I had a breast reduction done in year 2013. I would like a second breast reduction. Any suggestions?
Doctor Answers 2
I would like a second breast reduction. Any suggestions?
One of the concerns when repeating breast reduction surgery is related to blood flow to the remaining breast tissue; is important to perform the operation in such a fashion that the blood flow to the nipple/areola/breast tissue is not compromised. The part of the tissue that is left in place after breast reduction surgery is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola/ breast tissue. If the pedicle (that was used during the previous breast reduction procedure) is cut then the blood flow to tissues may be compromised leading to serious complications such as tissue necrosis etc.
It will be helpful for you to find the previous surgeon's operative report prior to the redo surgery, if you are working with a different surgeon. Make sure that you communicate your size goals carefully; in my practice, I encourage patients NOT to use cups sizes as references; the use of visual aids such as photographs are much more helpful. I hope this, and the attached link, helps. Best wishes.
With kind regards,
Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.
Las Vegas Plastic Surgeon
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