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Breast Implants Years After Breast Reduction?

asked 2 years ago by beverlyhillsmom in Beverly Hills, CA
Latest answer by Brooke R. Seckel, MD
Question viewed 2,439 times
Tags: breasts, female, sagging, weight loss, B cup, pregnancy, scar, uneven, weight

I had a Breast Reduction 15 years ago when I was 18 years old. I have gained and lost weight many times since then, had a baby (unsuccessful at breast feeding) and now I have not even a B with very uneven breasts (not as uneven as they look in pic since one hand is holding the camera).

I think I need Breast implants, but am not sure if a lift would even be worthwhile since I already have so much scarring. Any idea where to start?

16 answers to Breast Implants Years After Breast Reduction?

Breast Augmentation can fill the Breast many years after Breast Reduction and weight loss.

It is not an expert uncommon many years after a Breast Reduction and weight loss for the breasst to lose volume and look flat. For these patients a Breast Augmentation can restore lost volume and make the Breast look full. The potential problem with an additional Breast Lift is the position of the Nipple Areola after the Breast Reduction. The Nipple Areola complex is moved higher during a Breast Reduction and if a new Breast Lift is done the Nipple Areola may look to high and may... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

Breast Augmentation after Breast Reduction?

Thank you for the question and picture. The best place to start would be with consultation with well experienced board-certified plastic surgeons. Physical examination will determine whether you will benefit from breast lifting as well as breast implant surgery. The breast lifting will help “tighten the skin envelope” as well as potentially improve symmetry of the breasts. Make sure you communicate her size goals clearly with your plastic surgeon; I prefer the use... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Good chance that breast lift may not be needed

Based on this one picture there is a good chance you might not need a lift. A large enough implant might be enough to fill the lost volume and upper pole deflation. It all depends on the current position of your nipples and since you already had a reduction, chances are the nipples are not that low and lifting them further will create a problem difficult to fix. If you are looking for a minor volume enhancement then a small implant with... more

Antoine A. Hallak, MD
San Diego Plastic Surgeon

Breast implants after breast reduction

First, ask yourself how much volume you want. Once you have a sense of this, see a board-certified plastic surgeon in your area. He or she can guide to as to how large of an implant your tissue will sustain, and whether or not you will need a lift once the implant is placed. The shape of your breasts is very nice, so you should have an excellent result. Good luck.

Nina S. Naidu, MD
New York Plastic Surgeon

Breast Implants years after Breast Reduction

I agree you could benefit from a small breast lift and a 400 cc + breast implants. Go see a boarded plastic surgeon in your area. Good luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Breast Implants after a reduction

Hard to make a surgical plan without an exam, and admittedly, a sub-optimal photo. However, with those disclaimers, I think you need an evaluation for not only implants but also possibly a lift which could help with revising the scars and improving the symmetry.

Scott E. Kasden, MD
Dallas Plastic Surgeon

Find a surgeon you like first, THEN worry about the procedure and technique...

Hi there- Your photo suggests to me that you could achieve a very nice improvement with breast augmentation, with or without revision of your lift... But the only way to be able to make a good recommendation to you would be to see you for a consultation. Find a surgeon you like and feel you can trust, communicate your goals carefully, and listen to their recommended options. How best to find a surgeon? Read this:

Armando Soto, MD
Orlando Plastic Surgeon

www.DrArmandoSoto.com

Breast augmentation after reduction

Augmentation is certainly an option to give you more volume. If the nipple areola complex still sits low on the chest or the skin envelope is too loose, then a lift is required.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast augmentation following breast reduction

This answer partly depends on how large of an implant you desire. A larger implant may be able to "inflate" your involuted breasts. However, a smaller implant would most likely be best if performed with a minor lift.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Breast implants can replace volume after breast reduction.

Hi. Hard to be certain without examining you, but you probably don't need a breast lift. Moderate sized breast implants over the muscle, put in through your old breast reduction scars, should make you look a lot better.

George J. Beraka, MD
Manhattan Plastic Surgeon

Implants after breast reduction

Breast implants would restore volume to your breasts and could be performed as an isolated procedure or in combination with a lift. Your existing scars from the prior breast reduction argue for doing a lift at the same time however, without the benefit of an exam, and taking some measurements, it may be preferable to keep things simple, and just perform an augmentation. Remember , the most important part of getting a good result from plastic surgery is the surgeon you choose. ... more

Darrick E. Antell, MD
Manhattan Plastic Surgeon

Implants post breast reduction

The scenario that you have presented is not that unusual - Significant loss of breast volume years after a breast reduction. Based on your photo, it appears that your nipple-areolar complex is at the correct level, and therefore you may just benefit from implants alone. These are well tolerated after breast reduction. The choice of the implant size and/or shape would be determined by your desired appearance, and by your breast and chest dimensions. In addition, your body habitus would... more

Wilfred Brown, MD
Fairfield Plastic Surgeon

Implants after breast reduction

Your situation is not as uncommon as one might think, given that the whole reason for doing a reduction is to make the breasts smaller. But as you have observed, changes over time often create a new imbalance between breast size and the body. I can't tell without examining you personally, but it appears that implants are going to be needed in order to get the shape ideal. Your scars aren't too bad so they can be re-used to adjust the lift.

Richard Baxter, MD
Seattle Plastic Surgeon

A breast augmentation and breast lift can be simultaneously

You already have the scars that I would use for a breast lift. The most straight-forward approach for you would be to have a breast augmentation and breast lift done simultaneously. Ask your breast reduction surgeon for the operative note from your breast reduction and give it to the board certified plastic surgeon that you consult with. This important document will explain what type of breast reduction you had, making your breast lift much safer and easier to perform.

Scott Sattler, MD
Bellevue Plastic Surgeon

Breast implants following breast reduction

Your story is not as uncommon as you might think. Many women have a reduction early in life, then go through the changes you mention. Along with inevitable sagging that comes with age, their breasts can be deflated and disproportioned with tissue lacking superiorly. I think that with the correct analysis and planning, you could have almost any breast you want. Whether or not you need a small lift would depend on what you desire and the size and shape that you envision. The fact that you... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Breast Implants after Breast Reduction

Based on your pictures, it looks like you would benefit from a breast lift and breast implants. The lift can be performed through your old incisions, so you will not have any new scars. Good luck.