Is it possible to have a second breast reduction?

Dear thighslipo thank you for your question. It sounds like your first procedure gave you some relief, but it’s perfectly valid to pursue the results you truly want. It is entirely possible to have a second breast reduction, often referred to as a revision breast reduction. Many patients opt for this when they wish to achieve a smaller size than their original reduction allowed or if their breast size has increased over time due to weight changes, pregnancy, or other factors.

It’s essential to consult a board-certified plastic surgeon. They’ll evaluate your breast tissue, skin elasticity, and overall health to determine what’s achievable. It’s worth noting that removing too much tissue can sometimes compromise blood supply or affect nipple sensation, so an experienced surgeon will guide you carefully through the options.

Hello, a second breast reduction is very possible and not uncommon years after the first one. There will be a limit on how much breast tissue can be removed due to preserving blood supply to the nipples. It is also helpful, but not necessary, to know what type of pedicle your previous surgeon used but that information is not always available. Good luck with your procedure! Dr. Sumer Daiza

A second breast reduction, or "re-reduction," can be a viable option, but it comes with some specific risks. One of the primary concerns is preserving the blood supply to the nipple and areola. If the blood supply is compromised, it could lead to nipple necrosis, though this is rare with careful planning. Altered nipple sensation or loss of sensation is also a potential risk. An experienced surgeon will understand the implications of your previous surgeries and have experience with revision procedures.
Factors like hormonal fluctuations or weight changes could contribute to breast regrowth, making the need for a second reduction more likely. To minimize risks, it's essential to consult with an experienced plastic surgeon who specializes in revision procedures. They can assess your previous surgery and create a tailored plan to ensure the best outcome while addressing the unique challenges of a second breast reduction.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

A revision reduction is entirely possible and can be safely performed.
Therefore, you can get it done at any point in your life. Typically may be needed if you gain and lose more weight or after another pregnancy

In my practice it is possible to perform revision breast reductions. It is important for a patient to obtain the operative reports from the previous procedures and bring them to your consultation. The blood flow to the nipple must be respected in the revision case! Of course depending on the situation free nipple grafts may also be a good option in a revision case. In making a small change from C cup to B cup, you may be well-served with a minimally invasive technique like liposuction of the breasts, however this can lead to a more ptotic look as well. I would gather your old documents and schedule a consultation!

Hello, my name is Dr. Burko and I am a Plastic Surgeon at SY Aesthetics in New York City. It is certainly possible to have a second breast reduction surgery. Ideally, I'd recommend obtaining your operative report from your first breast reduction so that the surgeon can plan the safest and most effective operation for you. My recommendation is for you to see a trained plastic surgeon who can discuss your surgical options with you.

Yes, you can have secondary surgery, but there are some risks involved depending where he sourced the blood supply from. I would get a copy of your operative note and schedule a in-person consultation with a board certified plastic surgeon in your area. Best of luck!

Hi,

Thank you for the question.

Yes. It is possible to have second breast reduction if you still have large/heavy breasts causing physical symptoms. However, it is difficult to tell without seeing the photos and/or in person consultation.

Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms. In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management.

The goal of breast reduction surgery it to make the breasts smaller and lifted, but also proportionate with the rest of your body.

I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Hello thighslipo.
It is always possible to have another breast reduction. There can be more complications in secondary procedures. That is why it is important to have a proper technique done to preserve the blood flow to the nipple and areola and have a great result.
Let me knownif you have any questions

Dr. Medina

Hello and thank you for your question.
Yes, you can have a 2nd breast reduction. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!