Hi Rose! No surgeon can answer this question without knowing what your 32DD or 32DDD bras look like, how your breasts "fit" in that particular manufacturer's brassieres, and what the planned B cup bra will look like with your reduced breasts in them. However, I CAN tell you how much tissue needs to be removed in order for insurance to cover your surgery-- the formula is based on height and weight, which you so kindly provided!At 5' 3" and 114 lbs., your chosen surgeon will need to remove 267 grams per breast, as determined by the Schnur formula that virtually all insurance providers utilize. However, they also require "minimums" of 400 grams per breast to be removed. Since there are 454 g per pound, you will need to have nearly a pound removed per breast. One gram less than 400g and insurance will deny your claim and you get the entire hospital or surgicenter bill. Call and ask a couple what their "typical" charge is for outpatient breast reduction surgery taking 3 hours, including professional fees (surgeon, anesthesia), operating room, and supplies/medications/IV fluids etc. You may get a shock!Depending on your anatomy, removal of at least 400 g per breast may nearly mastectomize you, or it may leave you with tiny breasts disproportionate to the rest of your body (at least a body that has been large-chested since puberty), or you might be just right.It might help you to understand that virtually every woman with large uncomfortable (physically and emotionally) breasts THINKS she will be OK with small breasts. I absolutely understand that and have heard it many times over the 27 years in private practice I have been doing breast reductions from small to massive. What many (not all) don't realize is that being "too small" is just as much of a curse as being too large, and then they bitterly regret going too small just to satisfy an insurance "requirement." I've done far too many breast augmentations after "too much" breast reduction. That is truly a shame when the woman had "enough" breast tissue to be any size she wanted, if only she had undergone the breast lift or "cosmetic" reduction (smaller amount than required by insurance "minimums") by self-paying.Insurance may "cover" a too-small breast reduction, but then you have to pay for the elective surgery to return to the "ideal" size you COULD have had.Please Google the Schnur formula (based on BMI) and check your insurance company's "minimum" tissue removal requirements and you will see that you must have 400g removed for "coverage." Whether or not that translates to a B cup is dependent on lots of other variables and cannot be (truthfully) answered. Best wishes! Dr. Tholen
