Should I have a Breast lift, breast reduction number 2, or leave them alone? (photos)

I have gotten mixed reviews of my breasts since I was clothed so I wanted to add pictures so I could get a clearer answer and opinion. I am 27, 5'2, 164lbs.That being said I had a previous breast reduction 10 years ago. Due to pregnancy they grew back, and they hang very low. It hurts my back/neck hurt, and I look provocative in just about everything do to my large breasts. I have also lost 60+lbs in the last year. i looked at my insurance and breast reduction is covered. Thank you for your time!

Doctor Answers 6

The Horndeski Method™

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Your current results are typical of the Wise pattern.The breasts have bottomed out and have unattractive scars.I recommend a new technique called The Horndeski Method™.The breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.The weight of the breast is transferred to the underlying muscle resulting in immediate pain relief and long term stability.This technique avoids the ugly vertical scars associated with traditional technique, maintains nipple sensation and the ability to breast feed.Unfortunately, this technique is not covered by insurance.

Best Wishes,

Gary Horndeski, M.D.

Texas Plastic Surgeon
4.6 out of 5 stars 230 reviews

Need a redo mastopexy

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 From the look of your photos and history, I would recommend a redo of your mastopexy. Since I do not take health insurance I have no idea what the amounts of breast tissue that would be necessary to qualify under insurance guidelines. Most of your situation which we call bottoming out of in inferior pedicle reduction can be fixed with mostly taking out extra skin. I recommend you seek the counsel of a board-certified plastic surgeon in your area. Good luck.

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 58 reviews

Hard to tell without examining, but...

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...probably just a tightening of the breast envelope or "lift" would be best.  Insurance companies would want a considerable amount of tissue removed that might not look proportionate to your body frame.  All advice is from a couple pictures though, so best to see a board certified plastic surgeon that knows how to create beautiful breasts and does revision breast work regularly.

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Should I have a Breast lift, breast reduction number 2, or leave them alone?

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I breast reduction would decrease the volume to much ton your appearance as seen in the posted photos. In my over the internet opinion you need a breast lift without a reduction, NOT insurance covered... 

Should I have a Breast lift, breast reduction number 2, or leave them alone?

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What operation you should undergo, if any, will be a very personal decision that only you can make after careful consideration of your goals. Discuss your goals, preferably in front of a full length mirror, with your plastic surgeon may be very helpful when it comes to  discussing goals/concerns/questions.  

At the very minimum,  I think breast lifting will certainly improve your breasts' position; consider breast reduction surgery if you feel that your breasts are too large for you. I hope this, and the attached link, helps. Best wishes with your decision-making and for an outcome that you will be pleased with long-term.

Breast Reduction

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The right decision is really going to depend on your desired outcome. But given the fact that you are still experiencing back and neck pain and that you have significant breast volume, a breast reduction seems like your best bet. Schedule a consultation with a board certified plastic surgeon in your area (link below) to discuss your options. Best, Dr. Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.