Can I Have a Reduction in One Breast and Reconstruct in the Other

had a mastectomy on left and the right is a 38G. I need a reduction and reconstruction.

Doctor Answers 16

Yes, it is possible

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes, it is possible to have two different procedures performed, although they may be scheduled at different times for your safety.

Breast Reconstruction and Breast Reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The short answer to your question is absolutely. Breast reconstruction not only deals with the breast that had cancer but also on the opposite breast. The technical details, how to stage the procedures, vary from one plastic surgeon to another. But in short, you should start out by making an appointment with a board-certified plastic surgeon who performs breast reconstruction as part of their practice.

Hope that helps and good luck!

Dr. Babak Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 51 reviews

Breast reduction and breast reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This is a very common combination of procedures. The staging can vary from one individual to another. I occasionally use the areola and nipple of the larger side to reconstruct the mastectomy side.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Breast Reconstruction and Breast Reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}



This is a great question.   I think you should visit with a board certified plastic surgeon to learn what options that you are a candidate for in breast reconstruction.   Breast Reconstruction usually involves 3 separate procedures.   One inpatient procedure and 2 outpatient procedures:

1st Procedure:  Breast Mound via tissue expander or abdominal (DIEP/TRAM) or back (latissimus dorsi) tissue

2nd Procedure:  Symmetry achieved by contouring reconstructed breast mound and reducing your opposite breast to achieve symmetry.   This procedure is typically done 2-3 months after the 1st procedure.   I would recommend doing the breast reduction at this stage to achieve the best shape, size, and symmetry to the reconstructed breast

3rd Procedure: Nipple and Areola Reconstruction

I hope this helps and I wish you a safe and healthy recovery.

Paul S. Gill, MD
Houston Plastic Surgeon
4.8 out of 5 stars 94 reviews

Breast reconstruction and balancing reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes you most certainly can have a reconstruction and opposite breast reduction at the same time. Some surgeons prefer to do the reduction at a later date to allow for the reconstructed breast to heal and for its shape to settle. This allows for perhaps slightly better symmetry between the two breasts. Sincerely, Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 519 reviews

Breast reconstruction and a reduction on the opposite side

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I am sorry to hear about the need for a mastectomy but hopefully it will protect your health.  Reconstruction can be done and often requires a reduction or lift on the opposite side to help the match be better.  This is routinely done and is covered by insurance.

Breast Reduction and Reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thanks for the question.

It is quite common to find patients with unilateral mastectomies who undergo reconstruction and subsequently need either a mastopexy or a breast reduction on the contralateral side for symmetry. I recommend you consult with a Board Certified Plastic Surgeon in your region who has a practice emphasis in breast reconstruction.


Glenn Vallecillos, M.D., F.A.C.S.

Glenn Vallecillos, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 30 reviews

Other Breast in Breast Reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You certainly can have a reduction of your very large opposite breast in conjunction with your breast reconstruction following mastectomy.  In fact there is a Federal law which mandates this which has been in effect for several years.

John Whitt, MD (retired)
Louisville Plastic Surgeon

Breast Reduction and breast reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

After a breast reconstruction a breast balancing procedure is usually done to the opposite breast to obtain symmetry.

This can be achieved with a reduction, lift or even an augmentation if needed.

So what you are asking about is part of the complete reconstruction process of your breast following the mastectomy.

All the best

Dana Khuthaila, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 77 reviews

Breast redcution and reconstruction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Breast reconstruction usually includes making the two breasts symmetrical whether to reduce, augment or lift tha other breast.  This is quite common.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.