Is a breast reduction suitable from a d cup to a b cup?

At
size 32 each 100 grams of removal corresponds to 1 cup size change.To go from a D to a B would require 200 grams
removal.This amount is very small and
will not be covered by insurance policies.Since you have lost weight and your breasts did not go down, then most
likely you have breast tissue called parenchyma and not fat.Fat can be liposucted easily but breast
tissue cannot.Undergoing a 200 grams
removal can be done but you would have to pay for it yourself. Best Wishes,Gary Horndeski, M.D.

Congratulations on your weight loss. Conceptually, this is a very reasonable request. You would need to be examined by a board-certified plastic surgeon to see whether not this operation is beneficial to you and to look at the range of results as well as your final outcome of surgery.

Breast reduction is a very effective procedure with a high rate of patient satisfaction.  Patients with enlarged breasts often have trouble finding clothing that fits their body, experience back, neck and shoulder pain, headaches, arm numbness, shoulder grooving and rashes under the breasts.  In severe cases it can cause skin breakdown and infections.  Enlarged breasts can also be very limiting in terms of physical activities, exercise and cause body image concerns.  Fortunately breast reduction surgery is very effective in alleviating many of these issues.  There are several techniques that vary  how the procedure is done and how much scarring of the breast you are left with . The two most common techniques are the inferior pedicle wise pattern reduction and the vertical short scar superior medial pedicle technique. Each has pros and cons and should be considered given your unique situation.  Given your size, you may be a good candidate for the short scar technique.  Consult with a surgeon experienced in this technique. Best wishes.