How Risky is Second Reduction? (photo)

I had reduction in 1978. Already approved for 2nd reduction but concerned about increased risks. One doc says she can take more than 500g off each side. 2nd consult doc does not want to risk repeat BR and 3rd doc says the most he can remove is 200g per breast and recommends leaving areola in tact due to risk of cutting blood supply to nipple - limiting tissue removal to area below.nipples. I'm wondering if venous congestion will complicate procedure or prevent proper healing?

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3 Doctor Answers | Asked by bellasma in Spokane WA

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How risky is a second breast reduction?

Thank you for the photos. You had your first reduction over 30 years ago. There's random blood supply reestablished around the nipple/areolar complex. You are at slightly higher risk of having some partial areolar loss. Without the benefit of an in person examination, I tend to agree with the third surgeon. It is safer to remove inferior breast tissue (and that is where you have most of the breast volume) and not cut around the areolae. I believe that removal of 500gm/breast will leave... more

Concerns about Repeat Breast Reduction?

Thank you for the question and pictures. The concern with repeat breast reduction surgery is related to blood flow to the remaining tissue; if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola) may be compromised. Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. Must be taken during... more

Secondary breast reduction

A second breast reduction is always a bit more complicated and certainly there is higher risk for nipple loss or congestion. A proper evaluation in person is important. Good luck.