American Society of Plastic Surgeons
For Medical Professionals
 
sipkalik
7 months ago
Answered

Going from a small cup to flat chest.

I have a reasonably small chest (large b, maybe small c cup), and they’re proportional, and people regularly compliment me on them, but I’m unhappy. Is it possible to get a breast reduction to make them even smaller (or even a flat chest?)? I do not intend to have children or breastfeed, and I am very unhappy with my chest. Is there options for that, or are they too small?

Procedure: Breast Reduction
Type: Question

Replies 4

Debra Johnson
ASPS Surgeon
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A breast reduction can be performed on almost any sized breast, but when you remove breast tissue, you reduce the blood supply to the remaining breast. A plastic surgeon has to ensure that there is enough blood supply remaining to keep the tissues alive and healthy, so there is a limit as to how much tissue can be removed. A more important question is why you would want to alter your normal anatomy. Are you a transgender? Is there some other psychological issue that is playing out in your breasts? Plastic surgeons are trained to correct abnormalities due to congenital deformity, trauma, post-pregnancy, or just plain aging. We do not like to change "normal" unless such a change would make you healthier psychosocially. You should fir seek attention from a psychologist or psychiatrist to determine whether this discomfort with your breasts is appropriate. If a mental health doctor supports your desire for breast alteration, then consult with a board-certified plastic surgeon.

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Warren Schutte
ASPS Surgeon
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As plastic surgeons, I feel that it is our job to help patients feel as comfortable in their own skin as possible. Therefore, a reduction is a potential option. The size limitation would be that there needs to be enough tissue remaining to sustain the viability of the nipple areolar complex.

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Daniel Allan
ASPS Surgeon

You say you are in proportion, and are complimented on your figure. So why are you unhappy with your body? I think you should see a psychiatrist before you see a plastic surgeon.

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Nelson Castillo

Thank you for sharing your question. It is certainly possible to reduce your breast size, regardless of size. Be sure to seek out a series of consultations in order to get the best treatment advice. Hope this helps.

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