Candidate for Second Breast Reduction?

I had a breast reduction from a E cup to a D cup when I was 17. I have always considered small breasts beautiful and would like to be an A or a B cup. If paid for myself (no insurance; cosmetic), would I be a candidate for another breast redction surgery?

Doctor Answers (10)

Secondary breast reduction patients typically very happy

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

In my experience, patients who undergo a secondary breast reduction are invariably happy with the results. Because you have been able to assess the results of your first surgery critically, you will be much better equipped to voice your desires to your surgeon beforew this second operation and are likely to achieve the results you desire.

A second breast reduction is possible

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Breast reduction is a balance between volume, shape, and nipple position, and breast projection. It also must consider sensation of breast skin and nipple, and acceptability of scars which might be introduced. In order to succeed with the best or most attractive breast shape a small D cup is the typical result, though sometimes a C or perhaps a full B can be achieved. We too think an A or a B cup can be very attractive, however when the natural breast is full such as a DDD or E cup the breast skin or envelope will not adapt to the very small cup size because of the excess skin, and the limitation imposed in maintaining good circulation within the nipple, preserving central projection, and keeping the scar an acceptable length and adequately concealed.

Breast reduction can be performed for some a second time though it does take a good bit of judgment as the circulation to the nipple can be unpredictable, and the shaping and tailoring of the skin takes careful planning. We have had insurance coverage for some of our patients completing reduction for a second time so it is worth while to submit a request for predetermination. Certainly an A or a B can be beautiful, though so too can a C cup.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 33 reviews

Secondary breast reduction works.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


Secondary breast reduction is safe and effective with good technique and attention to the previous surgery.  Aiming for a B cup is very realistic.  I am reluctant to make a woman too, too small, but there is an occasional patient who really says "I never want to wear a bra again."

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Secondary Breast Reduction Candidate

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
 Secondary Breast Reduction Surgery is successful in most patients.
Without an exam or photos - full frontal, oblique and side views it is impossible to give you specific advice. However, there are many ways to reduce a breast further, most of which do not require additional scars and include liposuction and/or short scar techniques. See a board certified plastic surgeon with lots of experience in secondary breast reduction surgery.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 59 reviews

Breast Reduction Surgery a second time

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, if you still are uncomfortable with the size of your breasts, you can undergo another breast reduction procedure.  Please make sure that your surgeon who will be performing your 2nd breast reduction knows what was performed the first time around (technique) so as to minimize potential risks and complications as much as possible.  Find a board certified plastic surgeon who is experienced with this procedure... see results... ask questions.  I ask patients to bring me photos of what they want to achieve so that I can discuss realistic goals with them.

I hope this helps.


Second breast reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While it certainly is an option to perform a secondary breast reduction, and I have done it for some people on occasion, it is certainly more risky. There is definitely an increased risk of healing problems and nipple loss. Also to reduce someone to an A or B cup is not realistic in most cases, especialy to the A cup.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Second breast reductions

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 Repeating a breast reduction as a rare procedure but it can be done.  To get down to an A or B cup might not be possible however without sacrificing shape and blood flow that is needed to preserve viability of the nipple and areola.

Secondary Breast Reduction Surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Yes, secondary breast reduction surgery is a real possibility for you. With you pictures or examining you, it is hard to give specific advice. However, it is possible to have a re-reduction and, in most cases, the same incisions as your original surgery are used. If you are able to find the operative report from your original surgery, it would be helpful for your surgeon when performing the secondary surgery. Good luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 60 reviews

Breast Reduction Redo

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is very feasible.  It is nice to have the previous operative report, but it is not always possible.  It is not uncommon after a prolonged period of time to desire to have a redo breast reduction.  It can be done and can be done safely.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 47 reviews

Second Breast Reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

It is certainly possible to have a second breast reduction, although it does need to be approached cautiously in order to protect blood supply, especially to the nipple, which has already been somewhat disrupted from the initial surgery. The question of whether or not you are a good candidate is difficult to answer without more info and/or a photo.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.