What Are the Potential Risks if Too Much Tissue Has Been Removed from Breast Reduction?

There are limits to the amount of breast tissue that can be removed during a breast reduction. If too much tissue is removed, it may compromise the blood suppy to one or both of your nipples. Also, if you are too small and don't like the size, you will likely need breast implants to correct this.  I hope this helps. Best of luck.

There are both aesthetic and functional risks related to over-resection of breast tissue in a breast reduction. If more than the desired amount of breast tissue was removed resulting in a breast size that is significantly smaller than desired the patient desired, this is not ideal (though subsequent implant placement can correct this to some extent). This can also have a negative impact on the overall breast shape.

If too much tissue is removed from a large breast, there is a substantial risk of some of the remaining tissues not receiving an adequate blood supply. This can result in localized loss of skin, breast tissue and even the nipple-areola complex (NAC). There can also be far greater loss or total loss of sensation of the NAC and skin.

I do not know of any medical risks of remvoing too much tissue. Really it becomes a cosmetic issue with leaving someone too small may not give the patient the desired result or shape.

Large Breasts can be made smaller for both COSMETIC and FUNCTIONAL reasons.

IF your breasts are a bit larger and saggier than you would like them and you would prefer smaller but perkier breasts, your Plastic surgeon can reduce a variable amount of breast tissue from each breast to make them more alike, reduce their size and make them perkier. As a cosmetic procedure you will pay for this out of your pocket.

When an insurance company reviews your complaints of breast, shoulder and back pains which are NOT relieved by non-surgical means and approves a (FUNCTIONAL) breast reduction, it would often stipulate just how much breast tissue must be removed from each breast (usually at least 500 gram). If this amount is not removed, it is within its rights to refuse paying the surgeon, anesthesiologist and facility for your surgery, making you fully liable for all these charges.

The risk of going from a full C to a full A comes when a woman whi should pay out of pocket for a cosmetic breast reduction goes the route of having it done through insurance. Done this way, the surgeon must remove the base amount demanded by the insurance.

It is best to discuss YOUR specific case with your surgeon and see which would be the best way to go especially if you are a smaller woman.

Good Luck.

Thank you for the question.

If  too much breast tissue is removed during breast reduction surgery there may be problems related to blood flow to the remaining tissue and/or resulting breast size concerns.

The concern with the amount of tissue removed is related to blood flow to the remaining tissue;  if too much tissue is removed in one operation the blood flow to the remaining tissue (including nipple/areola)  may be compromised.   Part of the tissue that is left in place is called the “pedicle"; this segment of tissue is responsible for delivering the blood supply to the nipple/areola tissue. If the pedicle is made too small (in the effort to reduce the breasts as much as possible)  then patient will likely have problems with tissue survival.  Doing the procedure in more than one stage allows the tissues to  acclimate to the surgically decreased blood flow before  further tissue removal (and potentially further decreased blood flow)  occurs ( with the 2nd stage operation).

The other concern with overly aggressive breast reduction surgery is patient dissatisfaction  afterwards.  It is not unusual for patients who have lived with very large breasts to want to have as much as possible removed. Care must be taken to be judicious in this removal to avoid an outcome where the breasts  are too small in relation (proportionately) to the patient's other body parts.  Again, it is not uncommon, for patients'  breasts to become smaller ( after the breast reduction procedure) with time and/or weight loss-  breast augmentation may become necessary to achieve the patient size goals.

I hope this helps.
 

I've seen this issue a couple of times when too much tissue was removed in order to satisfy an insurance coverage requirement.  Bummer, huh?  This is such a mistake on the part of the patient and the doctor.  A good result with breasts that are the right size for the patient is so much more important than insurance coverage.

Options for over reduced breasts include fat transfer or breast augmentation.