Not Satisfied with BR....lipo After 3 Months? (photo)

I had BR 1/11/13.Was a 36g, w hopes for a c/d. Surgeon removed 470 and 500 grams approximately and what he said was a lot of skin due to sagging. He thought he had gone too small and left me with a B. While its obvious I'm some smaller and perkier, at 6 weeks I struggled to find anything but a 38 dd and or mostly ddd bras. He was as surprised as I at my appt today. We will wait for the final swelling and reassess,but if not satisfied will try with lipo to achieve result. What do you think?

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G cup 3 months post-op

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7 Doctor Answers | Asked by JWrightRN2002

Doctor Answers (7)
Community Comments (3)

Liposuction after Breast Reduction

Breast size and shape can be somewhat difficult to assess photographically, especially in a single view. My concern is the low nipple position, as further reduction in surgical swelling and potential liposuction would only serve to lower the position further. With swelling, give time to see where the breast volume stabilizes. Talk to your plastic surgeon about size after the swelling has totally subsided at about 6 months post op. Any revision regarding further reduction in... more

Breast reduction and final size

Liposuction may be a reasonable approach for you once the swelling comes down. Best to be seen in person to determine this.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Not Satisfied with BR....lipo After 3 Months?

I agree that your result is less than acceptable. Are you sure your surgeon was a boarded PS, logo of the ASPS is the "circle"?? Seek in person second opinions and plan for a revision surgery. Good luck.

Dissatisfied after Breast Reduction Surgery?

Thank you for the question and picture. I would suggest that you wait approximate 3 to 6 months from now and reevaluate. If you remain displeased with the size of the breasts, then it is likely that additional skin and breast tissue will need to be removed to achieve your goals. Of course, your plastic surgeon will be in the best position to advise you at that time, after direct examination and a full communication of your goals in front of a full-length mirror... more

Liposuction for revising a breast reduction

Enlarged breasts consist of extra fat, breast tissue and skin. The weight makes them droop. If not enough was done the first time (cup sizes cannot be used to judge) it is usually not the case that just liposuction alone will do because there will probably be lose skin and a saggy result. Give the whole healing process 6 months and re-evaluate then.

Breast reduction results

It is important to base your evaluation not on bra size but on the appearance. You need to give it time but liposuction is not a panacea. Also, know that further reduction will be considered a cosmetic procedure which will not be covered by your insurance.

Breast reduction outcome

Hi, it's true that you likely still have some swelling present. However, based on this single image, you still have excess breast tissue and a nipple position that is low. it also seems that there isn't enough projection. I would hesitate to second guess your PS, but it would appear that you would benefit from a redo. I don't think lipo alone is enough. I expect that you still look much better than preop and you should be happy with that. 500 gm reduction from each breast is... more

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Comments (3)

kat1961 26 Feb 2013

I too have the same issue. My breast reduction was 10/24012. I struggle to fit in a DD for the most part. My surgeon removed 1000 from EACH breast and still I believe more should have been taken out. I am scheduled to have lipo on April 10 (I will be out of town a lot in March so put the lipo off until April.). I am anxious now after reading the drs replies to your question... Wonder if I need to seek a 2nd opinion? So frustrating. Have you discussed with your plastic surgeon?

JWrightRN2002 26 Feb 2013

He obviously suggested a revision or lipo. However I don't have the money for another surgery nor the time off from work. So I'm going with the lipo and hope I get the results I want. There are a lot of journal articles that discuss lipo BR and its success. Now that we are already lifted and smaller I feel like it might work.

kat1961 26 Feb 2013

My PS is "only" charging me $1000 to do the lipo. I honestly think it should be free but, he doesn't agree. He thinks I look good now!! Yes I am smaller, but definitely not small. I feel very wide. I've tried to find articles on folks who had revision lipo and can't seem to locate any. Have you read any? Can I ask your age? I am 51. I fear my skin might not have the bounce back it once did... But, since they are so high up now that may help. Worse part to me now that they have softened up, they are also dropping and moving (like when I lie down, they now fall towards my arm pits. Not as bad as they use to but definitely falling. I fear if I don't do something now, gravity will pull them down worse. Please keep me posted on your progress.

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