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Do I need a breast reduction revision or touch up?

Q:

I had the anchor pattern breast reduction surgery 4 months ago. My breast size went from DD to C. I'm happy with the size, but my left breast is flatter and lower than the right. I'm concerned about the asymmetry. I understand it'll take time for the breast to settle into its final shape, however, the difference between them is getting more obvious. Do I need a revision surgery or just a touch up procedure? And how is the touch up procedure performed?

A:

Four months after surgery following a breast reduction, what you are seeing is most likely the final result. A patient's breasts can change size with significant weight gain and loss (25 lbs). Have you gained alot of weight since your surgery? This might be the cause. If not, consider writing down what you dislike about your result, returning to your surgeon and requesting how he/she intends to address your concerns. If the size of your breasts are dramatically different, a return to the Operating Room may be warranted/required. If you feel your concerns have not been adequately addressed by your original surgeon, then consider a consult with one of the many members of the ASAPS. They are experts in Breast Surgery. But, please remember that breasts are like sisters and not twins. Subtle differences are common.

Best,

Gary R. Culbertson, MD, FACS

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