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Can I (5'9, 155lbs) reduce from a 34C to an A or smaller?

I am looking for a surgery to have a more flat chest for gender-affirming reasons as well as the fact my chest can be in the way while I work out. I am a 34C but sometimes I'm closer to a D. it is extremely unlikely I will be lactating at any point but I do want to preserve nipple sensation at the very least if possible.

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