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

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.