23 years post op and considering a second breast reduction - should I wait or move forward? (photos)

Dear studiocitygal,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

I think you would benefit from another reduction. You will have better proportion, lift and shape with better symmetry and will meet your expectations. Thank you.

You are a great candidate for a redo-reduction! I would love to say that a breast reduction is a “one and done” procedure, but unfortunately changes in weight, hormones, pregnancy, etc can change the appearance and size of your breasts over time. I don’t see reason to wait to have this done, unless you are expecting a significant shift in weight (ie, weight loss). Peri-menopause can be a tough time for women and body composition changes that come with it. If you’ve had a weight gain, I recommend waiting until your weight has stabilized and ideally until you’re at a goal weight. If you do proceed and have the surgery now, just be aware that weight loss after a breast reduction can result in a further reduction of breast size and some laxity of the skin. I do utilize an absorbable mesh whenever doing a breast reduction to create an internal support bra to maintain the shape and minimize changes to the breast over time. I want to add that your 23 year old results overall look great with such minimal scarring! Best of luck in you peri-menopausal and aesthetic journey!

Hello and thank you for your question.
I don't think there is any reason to wait, especially if you are uncomfortable. Schedule a consultation with a board certified plastic surgeon to discuss options. Best wishes!

Although you may have other reasons to wait, your breast size and symptoms can be easily alleviated with a revision breast reduction.

Based on your photos and symptoms you are a candidate for a second breast reduction. I encourage you to visit with a board certified plastic surgeon for an evaluation. Being perimenopausal does not exclude you from being a candidate. I've included a video that I hope you find helpful.

Thank you for submitting your questions and photos. It is not uncommon to need a 2nd breast reduction later in life. There are many factors that can lead to breast size increasing again after a reduction. There isn't really a huge benefit in waiting longer before proceeding with a 2nd reduction. Now that you're older, you'll want to get surgical clearance to make sure there are no medical contraindications to having surgery again. I recommend you consult a board certified plastic surgeon to discuss all of your options. Good luck and thanks again for reaching out!

If you are uncomfortable in your back and neck, there is no reason to wait longer for a secondary Breast Reduction. After that much time, almost any technique may be safely used. Do speak with your GYN about HRT, and make a plan surrounding the procedure.

It looks like you had a beautiful breast reduction and you appear to be a good candidate for another one. I would not allow about your perimenopausal symptoms to stop you if you are experiencing back and neck pain and your breasts have become a burden I would suggest proceeding with a breast reduction now.

No, don't wait and carry those heavy puppies around. Go have another reduction and see if you can be taken down to a C. Your neck and shoulders will thank you.