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.

It is frustrating when you go through a surgery and do not get the results you had been looking for. The amount of breast tissue that can be removed at one time has no limit, it simply depends on the technique used to maintain circulation to the nipple. I have removed over 3000g from each side, and would remove more if appropriate. Seek a new opinion.

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!