Is it safe to have a third breast reduction?

Question

I had a breast reduction 20 yrs ago and went from a DD to D cup. One year ago, I had a 2nd "reduction" surgery, and although I was clear that I wanted a B cup, the surgeon did not decrease my size at all, just a lift. So now I am still a D cup and although my breasts are nicely shaped and symmetrical, I am not happy with the size. Is it safe to attempt a third reduction? My first surgery was lollipop; second was anchor. By the way, I have VERY dense breast tissue.

Tom J. Pousti, MD · Answer

Thank you for the question.It is not unusual for patients to request further breast reduction after having had the first breast reduction at a young age.  Additional reduction can be performed, as long as it is done with careful consideration of the previous operations performed and careful attention to blood flow concerns.One of the concerns  when repeating breast reduction surgery is related to blood flow to the remaining breast tissue;  is important to perform the operation in such a fashion that the blood flow to the nipple/areola/breast tissue is not compromised.   The  part of the tissue that is left in place  after breast reduction surgery is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola/ breast tissue. If the pedicle (that was used during the previous breast reduction procedure)  is cut  then the blood flow to tissues may be compromised leading to serious competitions such as tissue necrosis etc.It will be helpful for you to find the previous surgeon's  operative report  prior to the redo surgery,  if you are working with a different surgeon.I hope this helps.

Steven Wallach, MD · Answer

Each time one goes back on a breast, there is always an slight increased chance for nipple loss or numbness. Hard to say if a "B" cup is possible without an evaluation.

Timothy Connall, MD, FACS · Answer

I am sorry you are unhappy with your breasts. Breast reduction surgery is very common in our practice and patient satisfaction with the procedure is very high.  If your last operation was only a basic mastopexy, then the breast tissue has only been reduced once.It is generally safe to perform addition reduction surgery. Your surgeon will consider your previous operations and design the surgery accordingly.  Please discuss your concerns and goals with your surgeon.Best wishes.

Is it safe to have a third breast reduction?

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Is it safe to have a third breast reduction?

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