Need breast reduction redone - advice on what I should get done? (photos)

You have hypertrophic scars, widened nipples and areolas, significant asymmetry and sagging. You may be eligible for another breast reduction to improve the symmetry, size, and scars.


Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained
Aesthetic Plastic Surgeon
New York, New York


Dr. Krishna Vyas, MD, PhD, MHS is a double-fellowship trained plastic surgeon specializing in aesthetic surgery and breast surgery. He has received advanced training from renowned institutions, including Harvard, Mayo Clinic, and Johns Hopkins. Dr. Vyas is widely regarded for his expertise in aesthetic breast and body surgery, including breast augmentation, reduction, lifts, and gender-affirming surgery (such as chest masculinization and feminization for transgender and non-binary individuals). Dr. Vyas is recognized for his expertise in breast and nipple sensory nerve preservation and restoration. His PhD in clinical and translational science focused on stem cell biology, fat grafting, and improving outcomes in aesthetic surgery, breast surgery, and regenerative medicine. He has authored over 200 peer-reviewed publications and presentations and serves on the editorial boards of multiple medical journals.

Recognized for his expertise, Dr. Vyas was appointed an Instructor of Surgery at Mayo Clinic and served as an Assistant in Surgery at Harvard Medical School and Massachusetts General Hospital. At Mayo Clinic, he embraced the core value of "the needs of the patient come first," contributing to its status as one of the best hospitals worldwide. Dr. Vyas has served in leadership roles, including as President of the Mayo Clinic Fellows Association, Board of Directors for the Mayo Clinic Alumni Association, Chair of the Mayo Clinic Young Investigators Research Symposium, and Board Member of the Graduate Medical Education Committee.

A dedicated mentor, Dr. Vyas has guided hundreds of aspiring medical students and professionals, shaping the next generation of surgeons and researchers. His contributions to the field have earned him recognition as a Kentucky Colonel. As an innovative leader in aesthetic surgery, breast surgery, and gender-affirming surgery, Dr. Vyas continues to make a significant impact through his surgical expertise, research, and unwavering commitment to patient-centered care.

You could have another revision with a small reduction and lift to obtain a better shape, size and symmetry. Please go visit with a plastic surgeon. Scar treatments can be done after surgery to help.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long lasting results. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.