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

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.

Hormones and/or weight gain are the reasons breasts grow once you passed puberty. a reduction can be done again. The risks are a little lower except for increased risks in losing some sensation.