Need a second reduction. What are the risks for a second one?

A second breast reduction, or "re-reduction," can be a viable option, but it comes with some specific risks. One of the primary concerns is preserving the blood supply to the nipple and areola. If the blood supply is compromised, it could lead to nipple necrosis, though this is rare with careful planning. Altered nipple sensation or loss of sensation is also a potential risk. An experienced surgeon will understand the implications of your previous surgeries and have experience with revision procedures.
Factors like hormonal fluctuations or weight changes could contribute to breast regrowth, making the need for a second reduction more likely. To minimize risks, it's essential to consult with an experienced plastic surgeon who specializes in revision procedures. They can assess your previous surgery and create a tailored plan to ensure the best outcome while addressing the unique challenges of a second breast reduction.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Dear Cinnabon5264, thank you for your question!

It’s understandable that you’d want to revisit a second breast reduction, especially given the changes you’ve experienced over the years. Breast size can fluctuate due to hormonal shifts, pregnancy, weight changes, or even long-term effects of medications like birth control. These factors likely contributed to the increase in your breast size since your initial reduction.

A second breast reduction is indeed possible, but revision surgeries come with unique challenges. Scar tissue from your first procedure can make the surgery more complex, and preserving the blood supply to the nipple becomes even more critical. Additionally, there’s a higher likelihood of changes in nipple sensation or even loss of sensitivity. Healing may also be slower due to changes in skin and tissue elasticity, and risks like infection or bleeding remain standard surgical considerations.

I recommend consulting a board-certified plastic surgeon experienced in revision breast surgeries. They’ll carefully assess your current breast tissue and anatomy, ensuring a tailored plan to help you achieve your desired results while minimizing risks. With the right approach, a second procedure can help restore your comfort and confidence. Wishing you the very best on this journey!

Hello, my name is Dr Igor Burko and I am a plastic surgeon at SY Aesthetics in NYC.
Yes, it is possible to have a breast reduction procedure even after having one in the past.
Ideally, you can obtain your operative records from the first surgery to give during your consultation so that the surgeon is aware of the technique you had performed previously.
If you do not have the operative report, you are still a candidate for a breast reduction.
The risks are that the blood supply to your nipple and areola can be compromised by performing a second reduction. However, I recommend you consult with a trained plastic surgeon to discuss your options.