How small can I go if I'm a 32G?

Dear MsBeefie,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

At size 32, each 100 grams removed corresponds to 1 cup size change. You can probably be reduce to a D or DD. 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.

Hello and thank you for your question! The answer can be complex and dependent on many things that are best sorted out in an in-person consultation with a physical exam by a board certified plastic surgeon. However, in general, for the "standard" pedicle technique breast reduction surgery (meaning your nipple/areola need to stay connected on a block of tissue with connections that remain undisturbed all the way back to your chest muscle), I counsel my patient that going 2-3 cup sizes down is normal and average. Going smaller may compromise the ability to heal and function properly. Some patients may go down a little more but we can't ever promise a specific cup size. If we perform a breast reduction with a free nipple graft (meaning your nipple and areola are detached at the beginning of the surgery and then placed back as a skin graft at the end), then we can go as small as you would like (this is how many gender affirming "top" surgeries are done to get patients flat chested). Good luck on your journey!

The limit to size in Breast Reduction depends on how low your nipple sits. If the goal is to preserve sensation and circulation, a pillar of tissue needs to be preserved from the chest to the nipple. The lower the nipple, the longer the pillar, the less you can reduce.

The other option is called Free Nipple Grafting, which enables you to go as small as you wish, but you lose sensation and ability to breast feed. Photos would help.

The smallest you can go is having both breasts completely removed. However, most women do not want this. Usually, the smallest size is dependent upon keeping enough tissue and blood flow to support the nipple. For most women, they can go down to a C or D. Sometimes the reduction can be repeated later and more tissue can be safely removed.

From your description you sound like a good candidate for a breast reduction. You can expect to have a decrease of several cup sizes, however there is a limit as your surgeon must consider survival of the nipple and shape of the breast, among other things. I encourage you to begin by visiting with a board certified plastic surgeon near you to discuss your goals and learn more about the procedure.