I had a breast reduction 13 months ago and it's smaller than I wanted. Can this be fixed? (Photo)

It appears you have some asymmetry in your breast folds which is not uncommon. Volume asymmetry can be addressed with a revision surgery. An in person evaluation is needed to determine if you are a good candidate for fat transfer based on your physical exam and goals for surgery. It's important that you understand the pros and cons of fat grafting before making your decision. Grafted fat can form microcalcifications over time which can potentially interfere with future mammograms/breast imaging. Your surgeon can provide more information and help you decide what's best for you.

Hello,

And thank you for the question and the photos.

I'm sorry to hear that you are not happy with the results.

Fat transfer is a good option to add volume to the breasts following breast reduction. This procedure is usually done through tiny incisions with minimal scarring. Often more than one session is necessary to achieve the desired results. It also allows improvement of contour in the areas where the liposuction is performed in order to harvest the fat for transfer.

About 50-70% of transferred fat will generally survive after the surgery. The fat that does survive will act like normal fat as it's permanent but will also grow with weight gain.

I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast 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, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship Trained
Board Certified Plastic Surgeon