28D/DD reduction to 28A/28B (B at most) Would that be possible, or is it still too flat for me to go down to? (Photo)

I would not recommend reducing your breasts to an A or B cup because it would be disproportionately small for your body.  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.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.  This is a custom design technique and the women can choose breast volume, position and areola size.Best Wishes,Gary Horndeski, M.D.

A reduction to a size C may be more realistic.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Dear Yuuknow,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

For most, its obvious that they have chronic neck issues and rashes as well as back pains.  I'm sorry but your D/DD do not appear to be that in your photos.  In fact, I think you have very nice breasts.  Can they be smaller?  Certainly if you wish to undergo a procedure with risks and guaranteed scarring, not to mention the costs.  An exam would certainly help one better understand your motivations and anatomy but in general, its very hard to create an aesthetic outcome with a B cup the goal... most reductions end up with C or even D cups.  Consult with a local plastic surgeon and see what you are told.

Although it is possible to reduce a breast to almost any size, going beyond a certain point will compromise the final breast shape, and further, could compromise the blood supply to the nipple.  The only way to definitively determine how much of a breast reduction would be possible would require a physical exam.  Seek out a board certified plastic surgeon with extensive breast reduction experience.  Best wishes, Dr. Lepore.

Dear Yuuknow,Hello and thank you for your excellent question.  You should be evaluated for a No-Vertical-Scar breast reduction technique.  Some people refer to this as the Bellesoma Breast Lift technique. Our technique provides an exceptional breast lift, upper pole fullness, relief from neck and back pain, and no vertical breast lift scar. It uses a woman’s OWN breast tissue to produce an internal suspension technique, without the need for a breast implant. It does not disturb the nipple, areola, or breast glands, so sensation and the ability to lactate is preserved. It uses 3D scanning of your breasts and body to design a procedure specifically designed for YOU, and you alone. Finally, for patients who desire breast enlargement, it can be combined with fat grafting. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 - 2018

It is difficult to give an accurate bra size projection as every one heals differently with body shape and proportions playing a part in the sizing as well. If you desire small breasts then request that your surgeon use liposuction in addition to your breast lift.A great option for the breast reduction is BELLESOMA. 

Breast reduction is a very satisfying procedure for patients but it is very important you understand that, although we may talk about cup size, there is no way to guarantee what bra you might wear after the surgery. However, once you have had an exam by an experienced surgeon he/she will be able to discuss what you might be able to achieve. That is not possible with an online discussion.