Breast reduction after lump removal: is it possible?

Question

I had my breast lump removed which came out normal. Now i want to go for breast reduction. I am a size F aiming for c/b cup. Is it possible?. Lump was removed from medial left quadrant of right breast. Kindly guide which technique ( pedicle )is best to keep nipple alive.

Irena Karanetz, MD · Answer

Hi,
Thank you for the question. 
Based on what you are describing, it does sound that you have large/heavy breasts causing physical symptoms, and breast reduction may be an option for you. 
It is typically safe to perform breast reduction procedure after breast mass removal, however, it is difficult to tell without seeing the photos and location of breast scars.
During breast reduction surgery, excess breast tissue is removed, the breast is lifted and nipple/areola is typically made smaller. It is easiest to think of breast reduction as including the breast lift. Schnur Sliding Scale is a scale used by many insurance companies as a guideline for how much breast tissue should be removed in order to improve your physical symptoms. In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, Dermatologist, etc) demonstrating that your physical symptoms due to large breasts are not improving with conservative management. 
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Reduction 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 regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

Aftab Siddiqui, FRCS(Plast) · Answer

Thanks for the question. You need to be examined to ascertain the location of the scar and previous surgery. From the information provided, supero-medial pedicle might not be best option but superior pedicle or inferior pedicle can be discussed with you. Based on location of scar from nipple, super medial flap can be planned if appropriate for your case.

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 without excessive reduction. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous lump removal.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Finny George, MD · Answer

Hi, thank you for sharing your question. In the scenario, an inferior pedicle may be the safest option.

Daniel Barrett, MD · Answer

Dear Powerful23404,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Yes it is possible to have a breast reduction after the removal of a benign lump.  You will want to begin by scheduling a consultation with a board certified plastic surgeon in your area.  The ASPS website can help you find surgeons in your area.  You can review credentials and see before/after photos.

Scott C. Lindsay, DO · Answer

Hello and thank you for your question.
It is fine to have a breast reduction after having a lump removed.  Consult with a board certified plastic surgeon to discuss your options and go over which surgical technique will be best for you. Best wishes!

Breast reduction after lump removal: is it possible?

Answers (7)

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