Unhappy with the shape and appearance after my breast reduction —any suggestions?

Hi. Thank you for posting your question.
Without any photos, it is impossible to know where your concerns lie or if your expectations are realistic or not. If you are unhappy after any plastic surgical procedure, the general approach is that you should discuss this with your surgeon. The specific reasons for your dissatisfaction should be clearly outlined so that a mutual understanding can be established between you and your surgeon. You are probably too early post breast reduction to decipher the final shape/appearance. I would usually wait at least 6 months before contemplating any revision surgery. 
My suggestion is that you make an appointment to see your surgeon to discuss if anything can be done to improve things.
All the very best.
Dr Ray Goh

Hello, thank you for the question and I am sorry to hear that you are concerned.
It's still early days, 4 months postoperatively your breasts have not reached the final shape, it will take longer to get more stable and closer to the final outcome.
Also, the fact that you  describe lumps shows that the scar tissue is still active and you might also have a degree of fat necrosis.
I think you need to voice your concerns with your surgeon, you might need some scans to follow up the "lumps" and you might also need to wait a bit longer for your final result.
Good luck and take care!

Hello and thank you for your question. Scar and wound healing takes a year after any surgery, and so you are still in the relatively early stages of healing at 4 months postop. If at the 1 year mark you are still bothered by the appearance re-address your concerns with your surgeon, or seek a second opinion to see whether you'd benefit from some sort of revision (which can include a combination of liposuction, scar revision, and/or formal surgical excision of excess tissue). If you do decide to go to a different surgeon be sure to take a copy of your operative report with you, so that your new surgeon can tell what "pedicle" your initial reduction was based on (which helpd with planning to keep the nipple/areola alive).