Can I Have a Second Breast Lift After 28 Years?

Thank you for your question!  You definitely can have another breast lift.  You may need more than one throughout your lift.  Find a board certified plastic surgeon who preforms these routinely.  Best of luck!Dr Dhaval Patel

Double Board Certified 

Plastic Surgeon 

Chicago 

Hoffman Estates

Oak Brook

Yes, this repeated procedure is definitely possibly considering the work of nature on the body. Over time, gravity will continue to have an effect and the
breast skin will tend to stretch. The degree of #stretching and #sagging varies
between women: generally, women with smaller breasts experience less recurring
sagging. If sagging does occur, further excision of the skin on an outpatient
basis can be used to correct the problem. Heavy and large breasts may lead to
recurrent sagging and may require the removal of a small amount of breast
tissue to achieve an optimal shape and size. One key to a satisfying result is
realistic expectations.

The risk of a second surgery is primarily due to to the blood supply to the nipple and areola. IF your surgical records are available, it would greatly diminish this risk because the surgeon could better plan the approach.

Yes, it is possible to have repeat breast lifting done;  this is not an unusual request specially after 28 years. Make sure you're working with are well experienced board-certified plastic surgeon. It is doubtful that you'll be able to obtain previous operative  reports,  but if you do, this may be helpful.

Best wishes.

There are a number of different techniques available for performing a breast lift, although some of the newer ones were not performed when you underwent your initial surgery. Since so much time has elapsed since that surgery, it is most likely that there is sufficient blood supply to the different parts of the breast, especially the nipple and areola, for you to safely undergo another breast lift.

A second or revision breast lift may be ok for you, but a formal exam and evaluation would have to be performed.

I agree with other respondents that while it is usually possible to redo a breast lift there are inherent risks. If possible it is wisest to go back to the original surgeon. They have the highest likelihood of knowing how the blood supply was altered. Getting old operative notes is nice but some surgeons are more detailed than others in their dictations. As long as you are aware of the risks and your surgeon has an appreciation for the complexities of a redo augmentation you could proceed.

Not all breast lifts are the same and the way the breast lift was done could influence the way a breast lift is done this time around.

The primary consideration is the blood supply to the nipple complex and how it was saved the first time around. Usually, even if the supply was divided, with time, a new blood supply re-forms making the surgery a lot safer.

If you are NOT a smoker and are in gouda health, I think a second breast lift can be done 30 years later with minimal risks.

Good. Luck.

Dr. Peter A. Aldea

Depending on the technique used in the first lift, the second lift may jeopardize the blood supply to the nipple areolar complex. An operative report from the first surgery would be very helpful. Many lift from 30 years ago severed the blood vessels from underneath the nipple. Although there is some re-attachment of these vessel, a lift that then severed the blood supply from the sides as many of the modern technique do can reduce the overall circulation to the nipple. In general, the lift is safe but this possible does exist.

Since breast lifts move the by cutting around it and replacing it in a higher position, it is desirable to know how this was done the first time so the main blood supply to it is not cut the second time. If not recognized, this can cause the nipple/areola to die post operatively. The ideal is to have the original surgeon redo the procedure, since he/she is most familiar with how the first procedure was done. An operative report is next best. Even if you can do neither, most experienced surgeons can guess at the blood supply since there were only a few methods used in 1982. However, they must preserve the skin in the area where the nipple/areola goes until the last, so that, if the nipple/areola shows poor blood supply, it can be moved to that area as a graft (cut totally free and moved to the area of skin where the only surface has been removed that furnishes blood supply by vessels growing into the back). This is not as ideal, since it takes longer for the area to heal and for the sensation to normalize, but provides an excellent alternative if necessary.