Repeat Breast Reduction

Hello! I just found this site. I'm scheduled for a repeat breast reduction on April 20th. My first reduction was my freshman year of high school, in 1989. It was a fantastic decision at the time! With 23 years, three pregnancies, three (mostly) breastfed babies and some weight gain, I'm sitting at a 38 DDD/G. A few weeks ago, I received a call that my PS had a cancellation and could see me the following week, instead of my original appointment date 6 months out. His office submitted it to insurance and the *very next day* I received the approval letter in the mail. They must have processed it immediately and put it the in mail that day (it's local, so 1 day delivery). Anyway, I'm nervous about having a repeat reduction. My PS is the best in the area, and he said that there is a risk of compromising the blood supply to the nipple, since pedicle has already been done and my old PS likely doesn't have the records. According to him, worst case scenario if blood supply is compromised, he does a reconstruction.  (He didn't say it exactly like that... but that's my summary.)  He didn't seem to think that the risk was great, but of course it is a possibility. I'm hoping my old PS (out of state from where I live now) has the records, but it's unlikely. If anyone has been through a repeat reduction, (I think - LOL) I would like to hear your story / advice.