Had Reduction 20 Years PO, Is It Possible To Have Lift? (photo)

Thank you for your question.   You are an excellent candidate for a secondary breast lift after breast reduction.   You should have enough vascular in growth to allow the nipple to heal well.

The main risk with any revision breast procedure is damage to the nipple blood supply.   A very helpful piece would be to know how your plastic surgeon preserved the blood supply to your nipple.   There are various pedicles or blood supply orientations that are used.   Twenty years ago, it was most probably an inferior pedicle.

I do think you can safely have a small implant placed also.   Take time to discuss your goals with your plastic surgeon and I am sure you will be pleased with your new breast contour!

Dr. Gill

Yes, it is possible to have a breast lift after a reduction.  You do not necessarily need to add an implant with the lift.  If there is ample breast tissue to allow for shaping, then an implant is not needed.  I would recommend a visit to a board certified plastic surgeon for a more complete evaluation.