I am 5 months po from a reduction & breast lift. I had 100g removed. I was a 34DDD prior to surgery. I want to be a C cup. Post op my breasts were high & tight and I was excited. Now 5 months out & my breasts are just as large as before. They are uneven and the bottom portion in falling. My nipples have stretched. It appears some breast tissue has grown back. Is this possible? I am 53 years old going thru menopause. Will have revision in a few months. My PS is very experienced so I'm confused.
Answer: Need for Revision 5 Months After Breast Reduction Thank for your pictures. Despite plastic surgeon's best efforts the healing forces produce a result that does not meet the patient's or surgeon's expectations. A revision is reasonable. Techniques to consider this time around would be a areolar locking suture (stitch) to help the areola hold its shape and of course more reduction to achieve a more optimal size. Best wishes
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Answer: Need for Revision 5 Months After Breast Reduction Thank for your pictures. Despite plastic surgeon's best efforts the healing forces produce a result that does not meet the patient's or surgeon's expectations. A revision is reasonable. Techniques to consider this time around would be a areolar locking suture (stitch) to help the areola hold its shape and of course more reduction to achieve a more optimal size. Best wishes
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September 25, 2017
Answer: Breast reduction/lift revision needed: 5 months out my breasts are just as large as before. (Photos) Removal of 500 g from each breast with a DDD cup may reduce the individual to a D or so. Removing 100g would not come close to this. This is greatly dependent on density, which changes with the amount of fat in the breast and the age of the patient. Discuss a revision with your PS.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA
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September 25, 2017
Answer: Breast reduction/lift revision needed: 5 months out my breasts are just as large as before. (Photos) Removal of 500 g from each breast with a DDD cup may reduce the individual to a D or so. Removing 100g would not come close to this. This is greatly dependent on density, which changes with the amount of fat in the breast and the age of the patient. Discuss a revision with your PS.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA
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September 25, 2017
Answer: Revision Reduction Mammoplasty Hello,I am 100% certain you can get smaller, more symmetrical breasts. In addition, proper post surgical scar care will prevent that thickened, red scarring. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck!
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September 25, 2017
Answer: Revision Reduction Mammoplasty Hello,I am 100% certain you can get smaller, more symmetrical breasts. In addition, proper post surgical scar care will prevent that thickened, red scarring. Go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck!
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September 25, 2017
Answer: Breast reduction Dear MrsMofOC,it is hard to tell without an examination. Generally speaking, 100g of breast tissue is not that much and you will need more tissue removed to get a significant breast reduction. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS
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September 25, 2017
Answer: Breast reduction Dear MrsMofOC,it is hard to tell without an examination. Generally speaking, 100g of breast tissue is not that much and you will need more tissue removed to get a significant breast reduction. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS
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Answer: Revision after breast reduction Reduction of 100g from a DDD breast size would not be expected to result in a C cup. More than likely with gravity and relaxation of your skin envelope after swelling of soft tissue subsided, your remaining breast volume (which is almost as much as what you had before if all you had removed is 100g) has settled or "bottomed out." In addition, if you have gained any weight, some of that may be in your breasts. The reality is that a true breast reduction usually requires a minimum of 350 (for shorter patients) to 500 (average minimum threshold for insurance coverage) to sometimes 2-3x that amount of tissue removal to be really considered a breast reduction. What you had is a breast lift (which looks like it was performed nicely) with only a small amount of reduction. Re-reducing will require reopening your incisions, taking significantly more tissue out and a bit more skin, then reclosing into the same scar pattern as before. It does sound like you and your PS have worked out a revision plan that is mutually agreeable and the surgeon will likely be a bit more aggressive this time with added removal.Consider this: if instead your surgeon had taken TOO MUCH tissue, you'd now be faced with having to add implants to breasts that were previously reduced, which is a MUCH bigger headache in trying reach the proper happy medium. Taking some more out after a more conservative reduction is a safer approach and I am sure your plastic surgeon would have preferred not to have to do a revision but this is the best case scenario of a revision having to be done for size issues after previous reduction. Good luck!
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Answer: Revision after breast reduction Reduction of 100g from a DDD breast size would not be expected to result in a C cup. More than likely with gravity and relaxation of your skin envelope after swelling of soft tissue subsided, your remaining breast volume (which is almost as much as what you had before if all you had removed is 100g) has settled or "bottomed out." In addition, if you have gained any weight, some of that may be in your breasts. The reality is that a true breast reduction usually requires a minimum of 350 (for shorter patients) to 500 (average minimum threshold for insurance coverage) to sometimes 2-3x that amount of tissue removal to be really considered a breast reduction. What you had is a breast lift (which looks like it was performed nicely) with only a small amount of reduction. Re-reducing will require reopening your incisions, taking significantly more tissue out and a bit more skin, then reclosing into the same scar pattern as before. It does sound like you and your PS have worked out a revision plan that is mutually agreeable and the surgeon will likely be a bit more aggressive this time with added removal.Consider this: if instead your surgeon had taken TOO MUCH tissue, you'd now be faced with having to add implants to breasts that were previously reduced, which is a MUCH bigger headache in trying reach the proper happy medium. Taking some more out after a more conservative reduction is a safer approach and I am sure your plastic surgeon would have preferred not to have to do a revision but this is the best case scenario of a revision having to be done for size issues after previous reduction. Good luck!
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