What breast cup size will I be after surgery? I'm getting 338g removed

Question

I am a black female. I’m going to have breast reduction to remove fibroids. I am currently a size 30DDD or a little larger. I weigh around 132. My insurance says I must remove 338 per breast. What size will I be after the surgery?

James N. Romanelli, MD, FACS · Answer

Dear rwarmer:

Thank you for your question.  At a DDD size, removing 338 grams per side would typically reduce a breast size by 2 cups or so.

Bra size varies by manufacturer and style, and women may prefer different size bras.

Consult with a board certified plastic surgeon for a better estimate of your situation.

Best of Luck
Dr. Romanelli

Krishna Vyas, MD, PhD, MHS · Answer

The exact cup size you’ll be after surgery can be tricky to predict, as it depends on several factors such as your breast tissue composition, skin elasticity, and overall proportions. Cup size is a vague concept with not much standardization, but in general, 1 cup size typically corresponds to around 100-200 grams of tissue removed. Keep in mind that post-surgery swelling and changes in tissue may also affect the final size, and your surgeon will work with you to help determine the ideal size based on your body and goals. It’s also important to note that cup size isn’t the only factor in determining breast size—band size plays a role too. Be sure to discuss your specific size goals with your surgeon and share some "wish pics" so they can better understand your goals.

ABOUT DR. VYAS
Dr. Krishna Vyas, MD, PhD, MHS, is a highly trained plastic surgeon specializing in aesthetic surgery and breast surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization). With advanced training from institutions like Harvard, Mayo Clinic, and Johns Hopkins, Dr. Vyas is recognized for his expertise in breast and chest sensory nerve restoration. His PhD in clinical and translational science focused on stem cells, fat grafting, and improving outcomes in aesthetic surgery and breast surgery. Dr. Vyas has served on the editorial board for several medical journals and platforms and has over 200 research papers and talks. His research focuses on aesthetic surgery, regenerative medicine, stem cell biology, fat grafting, breast surgery, and gender-affirming surgery. Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital.

Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained 
Aesthetic Plastic Surgeon
New York, New York

Gary M. Horndeski, MD · Answer

At size 30, each 100 grams removed corresponds to 1 cup size change.  You would go down 3 1/3 cup sizes if 338 grams were removed.

Best Wishes,

Gary Horndeski, M.D.

James Knoetgen, III, MD · Answer

Breast cup size after surgery can be difficult to predict accurately because cup size depends on factors like your body shape, band size, and how your breasts settle post-surgery. Your final size will depend on factors like swelling, skin elasticity, and how your breasts heal. Your surgeon can give you a better estimate based on your current size and frame.

Connie Hiers, MD, FACS · Answer

Your surgeon who has examined you will be the best one to tell you. However, in most women, each cup size is about 150 cc's unless you are very large or small.  With 338 grams, you should lose 2 cups in size.

Camille Cash, MD · Answer

Cup sizes are hard to predict since they differ by manufacturer.  Removing 338g will likely bring you down approximately 2-3 cup sizes.  I encourage you to speak to your surgeon about what you can expect in terms of results.  It is important that you are comfortable and confident as you prepare for surgery.

Pawel Szychta, MD, PhD, DSc · Answer

After removing 338 grams per breast, your post-surgery size will likely depend on factors like your current breast density, skin elasticity, and how much breast tissue remains. Here’s an estimate:
- A 30DDD is a relatively small band size with a high cup volume. Removing 338 grams per breast typically reduces 1-2 cup sizes.- Post-surgery, you may end up around a 30C or 30D, depending on how your surgeon shapes and redistributes the remaining tissue.
Your final size will also be influenced by how your body heals and your surgeon’s techniques. Discuss your size goals with your surgeon to ensure the reduction meets both medical and aesthetic needs.

Mats Hagstrom, MD (license on probation) · Answer

338 g is not a lot of tissue to remove considering your description.
The best way to understand what your results will look like is to ask plastic surgeons to open up their portfolio and show you their entire collection of it before and after pictures of previous patients who had similar body characteristics.
This will get you a good understanding of what results are likely to look like and will also give you a chance to see how much experience the surgeon has.
I generally recommend patients have multiple consultations to help find the best provider.
Breast reduction surgery has a high patient satisfaction, but it also has higher complication rates than other procedures.
Best,
Mats Hagstrom MD

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