I had a breast lift at age 39, I am now 65. I would like to have this surgery again. Is this a possibility or since it's been done once is it risky to re-do it the second time?
Can I Have a Second Breast Lift After 28 Years?
Doctor Answers 10
Second Breast Lift?
Dr Dhaval Patel Double Board Certified Plastic Surgeon Chicago Hoffman Estates Oak Brook
Repeat Breast Lift
Repeat Breast Lifting Possible?
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.
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Secondary breast lift
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.
Second breast lift
A second or revision breast lift may be ok for you, but a formal exam and evaluation would have to be performed.
Safety of second Breast Lift
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.
Repeat Breast Lift
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.
Risks of Second Breast Lift 30 years Later
Secondary breast lift
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.
Breast lift (mastopexy) the second time around.
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.