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.
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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