Is there any way to further reduce my breasts without a free nipple graft? (Photo)

Question

I had a 30/32G before I had my breast reduction surgery. After, the breasts settled and I am still experiencing problems: rashes, indentations, and bras do not fit. I am still TOO big for my body. I am at a full D cup, still with a fairly small frame/back. I got horrible news where my surgeon said she would have to do a free nipple graft to take a few more inches off. I am no doctor but that seems ridiculous! It is still a lot of breast meat to take off, can one do the same anchor procedure?

Brian K. Reedy, MD · Answer

Thanks for your question! I'm not sure that I agree that a free nipple graft would be necessary. I would suggest seeking a second or third opinion to see what other options may be presented to you. Good luck!

Casey Anderson, MD, FACS · Answer

With the picture provided, I would not see a need for a free nipple graft. I would want to wait a nice amount of time to decrease risk of complications to keep that nipple as happy as possible.

Irena Karanetz, MD · Answer

Hi,
Thank you for the question. 
Based on your photos, it may be possible to remove excess breast tissue and skin by placing the scar at the breast fold, without adding any new scars to the breast or doing free nipple graft. I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction and Breast Revision surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Gary M. Horndeski, MD · Answer

Your incisions can be revised without free nipple grafts. This would tighten up the breasts inferiorly and the compression creates upper pole fullness. As far as the fat content of your breasts, liposuction can be performed to remove some volume.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear TT080,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

The anchor surgery should be able to be repeated now since new blood vessels have grown since your fist surgery. There still is a limitation on how small you can go without doing a nipple graft. You should be able to down one cup in size safely.

Is there any way to further reduce my breasts without a free nipple graft? (Photo)

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Answers (6)

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