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Hello and thank you for your question, and for sharing your photos. The best procedure will likely be a revision reduction procedure, your previous scars can be used and the goal would be to help lift the breast tissue that has started to descend, "bottom out" to a higher position, and also remove some of it. If you are happy with the size of your current breasts in a bra then you may just need a mastopexy/lift without removing additional tissue, which again likely can be done using your current incisions.
Everyone is different in how they handle pain. We as physicians are under a lot of pressure not to give out pain medication too much. The most appropriate thing to do about this would be to contact your surgeon. It may be that something is wrong.
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...
Based on your pictures it look like you are healing well, just give it more time for them to settle and continue to follow up with your PS to discuss your concerns.