American Society of Plastic Surgeons
For Medical Professionals
one year ago

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
Location: Newbury Park, CA

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.

Warren Schutte
ASPS Surgeon

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.

Daniel Allan

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.

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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