Would you take on a patient that needs a redo on one side?

Question

I had a reduction and lift 9 months ago. One breast is a full cup size larger than the other and my doctor says that this is within normal range and he doesn't see that it needs more work. I left my appt very tearful because I am more self conscience than I was before surgery. Now my fear is that another surgeon won't take me as a patient to re-do. I am wondering if this is something, in your opinions, that another doctor would take? I hope and pray the answer is yes. I have an appt scheduled.

Kenneth Hughes, MD · Answer

The breasts can be reduced again, and this is not that uncommon. You attempted to work with the plastic surgeon who performed your BR nine months ago, which is the course of action I would have taken. Being unresponsive to your request, you have moved forward by scheduleding an appointment with another plastic surgeon for a second opinion. Go prepared to that consultation with a positive outlook and take your operative records with you. You should be able to find a resolution that is satisfactory.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Larry Lickstein, MD · Answer

While in one sense plastic surgery is about changing anatomy, shapes and sizes, the underlying theme of all plastic surgery (cosmetic and reconstructive) is to bring about changes that make an individual feel better about themselves.  It seems as if this has not been achieved, and judging from your images, the condition could be improved.  I agree with my colleagues, that you should not have a difficult time finding a Board Certified surgeon willing to accept your case.  Best of luck!

Tom J. Pousti, MD · Answer

I'm sorry to hear about your concerns after breast reduction surgery. I do not think that you will have any problem finding a good board certified plastic surgeon to help you. It would be helpful to your chosen plastic surgeon to have a copy of the initial operative report. Once you have chosen your plastic surgeon carefully, it will be important that you communicate your concerns/goals carefully as well.  Working together you will come up with a good plan. Best wishes for an outcome that you will be very pleased with long-term.

Nolan Jaeger, MD · Answer

I'm of the belief that it never hurts to get a second opinion. From a surgical standpoint, a re-do breast reduction is definitely possible. I would recommend consulting with a board certified plastic surgeon (or several) to address your concerns. One caveat is that the purpose of an insurance covered breast reduction is to alleviate symptoms, not provide complete symmetry. A revision for symmetry may be considered cosmetic as some degree of asymmetry after a breast reduction is expected.

Steven Wallach, MD · Answer

If you are unhappy with the size difference, then it is possible to revise it to get it closer......

Would you take on a patient that needs a redo on one side?

Answers (9)