Would a third breast reduction be an option or too risky? Still different size and still not 34B after re-reduction. (photos)

A third 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 third breast reduction.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Hi,Redo breast reductions are not uncommon but do carry higher risks of wound and blood flow issues due to the effects of the first operation.There are techniques that can be used though, and the right procedure will depend on the consistency of the breast tissue and the degree of fat present.If you feel the surgeon is not the one for the job, yuo can seek a second opinion, but the key will be to have the surgeon describe which technique was used inthe first procedure to allow the second surgeon an understanding of the current blood supply to the nippleJeremy Hunt

Dear Smallbreasts,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Revision reduction can be complicated due to the altered vascularity to the nipple areolar complex (NAC). When the details of the prior procedure are known the risks are less, however NAC transposition secondarily can compromise the already altered blood supply to the nipple.
With regards to your specific question, each successive re-operation increases the risks of surgery. That being said, it is possible, however, careful consideration must be given to the remaining vascular supply to the NAC.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
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The breasts can be reduced again, and this is not that uncommon.   Based upon his/her training, education, and experience, your PS may have felt that the skin envelope and fullness generated from a the breast reduction was more aesthetically pleasing. Communicating specific breast sizes between patient and surgeon is very difficult as bra manufacturers do not follow a standard size chart.  Going too small can sacrifice the shape of the breasts.  The nipple has to have a blood supply to survive from the underlying tissue.  
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Hello,It is possible for patients to have a third reduction but there is a higher risk regarding blood flow. I always advise patients to wait 6 months before deciding to go ahead with a revision as this just allows everything to settle.It may be worth consulting with other plastic surgeons, potentially those that specialise in breast reconstruction.  I always say to look at breasts as sisters and not twins so it is important to remember that slight asymmetry should always be expected. Wishing you all the best with any future surgery

I am sorry to hear about your concerns after two breast reduction procedures. Yes, additional reduction will likely be possible, both through the horizontal and vertical scars. This operation should serve to further reduce breasts and improve overall symmetry. Of course, your plastic surgeon will need to pay careful attention to blood supply concerns. Best wishes.

Hi and welcome to our forum!
As you are only 5 weeks out from surgery, there is still significant swelling present. As swelling may be asymmetric, it may at least be partially responsible for the asymmetry you are experiencing. Before considering another revision, it is best to wait a period of 6 months to allow subsidence of swelling and the hypervascularity of healing. Revisional breast reductions do carry an increased risk of blood supply problems related to previous scarring, which can be minimized with knowledge of the previous techniques utilized. 
The amount of tissue removed at each procedure is rather minimal. The "law of diminishing returns" notes that there will be less and less improvement with each successive repeat procedure. 
Best wishes...