Bunching and rippling of skin 3.5 weeks after breast reduction. Will I need a revision? (photos)

Congratulations on your procedure.  It is way too early to determine if you will need a revision.  Swelling after a surgery can last anywhere from 6-8 months give or take. I would recommend giving it some time and see how the breast are a few months down the road.  Follow up with your surgeon and see what he or she recommend.  Best of luck to you. 

Thank you for your question. 
Congratulations for having gone through surgery. As you are suspecting, at 3.5 weeks after surgery it is too early to be able to predict what your final scar or contour outcome will be. Your tissues are still swollen, which is expected for this stage of healing. When talking to my patients I advise them that it will take approximately 3 months for the breast and scars to settle, and really almost a year for your scars to fully mature. 
I recommend you speak with your surgeon about your concerns, and he  / she can follow your progress and reevaluate the area in a couple of months. 
Best wishes, 
Franziska Huettner

 Thank you for the question and photographs. I certainly understand your concerns. The good news is that this is not at all uncommon and does have a tendency to settle over time. I would give it a good three months to get a good idea of how much it will settle. I would probably wait at least six months before I considered a revision. I think it’s wise to bring these concerns to the attention of your surgeon and see if there are any recommendations that may help to speed up the process. Good luck.