What Size Breasts Would Be Most Proportionate with my Body? (photo)

I think you would look great as a 36C. That would give you symptomatic relief but still be large enough to maintain feminine curves.

Most women in my practice want to end up around a C cup. This does not mean is necessarily the right or wrong thing to do. Give it careful consideration until your plastic surgeon what you want.

The breasts automatically get lifted when you get a reduction.  You should discuss with your surgeon how large you want to be after surgery as there is some flexibility in how much to reduce the breasts.  I tend to leave the breasts more full after a reduction since they will go down in size quite a bit on their own as the swelling subsides.

can be transformed into the photos your provide BUT in order to maintain that result, you would either have to consider a Rubin mastopexy (that will still sag some with time) or a reduction (possible nipple graft) with augmentation.  A traditional mastopexy is doomed to failure and poor results.  Discuss your expectations with your doctor and know what the revision policy as it you can almost expect it in your situation.

My guess will be a d cup but ONLY in person examination allows a more definitive answer in regards to breasts reduction ...

Thank you for the question at pictures. I find the use of goal pictures very helpful  in the process of communicating with patients. In my opinion, the best way to achieve your goals would be to undergo breast reduction/lifting surgery in a first stage operation. A second stage breast augmentation would be necessary to achieve the  full, somewhat “round" look at your goal picture demonstrates. In my opinion, a breast reduction/lift operation alone will not achieve the outcome that you are looking for.  Also, in my opinion, given your “starting point”,  I think a single stage breast augmentation/lifting operation exposes you to significant risk of complications and need for additional surgery.

 You may find the attached link helpful to you as you learn more about options,  pros/cons, as well as potential risk/complications associated with these types of operations.

 Best wishes.

The photo you included of your desired results shows a lifted but very full breast. With your anatomy and based on your personal photos it appears you can get a similar result with a modest reduction of tissue weight and volume coupled with a significant lift. Please consult with a surgeon near you that is experienced in these procedures and I think you will be extremely pleased not only with your new look, but how much better you will feel in the shoulder and upper back area.

A breast reduction not only reduces the size of your breasts, it also provides a lift and improves "perkiness.". Your goal of DD breasts is reasonable and should give you with a size that is proportional to the rest of your body. A detailed consultation with your local plastic surgeon should be able to answer all your pros and cons concerns. Thank you for sharing your photos and questions. Best wishes.