Is there a limit to how much can be removed in a Breast Reduction?

Hello, thank you for your question. That is correct as you want to only remove a certain amount to safely preform the procedure due to lack of blood supply. It will be more difficult with you since this is your second surgery. It is always okay to get a second and third opinion but they are correct about the blood supply being an issue.

Hello, I understand there might be some consternation with understanding how much breast tissue can be removed if you've had a previous breast reduction. We (plastic surgeons) worry about the circulation to the nipples and it largely depends on what style/pedicle of breast reduction you had in the past. With an inferior pedicle breast reduction the main blood supply comes from the lower half of the breast which carries blood circulation. There is a higher risk of poor venous blood return and congestion of the nipple that makes plastic surgeons very nervous of taking out too much breast tissue for fear of disrupting the circulation to the nipple which then causes a partial or full nipple necrosis. Your plastic surgeon who is likely skilled in breast reduction surgery has already made the assessment that removing too much will risk the blood supply. Hope that helps!

There is a limit to how much the breast tissue can be reduced in order to maintain blood supply to the nipple/areola. If you are unsure with the recommendation of your surgeon, you can visit with a few other board certified plastic surgeons near you to listen to varying opinions. I've included a video on the procedure that I hope you find helpful.

Blood supply to the nipple is paramount. You'll need to be careful if too much tissue is removed. Given your information you should be able to achieve a full C cup with a breast reduction.

There a variety of breast reduction techniques used. One is liposuction if the breasts have high fat content. However, it is possible to injury the blood supply if too much breast tissue is removed. Unfortunately, you have not provided photographs and we don't know what technique was used in your prior surgery. It may be possible to reduce the breasts by 50% depending on your current size and previous procedure. The breast reduction technique I recommend is The Bellesoma Method. This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.