Unsure if I should get a revision? (Photo)

Hello, it's all up to you, if you feel that they are still very big you can reduce them more, but if you lose weight they can also decrease in size, I would recommend you start a program to exercise and lose weight and then if you decide if you want to reduce them more

Hello CSANDY in Edmonton. Thank you for your question regarding being unsure if you should get a breast revision. Thank you for your history and your pictures. You mentioned whether you should undergo a breast revision or focus on losing weight. You mentioned that you are 5'7” and 190 pounds. Currently, you are overweight. To become “normal” and not overweight, your weight should be around 155 pounds. Therefore, I would suggest you lose weight. Losing weight is multifactorial. I would suggest you diet and exercise. If you still cannot lose the weight, I would suggest you consider some of the new GLP-1 medications, like Ozempic. These can be dramatic and really help you lose weight. If your back pain is still there after you lose weight, then you should consider a breast reduction. However, it is more likely that your back pain is due to your overall weight, rather than the weight of your breasts. Good luck. I hope this helps to clarify whether you should undergo breast revision or focus on losing more weight.
Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS
Plastic and Aesthetic Surgeon

Hello and thank you for your question,
You may be a good candidate for a Breast Reduction.
Each patients results differ post-operatively, you may also benefit from a minor breast lift.
Hope this has helped, and good luck.

Given your height and weight and that you mentioned weight loss as an option, I think that is the best approach. I think it's reasonable to lose 10 to 20 lbs and then reassess the situation. Your breasts may decrease in size. If they do decrease in size and you're satisfied then that's it. If they don't then you could consider a revision. A revision may entail another formal breast reduction or you may be a candidate for a less aggressive approach in the form of liposuction only. A liposuction only approach would not require any significant incisions and it's performed under local anesthesia in our office.

Csandy,
Over 90% of patients with classic symptoms of large breasts have improvement after breast reduction. 500g is a decent amount of tissue to have removed, but if you have very dense breasts it may be beneficial for you to have more removed. Losing weight will likely not improve the symptoms if they are breast related, and if you still wish they were smaller this would definitely be a reason to see a surgeon about further reduction.
Hope this helps!

Thanks for your question! I do think that your droop has recurred rather quickly. I also think that more volume could have been taken. Weight loss is always an option, but I do think you could benefit from a second reduction as well. Best of luck!

At 5'7 and 190 lbs, your BMI is almost 30. Losing weight would be helpful. However, the technique I recommend is The Bellesoma Method. This will 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. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Your breasts were reduced but not lifted enough. A revision would be helpful but you probably won’t get insurance to cover it even if they covered the first procedure

First, try and loose 30 to 40 pounds and you may find you like you new size. Second, insurance will probably not cover a revision surgery, but you could discuss this with your surgeon.

From your photos it does appear you can consider a revision to further reduce your breast size. Maintaining a healthy weight and lifestyle is always encouraged, so if you are planning to lose weight you may want to meet that goal first in order to allow your surgeon to optimize your results.