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I had breast reduction surgery done in 2000, but was dissatisfied with the results...

Q:

I had breast reduction surgery done in 2000, but was dissatisfied with the results. Three years ago, I had liposuction done on my breasts, but the surgeon did not do a lift or anything to give my breasts shape, etc. What do you recommend I do from here to improve the overall look of my breasts?

A:

Thank you for your email concerning revision breast reduction surgery. The use of liposuction as a technique in breast reduction surgery is well documented and accepted. The skin of the breasts after the liposuction needs to re-contour about the remaining glandular tissue. Depending on the patient’s age, weight, medical history and smoking history, the skin may not contract and tighten about the breast gland, as one might wish.

In those cases, a formal breast lift (mastopexy) may need to be performed in order to tighten and re-shape the breast. At the same time a revision of the breast reduction can be performed if one wants additional tissue to be removed; the size and shape of the nipple and areolar appearance can also be altered if desired.

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