How small can I go with a breast reduction?

but trying to go below a B cup can be very challenging.  I've done transgenders who didn't want breasts and they essentially got a subcutaneous nipple sparing mastectomy.  The challenges in achieving a small cup is getting the base diameter right as its more common to have a very broad base with reductions.  Your surgeon can be aggressive in the approach but an A cup, in my opinion, is not really achievable with one procedure and subsequent revisions may help you there.

Thank you for your question.  You need to be evaluated in person by a board-certified plastic surgeon to determine what would be both best and realistic for you.  All the best,Dr. ResultsMiami, FL