Breast Reduction: Q&A
Ask a QuestionSecond Breast Reduction - Will It Make Scar / Sensation Worse?
Had a breast reduction 5 years ago. Believe my true cup size was a G cup, and asked to go down to a C cup. Well I ended up with a D cup size and after being pregnant, my cup size is larger. I have quite a bit of scar tissue below the breast (around the U shape incision), My question is, would a second breast reduction make the scar tissue worse? Also would a second surgery effect my nipple sensation? Thank you in advance for taking time to read/reply to my questions.
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21 Doctor Answers |
Asked by
ALgirl
in Mobile, AL
+3
Revision Breast reduction surgery
You would likely be a candidate for further breast reduction.
It is likely that in the right hands you would receive better symmetry and less scarring.
There are issues with circulation and nerve supply to the nipple with all primary and revision breast reduction surgeries, so review these carefully with your surgeon before proceeding.
+2
Breast Reduction - Second Procedure, Revisions, Scars, Nipple Sensation
Hi ALgirl in Mobile, AL,
There's no absolute answer to this. You may benefit from a second surgical procedure, but I would advise the following:
1) Make sure your weight has stabilized post-pregnancy
2) Go back to your original surgeon or, if you don't, be sure to get the original operative record so that any subsequent surgery can be planned keeping that in mind. This is particularly important with respect to the blood supply to the nipple and areola,...
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+2
Revision of scars of previous breast reduction.
The revision of your breast reduction surgery will provide the opportunity to improve the shape of your breasts, improve the symmetry, and improve the scars.
You skin is very light and therefore, barring any complications like infection or suture reaction, you are likely to have a good scar which over time will become less obvious as the scar matures.
Discuss your concerns with your surgeon who will examine you and advise you accordingly.
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Secondary (repeat) breast reduction
ALgirl: your case of apparent breast "regrowth" illustrates the problem that many large breasted women experience. In counseling breast reduction patients about the possibility of breast "regrowth", it's important to emphasize that breast volume may increase during periods of hormonal fluctuation: puberty, pregnancy/lactation, weight gain and menopause. I have had some breast reduction patients, similar to yourself, whose breasts literally...
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+2
"Secondary" breast reduction
Hello,
It is very important that you are examined by a competent Plastic Surgeon who will obtain the operation notes from the "first" Plastic Surgeon (or talks to him). He will have to have a clear picture what technique was used the first time. This is important not to jeopardize the blood supply or sensation of your nipple. Properly done your scars should be the same or better.
Good luck !
+2
Secondary breast reduction
You certainly can get a revision if you think that you are too large. If it is only a small difference liposuctionmay be enough. But if you do not like the scars, sometimes these can be improved especially if less weight and tension is pushing on them.
+2
Breast reduction: second time around.
For minor reductions that are essentially "scarless" you could consider liposuction. Using traditional techniques the appearance of your scar following second breast reduction is related to several factors including the wound tension, skin vascularity, personal wound healing tendencies, etc. There is an inituitive increased risk of loss of nipples sensation but I am not sure if this has been quantified.
+2
Your second breast reduction
A second breast reduction will not likely make your scars worse and the scar tissue underneath your skin can be removed at the same time so that your breasts have a more natural feel. There is a chance that you loose sensation to your nipple but not necessarily a higher chance. There is a higher chance (although still low) that you could loose your nipples and areolas where they turn into a scar and go away completely. Most likely you will be very happy to have your...
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+2
Secondary breast reduction
Without a complete exam and review of your history, it is not possible to say if you are or are not a good candidate for secondary reduction mammaplasty. It is certainly possible to do it and there are many techniques that can be applied to your situation. However, it is imperative that whoever operates on your try to determine the technique used in your first reduction since different techniques rely on different blood supply to the nipple and one can jeopardize the nipple without...
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+2
Scars after breast reduction
Your breasts are certainly asymmetric as can be seen on your photo. Having a second breast reduction surgery may actually improve the scars on the breast as they will likely be excised (removed) at the time of surgery, and hopefully you will get better scars. But of course, this is not guaranteed. As far as sensation, it depends on the procedure that will be performed, but typically reducing a breast by 1 cup size should not carry a high risk of sensory loss. Good...
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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.
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