Currently a 36 H cup and I'm worried that going to a C cup is going to leave me flat chested. What size should I go to? (Photos)

Hi there it is certainly a big change going to a C cup from and H. It also depends what is the circumference of your chest wall ie 34 or 36 cm? Perhaps you could aim for a D if you would like a fuller bust. Cup sizes are notoriously difficult to predict and vary by 20% . It also depends if your weight is steady or if there is a plan for weight loss in the future. I hope this has been somewhat helpful. Best wishes for your surgery

The ideal cup size for a given individual is very personal and will vary depending on one's preferences and standards of beauty. Discuss your goals and preferences with your surgeon before having the surgery. Although you can have implants placed postoperatively if you find your breasts are too small, this can be avoided by making the right decisions before surgery.

Thanks for your question! If you are concerned that is too small, perhaps you can talk with your surgeon about what size you would like to be after recovery. Taking wish photos to a pre-operative appointment might be a good idea as well. Good luck!

The technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

First, surgeons can't enlarge or reduce breasts to a goal of a bra size. That's a misunderstanding. Regardless, your breasts are too large to be reduced to that extent. See an expert surgeon who can explain the process, discuss the reality of breast reduction and shaping, and ultimately deliver a great result.

Dear luiejones22,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

I am not sure you can go to a C cup without a free nipple graft. You would more likely go to a D cup since some tissue needs to be left behind to perfuse the nipple/areola complex.

From the photos it appears you are a good candidate for a breast reduction. This will remove excess tissue as well as remove excess skin and raise the position of the nipple. If you are unsure about sizes you may want to search before/after photos of patients with a similar frame to see what you think looks right for you. Discuss with your concerns with your surgeon. It's important that you are comfortable and confident as you prepare for surgery.

You should be reassured that the result the surgeon achieves will generally have less to do with cup size and more to do with what looks about right on you. We don’t have cup size gauges so your surgeon will tend to work to dimensions that have worked for most women over the last 80 or more years.