Would going from a 38H/I to a DD be something that would look nice or would that to be too much?

Hello and thank you for your question.
Schedule a consultation with a board certified plastic surgeon to discuss your options. Look at before and after pictures. You and your surgeon can come up with a plan together. Best wishes!

In general, reducing your breasts to a DD range should be feasible. With very large breasts, as you are describing, there is generally a limit as to how small your surgeon can make your breasts. However, a DD range is very reasonable. Typically, when women are looking to go to a small C or B cup from very large breasts, I caution them that I will not be able to get them to a size that they may be comfortable with. However, it sees like you have reasonable expectations and should be happy with the results of your procedure.

Thank you for your question.
Without photos or an in-person examination, it is difficult to say how much your breasts can be reduced. I recommend meeting with a board certified plastic surgeon to discuss your goals and options. Based on a calculation called body surface area, they should be able to calculate the grams of breast tissue indicated by insurance that need to be removed. In my opinion, this may be an appropriate expectation when undergoing this procedure.

I encourage you to begin by visiting a board certified plastic surgeon near you for a consultation. During this meeting you'll learn more about the procedure and you will discuss the amount of tissue that is recommended to be removed to get you to a size that fits with your body and your goals. Typically women reduce their volume by multiple cup sizes and are very pleased with the results!

Hi,
Thank you for the question. Based on what you are describing, it does sound that you have large/heavy breasts causing physical symptoms, and breast reduction may be an option for you. However, it is difficult to tell without seeing the photos and/or in person consultation.
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 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. It is reasonable to to expect C/D cup breast size after the breast reduction surgery.
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 KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Many women with large breasts achieve a very natural look with a reduction to a DD. Desired cup size is generally used as more of a guide than an exact measurement (as each bra manufacturer uses different dimensions to classify size).
Regardless of how small you decide to go, breast reduction is intended to relief symptoms of back pain and difficulty fitting clothing you are experiencing. An added benefit of breast reduction is the breasts are re-shaped and re-draped leaving them looking lifted and perkier.

Unfortunately, you have not provided photographs. However, at size 38, each 200 grams removed corresponds to 1 cup size change. You would require a removal of 600-800 grams which may or may not be appropriate for your body. 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.

Dear Straightforward3556,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hi, thanks for your question. You are a candidate for Breast reduction or Mastopexy. The procedure consists of extracting tissues and skin to give you the desired breast size. You can have great results and stop pain and discomfort. Consult a board-certified plastic surgeon in your area for an in-person exam. Good luck!