How small could I go from a 34DD?

Hi, thank you for sharing your question. You can reduce the breasts to as small as you would like. Most often, I find, that in order to match a patients frame, a general cup size correlating to 400-600 grams of remaining breast tissue is ideal. This can vary based on patient goals, symptoms and how much tissue can be safely removed without compromising circulation to the nipples.

Thank you for submitting your question! It's hard to tell without seeing photos or having a consultation. With any breast reduction, you will voice your goals with your surgeon and they will be able to reduce your breasts as small as you want. I would recommend consulting with a board certified plastic surgeon like myself so we can create a surgical plan and breast size that is best for you and your goals!

Hi there I hope this helps. This is a similar answer to one I provided to another women recently:

Predicting cup size in a breast reduction consultation is a common concern for many women seeking this procedure. However, it's essential to understand why accurately predicting cup size is not always feasible and why it shouldn't be the primary focus of the consultation.

First and foremost, cup size is a notoriously unreliable measurement of breast size. The concept of cup sizes can vary significantly between different bra manufacturers and even between different styles within the same brand. Factors such as band size, breast shape, and individual body proportions all contribute to how a bra fits and what cup size it corresponds to. Therefore, basing expectations solely on achieving a specific cup size can lead to disappointment and unrealistic goals.

During a breast reduction consultation, the focus should instead be on discussing your goals, concerns, and desired outcomes. A skilled and experienced plastic surgeon will assess factors such as breast volume, symmetry, nipple position, and overall breast shape to develop a personalized surgical plan that addresses the patient's unique needs. This plan may include removing excess breast tissue, reshaping the breasts, and repositioning the nipples to achieve a more proportionate and aesthetically pleasing result.

A good rule of thumb is that the breasts will be reduced by about half of their current size in a breast reduction. Some patient will say that is too much, others will say that is too little. It is helpful when trying to figure out whether someone is looking for a reduction or a lift. However in general this approach leaves enough tissue to recreate a pleasing aesthetic and keep the breast size harmonious with the rest of the body as we mature. Now no 2 patients are alike, but that is why this is simply a rule of thumb.

Additionally, predicting cup size after breast reduction surgery is further complicated by the fact that breast size can change over time due to factors such as weight fluctuations, hormonal changes, and pregnancy. While the goal of breast reduction surgery is to create long-lasting results, it's important to recognize that individual outcomes can vary, and some degree of unpredictability is inherent in any surgical procedure. In your case you should wait 6 months after completion of breast feeding to get an accurate reading of the volume of your breasts. Again variable but many women will deflate further.

Instead of focusing on cup size, focus on communicating your desired aesthetic outcome and trusting the surgeon's expertise to achieve the best possible results. Make sure you connect well, look at their before and afters, and see if you like their aesthetic. By approaching the consultation with realistic expectations and a collaborative mindset, you can work together with your surgeon to create a surgical plan that aligns with your goals and delivers a satisfying outcome that enhances both physical appearance and your quality of life.

Generally speaking, you will end up around a "C" cup, or a proportionate size compared to your body. I would not hesitate to proceed as you will be very happy and the downtime and risk is minimal. Satisfaction is universally high for this procedure. Thank you for sharing.

It's understandable that you're curious about the potential size reduction you could achieve with breast reduction surgery. While the final size will depend on various factors, including the amount of breast tissue removed and your individual body proportions, I can provide some general guidance.
Given your current bra size of 34DD and your desire to go as small as possible, it's realistic to aim for a significant reduction in cup size. Many patients are able to achieve a size reduction of several cup sizes with breast reduction surgery.
For example, some individuals with similar starting sizes have been able to achieve results ranging from a B cup to a C cup or even smaller after surgery. However, it's essential to keep in mind that the exact size you can achieve will depend on factors such as your breast tissue composition, skin elasticity, and surgical technique.
During your consultation with a plastic surgeon, they will assess your breasts, discuss your goals, and develop a personalized surgical plan tailored to your needs. They can provide a more accurate estimate of the size reduction you can expect based on your individual anatomy and desired outcome.
It's important to communicate openly with your surgeon about your goals and preferences, as well as any concerns or questions you may have. Together, you can work towards achieving the best possible results and improving your comfort and confidence.

The real answer to your question is that breast reduction surgery is one of the most highly satisfying surgery for patients, with 95% plus patients feeling relieved of symptoms AND happy with their cosmetic appearance. The degree of nipple malposition will determine how much breast tissue the surgeon will need to keep; the greater the distance the nipple is from its desired location, the more tissue is needed to support the nipple's circulatory supply.

At size 34, each 100 grams removed corresponds to 1 cup size change. If the breasts are hanging to the bottom of the ribcage then you need more of a breast lift than a breast reduction. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

You did not submit photos, so you will need to be examined. A certain amount of tissue must be kept to keep the areola-nipple areas alive. Usually a "C" cups is safe for someone who is a true "DD".

Typically patients who undergo a breast reduction can decrease their breasts by multiple bra cup sizes. In addition a lift is part of the breast reduction procedure so your sagging breasts will be revised so that the nipple position is raised and the excess skin is removed along with excess breast tissue. I've included a video I hope you find helpful.