Breast reduction/lift revision needed: 5 months out my breasts are just as large as before. (Photos)

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

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

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!

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 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

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!

You are very close to being quite correct. One hundred grams removal per side given your starting size is quite minimal and would result (as you see) in not much of a change. You would have required at least several hundred grams to be removed per side (an examination would better determine this amount). In essence, you just had a lift with only a small amount of breast tissue removed in addition.My recommendation would be to wait a total of at least 6 months after surgery before proceeding with a true breast reduction - where far more tissue is removed in order for you to obtain the outcome that you were anticipating. You may also want to consider having someone else perform this procedure but make sure that they are a reputable board certified plastic surgeon experienced in breast reductions including secondaries. Of course, you will have to make this particular decision.Steven Turkeltaub, MD 

A 100 gm reduction is not very much and that is probably why you did not see a significant change in size. I think communication is key and you should discuss things with your surgeon before a revision.

 Based on the grams of tissue removed, it seems like you had more of a lift then a reduction. It's difficult to know what you and your physician discussed regarding final breast size   100 g is not a large reduction.  give your body at least six months from the time of your surgery before considering a revision. Consult with a board-certified plastic surgeon who feels comfortable performing a revision breast reduction 

100gms is not a lot of tissue removed and your breasts dropping to some degree after a lift is to be expected.  If you want a further reduction wait 6 months from your previous surgery date and have them revisedDr Corbin