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New and researching a Breast Reduction

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I am 41 years old and I have been researching and thinking about having a Breast Reduction next year. 

I am currently a size 22 E/F and I would love to get down to a C cup but I don't want to be unrealistic. I have been having lots of chest pain, back pain, shoulder pain and I am just wanting the heavy feeling in my chest to reduce. I will be getting the procedure done for medical reasons. 

I understand that the PS look at cup sizes to see how small they can reduce the size but what about size as in clothing? How do you know if you will be like 18 D or a 16 D in dresses and tops or is that not how it works?? How do you know what size bras to buy?

Sorry for the questions


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