Secondary Breast Reduction Mammaplasty
for Uneven Breasts and Further Size Reduction
40 year old female was unhappy with her prior breast reduction by another
surgeon performed 4 years before seeing me. She felt her breasts were
still too large, uneven, and did not like the contour. With her first
reduction her first surgeon removed 393 grams from the left breast and
391 grams from the right breast.
This represents an early secondary surgery by Dr. Bermant
done MANY years ago with techniques he no longer uses today for the same
problem.
5 feet 1 inches tall and weighed 140 pounds and wore 36 DD bra
Location surgery: Hospital operating room
Anesthesia: General
Technique: Inferior Pedicle Long Anchor Scar based on prior surgical
scar
Breast tissue removed:
- 376 grams left breast
- 284 grams right breast
Stay: Hospital based surgery discharged 2nd day after surgery (done many
years ago and not normally needed with today's methods.)
Drains: One each side.

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| Photograph of Uneven Breasts after ANOTHER DOCTOR'S Breast Reduction |
Photograph 7 Weeks After Dr. Bermant's Breast Reduction Revision
Surgery |
Notice the uneven placement of the areola, asymmetry, and different sizes
of the breasts after the first doctor's surgery.
Breast reduction surgery is best done in one stage. Dr. Bermant tries
to best understand what approximate size his patients desire. Breast
size is a personal issue. Letting us know what approximate size you
desire helps us set a "goal." Actual size after surgery depends
on many factors, and is not entirely predictable with all surgical sculpture.
Blood supply and tissue concerns can limit reduction.
| I have posted this case to demonstrate breast surgery
can be revised to: |
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Secondary breast surgery can do many things. However, it is easier to
remove than replace tissues. Reoperating on a breast can be difficult.
Blood supply to tissues may be difficult to predict. Scars are difficult
to shorten but may be revised. We are glad to see patients in consultation
and evaluation for secondary surgery. Each case needs to be evaluated
in person for individual advice. I need to examine (see and feel) the
tissues to better understand the problem.
| To better understand your problem at the time of your consultation
we suggest you bring: |
- prior operative report(s)
- the doctor's office notes
- photographs before prior surgery (if available)
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Tissues after any surgery take some time for equilibration. In most cases
waiting about 6 months is best for them to soften / evolve. In some problem
cases the asymmetry is so bad that waiting just makes no sense.
If you are interested in exploring if secondary breast reduction is a
good option for you, call our office to set up a consultation.
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