Want a reduction, 34D to 34B. Previous breast lift, superior pedical, 7 yrs ago using Bio-A internal Mesh. (photos)

A breast lift with some reduction would be safe to do, maintaining the superior pedicle intact and reducing the lateral pole.  

Obviously
your previous surgery was unsuccessful and your breasts are too low on the
chest wall.  Passive mesh techniques usually
fail.  I recommend The Bellesoma Method
to reshape your breast tissue creating upper pole fullness without implants,
elevate them higher on the chest wall and more medial to increase your
cleavage.  Vertical scars are avoided,
nipple sensation and the ability to breast feed are maintained, if not injured
during your previous surgery.  Best Wishes,Gary Horndeski, M.D.

Yes, you can certainly undergo repeat breast lifting (or reduction) surgery safely. I think that you have a good understanding of some of the 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 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.
Make sure that you communicate your size goals carefully; in my practice, I encourage patients NOT to use cups sizes as references;  the use of visual aids such as photographs are much more helpful.
I hope this helps.  Best wishes.

Dear sophielacoq,Breast reduction 7 years following breast lift should be relatively safe.  It is important, and great that you know the pedical technique used for the initial breast lift so the same technique can be employed for your breast reduction.  If your initial surgeon is available, it might be in your best interest to have them perform the reduction, as he/she is the one most familiar with their technique used.  Good luck!

Hello
and thank you for your excellent question. You are an excellent candidate
for a breast reduction/lift. It is essential that you have an in-person consultation to
develop a treatment plan that specifically addresses your personal surgical
goals, and your body’s anatomy. I recommend that you find a board-certified, or
board-eligible plastic surgeon with whom you are comfortable. Be sure to have
all of your questions answered during a face-to-face meeting with your surgeon,
and review before and after pictures of similar patients whom have had this
procedure.
If
you have any questions, call our office for assistance at (817)484-0169. Good
luck!
Best,
Jon
Ver Halen, MD FACS
Harvard
educated plastic surgeon
Texas
“Top Doc”
RealSelf100
America’s
Top Plastic Surgeons, Consumer’s Research Council

Natural aesthetically pleasing breasts derive from achieving good balance between breast skin and breast volume. From the photos you included it looks as thought your volume may be appropriate to your frame but that the breasts are too big and too droopy because of too much skin.  To improve your look and comfort I would recommend a mastopexy (breast lift) designed to remove excess skin. This will make you perkier and will relieve the need for your shoulders and bra to do the work of lifting your breasts. This will make you look at least a cup size smaller.A lift (skin surgery) is a lot safer than trying to redo a reduction.