate your goals clearly with your surgeon and make sure you are seeing a local board certified plastic surgeon. Best of luck!

Generally the limiting factor in determining how small you can be after surgery is dependent upon the degree of droop.Its hard to tell just based on your photos, but i think a B cup is achievable.

would require a very aggressive excision and even the need for nipple grafts due to how large and droopy you are starting at.  If you really wanted a B cup  (remember, you would need implants if you felt you were too small), I would employ the amputation reduction method to achieve your goals with one operation... and I may still be too large.  But with you glandular tissue excised, liposuction alone can be done to further take you down if you felt you were still too large.  Be cautious of what you wish for as you may not really like it on a frame a tall as yours.

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!

Looking at your photos I might say that you´ll be a great candidate to get a breast lift with implants, this is because your chest looks a bit saggy and the implants will definitely help you fill the superior pole of your breast giving you an excellent and beautiful shape.

Before all this, of course, you need to get to a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.

Have a great day!

Dr. JPG

Thank you for the question and congratulations on your significant and sustained weight loss!  You may be surprised to know that your goals/requests are not that unusual.   I see several patients every year who wish to achieve as small of a breast appearance outcome, for a variety of personal reasons.
 Generally speaking, it is possible to reduce the breasts size very significantly.  Based on the sophistication of your question, I think you may already understand that the concern with the amount of tissue removed is related to blood flow to the remaining tissue; if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola) may be compromised. Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible) then patient will likely have problems with tissue survival.   Occasionally, a staged procedure is helpful.
I think that you are wise in understanding the importance of preoperative communication when it comes to achieving an outcome that you will be pleased with. In my opinion, successful outcomes with  etc. surgery depend on:
1.  Careful selection of plastic surgeon (and from the surgeon's  standpoint, careful selection of patient).  I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. ***Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.
2.  Careful communication of goals ( which I will discuss further below).
3.  Skillful execution of procedure ( preoperative, intraopererative, and postoperative patient management).
In my practice, I would ask that you NOT communicate your goals, or evaluate the outcome of the procedure performed, based on cup sizes.  There is simply too much variability when it comes to bra sizes between bra manufacturers and even store employees doing the bra fitting measurements.
 Generally speaking,  for the benefit of patients undergoing breast reduction surgery:  it will be very important to communicate your size goals with your surgeon. Most patients wish to achieve a enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. Again, I suggest that you do not communicate your goals in terms of achieving a specific cup size. For example, a “B cup” may mean different things to different people and therefore may be a source of miscommunication.
In my practice, I ask patients to communicate their goals with the help of  computer imaging and/or goal photographs,  as you have done here.  Obviously, the outcome associated with the breast surgery will not necessarily match that of goal photographs perfectly, but they do serve as a better communication tool that subjective terms such as "natural", "proportionate", "B or C cup"… Evaluating goal photographs also allows for a plastic surgeon to determine the consistency of the patient's goals and allows for a discussion of realistic expectations as well.  
***Needless to say, when it comes to achieving patient satisfaction with the outcome of surgery,  it is very important that a patient has consistent goals (fully decided on what she would like to achieve) and a good understanding of realistic expectations (what outcomes can and cannot be achieved). 
 Best wishes with your decision making and for an outcome that you will be very pleased with.

Thanks for providing your photos.  With your size, frame and weight, you should get an excellent result from a reduction mammoplasty or breast reduction.  It is very likely that your health care insurance will cover it as well.  Your expectations are quite realistic.  Bra sizes are not standardized but you could easily get the size of your "wish" photos.  A Brazilian or super pole technique should give a shape very much like that for you as well.  With this technique you should still be able to breast feed if you ever want or need to as well.
I have added a video of a woman who recently had a breast reduction and she talks about her experience.
I hope that helps.
Best regards.