Breast Reduction from a 36G to as small as possible. What are my options?

Question

I don't want to have to wear a bra anymore or worry terribly about sagging later in life. I'm 26 now I developed large breasts in middle school and I've never been attached to them more than physically. How small can I reasonably expect to go? How can I find surgeons that will work with me to attain my goals?

Sheila S. Nazarian, MD · Answer

I have attached a link where you can search for board certified plastic surgeons in your area. Schedule a consultation so that you can be assessed in person and discuss your options. Best, Dr. Nazarian

Jed H. Horowitz, MD, FACS · Answer

During this procedure your surgeon can also perform a lift. The combination of these two procedures should help you achieve the appearance you are looking for. The reduction would not only reduce the size of your breasts but also correct any asymetry (one breast larger than the other). Your surgeon can evaluate your current breast shape and volume of tissue, and include a lift to give you a smaller yet full and "perky" breasts. By including a lift with the procedure, your surgeon can also assure correct nipple placement and appropriate areolar size. If your reduction surgery would require incisions, a lift is part of this procedure. Ultimately the size you choose to reduce your breast to, is up to you and your doctor! The best place to start is by making an appointment with a Board Certified plastic surgeon. They can make suggestions and guide you through the process.#plastic surgery #breast reduction #breast size

David R. Alfonso, MD, FACS · Answer

Breast reduction surgery is very rewarding to patients. Size expectations are important to discuss with your surgeon. If it is insurance based a set volume may need to be removed in order to be covered. The larger you are the fuller you will be afterwards but will be significantly smaller and lighter with improvements in your symptoms

Larry S. Nichter, MD, MS, FACS · Answer

Choose a Board Certified Plastic Surgeon and together you should be able to decide on a course of treatment.

See the below link
on some suggestions on finding the most qualified Plastic Surgeon for a breast reduction. #findingthebestplasticsurgeon#breastreduction

Steven Wallach, MD · Answer

If you are a "G" cup, then you are unlikely to get down to a really small size.  Likely a large "C" or "D" will be more like it to maintain a good shape and have healthy flaps of tissue.

Tom J. Pousti, MD · Answer

Before undergoing the breast reduction procedure it will be very important to communicate your size goals with your surgeon.  Most patients wish to achieve a enough of a reduction to help with their symptoms while remaining proportionate with the remainder of their torso. 
With the goal of improving communication with my patients I find the use of photographs of “goal” pictures (and breasts that are too big or too small)  very helpful. I have found that the use of words such as “natural” or “B or C cup” means different things to different people and therefore prove unhelpful. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.
It is possible to reduce the breasts size very significantly.  The concern with the amount of tissue removed is related to blood flow to the remaining tissue;  if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola)  may be compromised..  Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible)  then patient will likely have problems with tissue survival.  
The other concern with overly aggressive breast reduction surgery is patient dissatisfaction  afterwards.  It is not unusual for patients who have lived with very large breasts to want to have as much as possible removed. Care must be taken to be judicious in this removal to avoid an outcome where the breasts  are too small in relation (proportionately) to the patient's other body parts.  Again, it is not uncommon, for patients'  breasts to become smaller ( after the breast reduction procedure) with time and/or weight loss-  breast augmentation may become necessary to achieve the patient size goals. 
I hope this, and the attached link, helps.

Breast Reduction from a 36G to as small as possible. What are my options?

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