Will I need another breast reduction?

Question

So I got a breast reduction a few years ago but unfortunately due to my PCOS I gained weight and my breast ended up getting even bigger than what they were before the surgery! My question is if I lose the weight will my breast shrink or will I need another reduction?

David Branch, MD · Answer

Lababy13, I am sorry that you are continuing to deal with large breast despite surgery. Unfortunately, there is no way to know for sure if your breast will shrink with weight loss. Commonly this does happen with weight loss, but occasionally patients require a second reduction to achieve a desired size.

Alan Gonzalez, MD, FACS · Answer

Hello @lababy13, thank you for your question. If a patient's breast grows and begins to cause physical, psychological, and functional problems, then she should undergo surgery according to my criteria. As long as the surgical technique is adequate, this will not cause problems. As the patient gains weight, her body proportions will change, such as her face getting wider, her arms getting thicker, and her chest getting broader. When a patient loses weight, the proportions of her breasts decrease as well, since breast tissue is made up of fat and glands. I suggest you consult with several board certified plastic surgeon. Best wishes! Alan Gonzalez, MD FACS

Rafael Arenas, MD · Answer

Thank you for your questions; Pictures will help to make a better assessment of you case. A personal evaluation with a Board Certified plastic surgeon where she/he can examine the height of your areolas, current volume and distance on the lower pole can help on your decision in wait to get a secondary breast reduction. Hope this help.

Daniel Barrett, MD · Answer

Dear lababy13,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

There is no definitive way to predict how weight loss will impact your breast size.  If you gained weight and the breast size increased, it may decrease with weight loss.  Some people gain and lose weight with no changes to the breast size.

Scott C. Lindsay, DO · Answer

Thanks for your question! There's no way to tell how your breasts will change with weight loss. You should be at your optimal weight (or close to it) prior to proceeding with surgery. I would suggest getting there and then re-evaluating at that point. Good luck!

Will I need another breast reduction?

Answers (6)

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