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Breast reduction can lead to flattening of the breasts. If you want more volume at this point, then you may need implants.
Unfortunately, after a breast reduction, that is very, very common. Usually, when one has large breasts, the tissue (due to gravity) has stretched out and lost it's firmness (sort of like a stuffed animal that has soft loose stuffing). So, when a breast reduction is performed, even though the breast is higher and the nipple is at the center of the breast, the tissue has lost its ability to give "projection"the only way to get it would be to get implants - which might put you back to exactly where you didn't want to be size wise.
Every woman's breast is a mixture of glandular tissue and fat all intermixed. The ratio of gland to fat is diiferent in different people and also varies throughout life. Breasts have a higher proportion of fat with aging. Breast size changes as your weight goes up and down...
At size 34 each 100 grams of tissue corresponds to 1 cup size change. To go from a DD to a B would require 300 grams removal. Insurance companies may not authorize removal of this small amount desired. Size B may look disproportionately small on you. I recommend a new technique called The...
I am sorry to hear/see the problem you are experiencing. I would suggest very close follow-up with your plastic surgeon, who will always be your best resource when it comes to making a clinical diagnosis, treatment recommendations, and/or reassurance. Best wishes.