Why are my breasts still larger after my breast reduction?

Question

I had a breast reduction in October 21. I am almost a year post op and I have lost over 20lbs since surgery. I started out as a 36G. I am a 34H now. Meaning I am the same size after surgery? The doctor swore he could get me to a C/D. How am I still where I was? I had a major surgery, I have big scars, etc. He wants to meet with me to discuss further options. I'm not even sure that insurance will cover another surgery.

Alan Gonzalez, MD, FACS · Answer

Hello @unhappy2022, thank you for your question. It is important to take into account several aspects among which is the surgical technique applied. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS.

Krishna Vyas, MD, PhD, MHS · Answer

It can be frustrating to feel like your breast size hasn't decreased as expected after your reduction surgery. Several factors can contribute to this outcome. One possibility is that the surgical technique used may not have fully addressed your desired size reduction, or there could have been some tissue regrowth over time, despite weight loss. Breast tissue can be influenced by hormones, genetics, and even weight fluctuations, so it's not uncommon for breasts to remain larger or even grow after a reduction.

Given that you have lost weight and still find yourself at a similar size to before the surgery, it is crucial to discuss these concerns directly with your surgeon. They can assess your individual case and determine if further intervention is necessary. A second reduction or alternative options may be considered. It's important to understand your options moving forward, and seeking a second opinion could also help you make an informed decision about how to proceed.

Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained 
Aesthetic Plastic Surgeon
New York, New York

Wess Cohen, MD · Answer

Thank you for your question. It is obviously impossible for me to know what your surgeon did during the first reduction. It is not unheard of for breasts to continue to grow even after a breast reduction. If you are still symptomatic it is certainly worth trying to have insurance cover a repeat reduction. Good luck

Daniel Barrett, MD · Answer

Dear unhappy2022,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Scott C. Lindsay, DO · Answer

Thank you for your question.
The best thing to do is to meet with your surgeon, Have him take a look and discuss your options. Best wishes!

Ashley Thorburn, MD · Answer

If you've undergone breast reduction surgery but still find that your breasts are larger than expected, several factors could contribute to this outcome:1. Swelling: Swelling is a common occurrence after any surgery, including breast reduction. In the immediate postoperative period, your breasts may appear larger due to swelling. It can take several weeks or even months for swelling to fully subside and for the final results of the surgery to become apparent.2. Healing Process: The healing process following breast reduction surgery can vary from person to person. Some individuals may experience a longer healing process or delayed reduction in breast size due to factors such as tissue elasticity, skin quality, and individual healing responses.3. Weight Gain: If you've gained weight following your breast reduction surgery, it can contribute to an increase in breast size. Maintaining a stable weight is important for preserving the results of breast reduction surgery and achieving optimal outcomes.4. Surgical Technique: The surgical technique used during breast reduction surgery can influence the final size and shape of the breasts. If you're concerned about the outcome of your surgery, it's essential to discuss your concerns with your plastic surgeon to determine if any revision or corrective procedures may be necessary.5. Expectations: It's important to have realistic expectations about the results of breast reduction surgery. While the goal is to reduce the size of the breasts and improve their appearance, individual outcomes can vary based on factors such as breast anatomy, surgical technique, and healing process.If you're concerned about the size of your breasts after breast reduction surgery, it's important to consult with your plastic surgeon for an evaluation. They can assess your condition, address any concerns you may have, and recommend appropriate steps to achieve the desired outcome. This may include additional procedures or interventions to further reduce breast size or improve breast shape.

Camille Cash, MD · Answer

I'm sorry you are unhappy with your breast reduction.  More information is needed to help determine what may be causing your concerns.  I encourage you to visit with your surgeon to discuss your results as well as options.

Douglas Taranow, DO, FACOS · Answer

I’m sorry you’re having issues with your breasts. Photos are really necessary to evaluate what’s going on.  I’m not sure your insurance would pay for a second reduction procedure

Why are my breasts still larger after my breast reduction?

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Answers (8)

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