Can Breast Tissue Grow Back After Breast Reduction?

Is it possible for breast tissue to grow back after a breast reduction? I had it done a couple of years ago and now my breasts look like they're the same size they were before the surgery. I haven't gained any weight or anything either. Is this common? Do I need a revision?

Doctor Answers (18)

Increase in Breast Size Following Breast Reduction

+2

Unfortunately on occasion, breasts will increase in size following a breast reduction.   Breasts are a biological entity and therefore do continue to change over time.   They will be affected by weight loss/gain, pregnancy, and menopause.  

In addition, there is a small subset of patients who continue to increase the remaining breast tissue following the initial reduction.   Although rare, in this instance, a second surgery may be required.


New York Plastic Surgeon
5.0 out of 5 stars 6 reviews

Breast Tissue Regrowth Unusual But Possible

+1
It is possible for the breast tissue that is left behind after breast reduction to get larger.  This is unusual however and mostly occurs in very young girls who get breast reduction for very large breasts.  Under these circumstances, when reduction is required at a very young age because of the severe physical and social problems with very large breasts, it is possible to need a revision reduction years later when the breast tissue has stopped growing.

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 21 reviews

Breast Growth

+1
In general, breasts will stop 'growing' when all other hormone related phenomenon from puberty stop changing. Some women have early puberty and early finishing of these changes, and some women have later and a more prolonged course. However, any changes to hormone levels, such as in pregnancy, nursing, etc. can change breasts, OCP may change growth, certain tumors may affect growth, weight gain will affect size, etc. The breast is composed of the breast gland that grows related to hormone levels of estrogen and prolactin as well as other hormones, but some women's breast tissue have more 'hormone receptors' than other women's and thus are more sensitive to hormone levels. That is why the hormone creams etc do not work on someone who naturally have smaller breasts because they are less sensative to hormones. In addition, the breast is also composed of fat tissue which grows and shrinks with weight gain and loss. Not only that, but having a higher bodyfat % actually increases your estrogen production. There is an enzyme in fat called aromatase that converts pre-cursors into estrogen. So having more of this enzyme can cause your breasts to continue to grow even if your weight is stable. So there is no simple answer here. It sounds like you have had a longer course and are continuing to grow. Only time will tell. The breasts do not know that you had a reduction and will continue to grow if that is what they were going to do before the breast reduction based on the above variables.  If you are uncomfortable with your size or are having back pain, neck pain, rashes under breasts etc. then you may consider breast reduction. If you continue to grow, this can be repeated down the road.
Best Wishes!
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

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Breast tissue can grow back

+1

Yes, breast tissue can grow back following breast reduction.  This happens more frequently when breast reductions are done on young ladies or teenagers with massive amounts of glandular tissue.  Although a large amount of glandular tissue may be removed with the initial breast reduction, there is typically still a sizable amount of glandular tissue left behind.  This tissue can still hypertrophy, or grow very large, just like it always could before the surgery.  And if you add things like pregnancy or hormones like certain birth control pills, then the effects can be stimulated even more.  I have done many a secondary breast reduction on young ladies who had a prior breast reduction, were happy with their size, and then grew large again.  The fact that your breasts grew without weight gain is very suggestive of large glandular growth with very little fat component to the breasts.

Joseph L. Grzeskiewicz, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 18 reviews

Can Breast Tissue Grow Back After Breast Reduction?

+1

Unfortunately, yes it can.  Sometimes when younger females have a reduction they will get an increased growth later in life.  Sometimes pregnancy or weight gain will cause an increase in size of the breasts even after reduction surgery.

Thomas Guillot, MD
Baton Rouge Plastic Surgeon
5.0 out of 5 stars 5 reviews

Re-Growth After Breast Reduction is Possible

+1

Rarely patients who undergo breast reduction experience re-growth of breast tissue. In some cases, this may actually require a secondary breast reduction procedure. When this occurs, there are several potential causes. These include pregnancy, menopause, and weight gain.
Occasionally, patients with juvenile breast hypertrophy who have had early intervention may also experience re-growth of their breast tissue.
If any of these scenarios arise secondary, breast reduction is possible. Before proceeding, your surgeon should carefully review the previous operative report to minimize the potential for complications.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 86 reviews

Can Breast Tissue Grow Back After Breast Reduction

+1

If a patient is very young then the breasts will continue to grow and sometimes a revision is necessary.  There have been cases where breast tissue has continued to grow several times requiring multiple revisions in the same patient.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 40 reviews

Regrowth of Breast Tissue after Breast Reduction?

+1

Thank you for the question.

Although not common, the recurrence of breast hypertrophy you have experienced does occur occasionally.  Repeat breast reduction surgery may be indicated. If so,  obtaining a copy of your previous operative report will be helpful.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

Need for repeat breast reduction does exist

+1

Although it is indeed rare to return to the your pre-surgical volume following breast reduction, it does in fact happen. This can occur in patients who suffer from Juvenile Breast Hypertrophy. It can also occur in women who have breast reduction and then go on to become pregnant. The hormonal changes of pregnancy can incite a new growth phase for the breast tissue.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 15 reviews

Breast growth after reduction surgery

+1

 

It is possible although uncommon for your breasts to grow after reduction surgery. There are a few patients who have received a reduction surgery experienced such excessive growth of their breast a revision of the reduction surgery

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 69 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.