How small can I go with a breast reduction?

 Thank you for the question.
Yes, breasts can be reduced to a very small cup size. 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.  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 “as small as I can” or “A 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.I hope this, and the attached link, helps. Best wishes.  

During a breast reduction the surgeon must leave enough tissue to maintain blood supply to the nipple.  I never promise a cup size, because all bras fit differently.  I tell my patients who want to be small that I will make the breasts as small as I can while maintaining adequate blood supply to the skin and nipple.  That being said a "B cup " should be attainable ,maybe even smaller.  Discuss your expectations with your surgeon.  Jane

I appreciate your question.

The best way to assess and give
true advice would be an in-person exam.

Please see a board-certified
plastic surgeon that specializes in aesthetic and restorative breast surgery.Best of luck!

Dr. Schwartz