Breast reduction 9 months ago. Still too big! Same size as before. What are my options?

Hello and thank you for your question.I am sorry your are not happy with your outcome. You can have your breasts reduced again. I would suggest seeking a consult with your current surgeon and possibly others. Best of luck!

You can undergo a repeat reduction.  The technique I recommend is The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.Best Wishes,Gary Horndeski, M.D.

If you are still an F cup after a reduction surgery, then it does not appear you had a reduction.  Most reductions should remove about 40-60% of the breast tissue if a pedicle reduction is performed.  You may benefit from a Free Nipple Reduction if you want a cup size in the C or less.  You may want to seek a second opinion to see your options. Im sorry to hear you did not get what you expected.  Good Luck. 

The breasts can be reduced again, and this is not that uncommon. Wait at least a year after the initial reduction to re-evaluate whether a revision is necessary. Liposuction of the fat in the breasts will only lead to further drooping and does not result in the skin envelope tightening.  Liposuction can only remove fat, and, because the density of breast tissue is much greater than fat, breast tissue cannot be removed by the liposuction cannula.  Breast tissue can only be cut out or excised.  Thus, incisions should be made to make any meaningful reduction in breast tissue.

Sorry for you dissatisfaction, but this is not an unusual complaint. A reduction that is less than the amount desired could be caused by many reasons, but usually its either due to the surgeon's perception of what is safe to remove, or the surgeon's perception of what looks good. Regardless, you are now far enough out that your breasts are not likely going to shrink in size. Because of your age, I would imagine that liposuction will not work because your breasts are full of glandular tissue, and not so much fat; but I could be wrong. For most people, it means they'll need a revision breast reduction. 

Dear chocolatecake23,
It is hard to tell for sure without an examination. Based on your description, it sounds like you might benefit from revision surgery. If you are considering a surgery, I would suggest you to 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

Dear chocolatecake23, Thank you for your question and so sorry to hear about your concerns. I suggest consulting with another Board Certified Operating Surgeon to get a second opinion on your options for a revision surgery. Best of luck to you! 

Sorry to read about your disappointment after your breast reduction surgery.  Usually at about 6 months you should have a good idea of how big your breasts will be or remain.At this point you best option would be to go see a board certified plastic surgeon, with your operative reports as well as your before photos to discuss what your options are.Hope that helps.

I'm sorry to hear you are disappointed. Breast reduction is a tougher operation than we give it credit for. There are many of challenges when it comes to designing and planning the surgery, not to mention the healing component. You could definitely have a "re-reduction." It means more surgery, but more tissue can be removed to help you. I'd consider that if you are not happy.

I am sorry to hear about your concerns after breast reduction surgery. Based on your description, it sounds like your best option is revisionary breast reduction surgery to further reduce breast size.  I would suggest that you communicate your concerns/goals again with your plastic surgeon (in a calm and constructive fashion).   If this further communication is not effective seek second opinion consultations with well experienced board-certified plastic surgeons in your area.Again,  communicate your goals carefully; in our practice, this is best done with the help of computer imaging and goal photographs.Best wishes.