After 2 breast reductions will I require a third to reduce the size of my breasts?

Question

I had a breast reduction 3 yrs ago I was a 34 DD and went to a C cup. I had a revision a year later bc the first time the dr only did the lollipop method which didn’t work out so well. The revision was with the anchor by a different surgeon. Now after having 2 children an 8 pounds heavier at 128 I went up to a 36 D. Am I able to have a third surgery at this point. I have not gone for a consultation yet. Thanks

Gary M. Horndeski, MD · Answer

The technique I recommend is The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and the long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.Best Wishes,Gary Horndeski, M.D.

Miguel Delgado, MD · Answer

It may be possible to have another breast reduction, however try to lose the extra pounds first, you may not need one. Be sure to consult with a board certified plastic surgeon to learn what options are available to you. Good luck.

Zoran Potparic, MD · Answer

It would be in your best interest to get to your normal weight, if possible, before considering additional reduction. In your case, reduction of breast tissue can be achieved with liposuction, followed with lift; most likely skin tightening without or with minimal lift of nipple/areola is all what needs to be done to achieve tight, perky, smaller breasts. You already have scars. In person consultation is recommended. Good luck.

Kenneth Hughes, MD · Answer

The breasts can be reduced again, and this is not that uncommon. Wait at least a year after the previous reduction to re-evaluate whether a revision is necessary. You may be able to lose the weight you gained after the pregnancy and will not require a 3rd breast reduction.Nipple-areolar necrosis (the death of part or all of the nipple-areolar complex (NAC)) is the complication which can create the most difficult issues for reconstruction.   The most common issues after breast reduction involve wound healing issues such as wound separation or scar widening. Be sure to work with a board certified PS to obtain the best treatment plan and follow up.

Keith M. Blechman, MD · Answer

It depends upon what you mean by the surgery not working out so well.  Was the breast reduction performed for a functional purpose (to relieve back/shoulder discomfort) or was it strictly cosmetic?   The approaches are often different depending upon the reason for surgery, and the expectations should be different as well.  It sounds like it's best to be seen for another consultation, at which time it would be very important to make sure both you and your surgeon understand your goals and have a clear understanding of exactly what's possible and what the expectations should be.  Best of luck.

Robert Cohen, MD · Answer

You need a formal evaluation by a licensed plastic surgeon and expert in breast reductions to determine what is best for you and your goals.Breast reduction is one of my favorite surgeries as it allows me to dramatically improve a woman’s breast appearance as well as alleviate many physical symptoms of large breasts, such as back, neck and shoulder pain, bra strap grooving, and rashes under the breasts. When I perform breast reduction surgery, I generally use a superomedial pedicle to provide blood supply to the nipple while maintaining fullness in the upper and inner breast. Excess lower and outer breast tissue are removed. Breasts are often asymmetrical, so I remove more tissue from the larger breast. The final scar pattern is a circle around the areola, down the breast, and possibly under the breast, depending on the degree of skin excess.
For me, breast reduction is not a one-size-fits-all surgery. The size and shape of the breasts are customized to each patient depending on her goals and desires. Some women want a significant amount of tissue removed while others prefer to have a more limited reduction. Regardless of the amount of tissue removal, I perform the maximum safe amount of lifting and tightening for each patient.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Reductions. - Dr. Cohen

Daniel Barrett, MD · Answer

Dear Cool9772,
it is hard to tell for sure without an examination. If you are considering a surgery, 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

Chad Robbins, MD · Answer

Hello and thank you for your question.   Yes, you can have another reduction/lift again.  Having children with weight fluctuations and breast feeding causes changes like sagging and larger size.  Make sure you find a Board Certified Plastic Surgeon.

Joseph Franklin, MD · Answer

Without overstating the obvious, it would appear that the first goal would be to lose the 8 lbs.   Surgical procedures always carry some degree of risk.   Try weight loss first.

William B. Rosenblatt, MD · Answer

You need to be seen to know for sure -- but often if your nipple is in the right position and you just have extra tissue sometimes some lipo can do the trick --- if not that then yes your breasts can be made smaller.

After 2 breast reductions will I require a third to reduce the size of my breasts?

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