Is it possible to reduce C cup to A cup on saggy breasts? (photos)

Thanks for your question! I would absolutely suggest losing the weight prior to moving forward with any surgery. Your goals may change. Then, I would chat with a surgeon about what the best approach for you might be. Good luck!

The technique I recommend is a lift using 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 really need more of a lift and maybe a slight reduction. Avoid the temptation to make them too small. As an A cup your breasts will have a poor shape.

Dear Luminous499835,
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

You have a very difficult breast to get reconstructed because you have a condition called tuberous breast in a very severe degree, it is saggy beyond 3rd degree so you will need a major reduction and lift.
It will be necessary a full extended anchor incision to achieve an A cup.
If what you want is to achieve a masculine appearance, then you will need a subcutaneous mastectomy and the incision to remove the skin will be a curved incision at the level of the new masculine inframammary fold and free graft nipples.
Be encouraged!
Dr. Cárdenas

If you are considering weight loss I encourage you to complete that goal first. This will take away the unknown of how the weight loss will affect the size of the breasts. After that you can consider a reduction.

After reading through your post and looking at your pictures, I think you can get pretty close to your desired results. I would definitely recommend losing the weight, or as much as possible before your surgery. Next, you need to really think about what you want your post-op chest to look like and the only reason I mention this is because you mentioned the possibility of having top surgery which to me means mastectomy with a complete flat chest. If you went through with a reduction and wanted to be as small as possible you can have an amputation of the lower pole of the breasts with free nipple grafts. That would maximize the amount of breast tissue removed with a reduction procedure. After your surgery your nipples would be non-functional seeing as they would be grafted. You definitely have a few options to get you to a smaller chest, you just need to decide between reduction vs mastectomy.