Have you ever performed a re-do of a breast reduction?

Question

I had a breast reduction in 1990 for double D sized breasts and post surgery, I was wearing a size B bra. Almost 30 years later, I had gained weight and they are about a 38 D size again. Can another breast reduction surgery be performed? I would like to be back to a B size again if at all possible.

Krishna Vyas, MD, PhD, MHS · Answer

A second breast reduction, or "re-reduction," can be an 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.
To minimize risks, it's essential to consult with an experienced plastic surgeon who specializes in breast 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

Tom J. Pousti, MD · Answer

Thank you for the good question.  It is generally safe to undergo additional reduction surgery but care must be taken to avoid complications.
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 complications 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. Sometimes, previous operative reports are not available;  careful planning of the repeat breast reduction procedure can nevertheless help prevent complications.
 If your initial operation was done several years ago, it is likely that a significant amount of blood supply has been established.   Best wishes.

Rick Rosen, MD · Answer

Thank you for your question. The need to repeat a breast reduction is a fairly common occurrence. It is safe to perform, ideally if the technique used the first time is available it makes the procedure easier, but it is safe and commonly done. I would recommend you see a board certified plastic surgeon in your area for a consultation.

Robert L. Kraft, MD, FACS · Answer

I have performed repeat reductions on patients with significant weight gain as well on those whose primary surgeons did not resect adequate tissue.  With current insurance criteria, you may not have enough excess breast tissue to qualify for coverage such that this could be a fee for service case.

Steven Wallach, MD · Answer

Yes, a second breast reduction can take place.  There is a slight risk of more complications because of previous surgery.  Many times the same pattern is used to perform the procedure. Best of luck.

Have you ever performed a re-do of a breast reduction?

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Everything you need to know about Breast Reduction

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Have you ever performed a re-do of a breast reduction?

Answers (5)

Answer: Repeat breast reduction

Answer: Repeat breast reduction

Answer: Secondary breast reduction

Answer: Secondary breast reduction

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Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.