34DDD wanting to get breast reduction to a C/D. How much do I need removed?

Breast Reduction is a complicated procedure that is best done by those with the most training and experience. It is very difficult to determine the resultant cup size and shape based solely on the number of grams that are removed from your breast to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast reduction and lift surgeries, including different approaches, techniques and even fat transfer and implant choices if you are lacking superior breast fullness.This is because several measurements—not to mention breast characteristics such as density—are needed to determine how much and where to remove breast tissue to meet your goals. Without knowing your existing breast shape, dimensions, and the density of your breast tissue, it would be difficult to make this determination. For example, the same volume of breast tissue will weigh different amounts (measured in ounces or grams) in different people depending on its density. The existing base width of your breast and what you will ultimately want to look like will determine, in many cases, the maximal volume and weight that will need to be removed for the best result.Please click on the link below for more information!

At
size 34 each 100 gram removal corresponds to 1 cup size change.200 gram removal would reduce you to a
D.Insurance companies never authorize
200 gram removal.I recommend a new technique
called The Ultimate Breast Reduction™.The breast tissue is reshaped creating upper pole fullness, elevated
higher on the chest wall and more medial to increase your cleavage.The weight of the breast is transferred to
the underlying muscle resulting in immediate pain relief without excessive
reduction.This technique avoids the
ugly vertical scars of the traditional technique, maintains nipple sensation
and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.

Sounds like you need a small reduction/lift. In average we talk about 300 g per cup size, but this is different for each particular patient. The original way to determine the cup size was to measure the chest circumference in inches ( the number in your bra) then measure your breast at the most prominent place, for each inch a letter is assigned. For example if your chest is 34, and the most prominent breast measures, 38, your cup will be D, 39, will be E. The bra companies have different ways to determine their sizes and that is the reason for the variation.You need to see a Board certified plastic surgeon, (a member of The American Society for Aesthetic Plastic Surgery, have a specific dedication to cosmetic plastic surgery) and he/she will be able to give you specific details in regards to this procedure.Good Luck

Congratulations on your decision to proceed with breast reduction surgery;  breast reduction surgery is one of the most patient pleasing operations we perform.  There is no specific/reliable amount of tissue removal that will necessarily equate to a specific cup size result  after breast reduction surgery.  Also, as you know,  bra cup sizes vary from one bra manufacturer to another. Therefore, discussing your goals and/or basing your satisfaction with the results of surgery, based on a specific cup size is not helpful.  In other words, a “small C cup" may mean different things to different people and be a source of miscommunication. I think you will be better off communicating your goals with the help of goal pictures.  Most patients I take care of ask to achieve enough of a breast reduction to help decrease/alleviate symptoms they are experiencing, while maintaining enough breast tissue to remain “proportionate” (upper and lower body).
Communication of your goals with your plastic surgeon will be critical; give him/her as many "visual aids” as possible.
Best wishes  for a smooth operation, complication free recovery, and an outcome that you will be very pleased with!

It's a fair question but impossible to answer.First, there is no absolute formula.  Bra sizes vary tremendously from manufacturer to manufacturer, and at different times (what is currently called a D by Victoria's Secret seems more like what was a C a few years ago).  A lot of it has to do with your specific shape (a broad chest is different from a narrow chest, even though that is supposed to be taken into account by the band size).But more important than the absolute size is the balance of size, shape and proportion, and that is part of the discussion you need to have with your plastic surgeon.  Would you want an absolute size determined in advance even if it meant that the shape would then be too broad and flat?  Probably not.For breast implants it's ABOUT 150-200 grams per bra cup size, but less when going from a AAA to a AA, and more when going from a C to a D.  So it's probably several hundred cc's per bra cup size for a reduction - although, even there, it's more about volume than weight (dense breast tissue weighs more for a given volume than does fatty breast tissue).So it's not something that can be predetermined without an exam and a long consultation with your board-certified plastic surgeon.  If there is any doubt seek consultations with several surgeons and then you can make a decision from there.I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100

Since breast sup size is never an exact measurement but onlyh a rough proportion there is no answer to your question. After your consultation and exam your surgeon will be able to give you an ESTIMATE of what will be removed and will counsel you carefully that no exact cup size can be made by breast reduction.