Am 42 years old and weight 236lb. My breast size is 40DD. I want to know if I could get a breast reduction to a C cup?

Although it would be ideal for you to loose some weight first, you can have a reduction now. Just know that if you loose weight after, your breasts will p robably get smaller.

I think that you should first lose weight because if you lose weight after your reduction. the breast size will likely get smaller.

Thank you for the question. Based on your description, you may be an excellent candidate for breast reduction surgery. This operation tends to be one of the most patient pleasing operations to perform. “Typical” patients who present for breast reduction surgery are women who have disproportionately large breasts, causing problems such as neck/back/shoulder discomfort, postural changes, bra strap grooving, skin irritation/rashes under the breasts, and/or difficulty with activities of daily living and/or exercise etc. There may be both physical as well as psychosocial “stress” caused by the disproportionately large breasts.Reducing breast tissue mass and elevating the breasts on the chest wall tend to improve or alleviate many of the symptoms associated with the disproportionately large breasts.Patients considering breast reduction surgery should also consider the potential downsides (risks/complications) associated with the procedure as well. Poor scarring, for example may be associated with the procedure. Additional surgery may be necessary in the short or longer term for a multitude of reasons. Timing of service should be individualized based on the specific patient's life circumstances and preferences.When the time is right, I suggest that you seek consultation with well experienced plastic surgeons who can demonstrate significant experience achieving the types of outcomes you would be pleased with.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.Once you have chosen your plastic surgeon carefully, it will be important for you to communicate her goals carefully as well. In my practice, I asked patients to use as many “visual aids”, such as goal photographs, during the communication process. Avoid the use of subjective terms; for example, "C cup” and/or “proportionate"… these terms can be confusing, since they may mean different things to different people. I hope this, and the attached link (dedicated to breast reduction surgery concerns), helps. Best wishes.

Hi there and thanks for posting,Absolutely your surgical goals seem realistic and achievable. However as to whether that is the right thing to aim for for you as well as the technique I would use to achieve that goal  would require a full history and examination.What I can provide here is some general information about how I assess breast reduction patients and the key things for you to consider.For example although you list your weight, you do not list your height, so it is difficult to know how that would look in proportion to the rest of your body. Secondly depending on the amount of ptosis (droopiness) that you have, the technique we use may vary to ensure the most reliable blood supply for your nipple. Finally locking in to an exact cup size is very difficult and fraught with disappointment. Cup sizing is not an exact science!!!!  It varies with chest dimension as well as brand of bra. That said it does convey a concept of what you are trying to achieve i.e. decrease your breast size by around 2 cup sizes.The next step for you I think is to see a plastic surgeon who has an interest and experience in breast reduction surgery.Breast reduction patients are generally the most satisfied patients in a plastic surgeons practice, so I am sure you will do wellBest wishesRichard