Redo/Revision Mastectomy
What is Redo/Revision Mastectomy?
Redo or Revision Mastectomy is a secondary surgical procedure performed to correct or improve the results of a previous mastectomy. It is commonly done for transgender men and non-binary individuals who have undergone gender-affirming chest surgery but require adjustments due to complications, aesthetic concerns, or changes in body shape over time. This procedure can involve scar revision, contouring, nipple graft adjustments, or addressing excess tissue.
Why Choose Redo/Revision Mastectomy?
- To refine chest contour and symmetry
- To correct irregular or excessive scarring
- To reposition or resize the nipples for a more natural look
- To remove excess skin or remaining breast tissue
- To enhance overall satisfaction with previous surgery
Am I Ready for Redo/Revision Mastectomy?
- You have fully healed from your initial mastectomy (typically 6-12 months post-surgery)
- You have concerns about scarring, asymmetry, or residual tissue
- You are in good general health with no major medical conditions
- You have maintained a stable weight, as fluctuations can affect results
- You have realistic expectations about what revision surgery can achieve
- You are emotionally prepared for another surgical and healing process
- You have discussed your concerns with a qualified surgeon and understand your options
- You have a support system in place for recovery
What Happens During Redo/Revision Mastectomy?
Your surgeon will evaluate your previous surgery results, discuss your concerns, and recommend the best approach to achieve your desired outcome.
The procedure is typically performed under general anaesthesia to ensure comfort.
The specific steps depend on the type of revision needed, which may include:
- Scar revision – Reducing thick or raised scars for a smoother appearance.
- Contour correction – Removing excess tissue or adjusting the chest shape.
- Nipple/areola revision – Repositioning, resizing, or improving nipple grafts.
- Excess skin removal – Addressing sagging or loose skin that may have developed post-surgery.
The procedure can take 1 to 3 hours, depending on the extent of revision.
Recovery Timeline
- Swelling, bruising, and mild discomfort are expected.
- A compression garment may be needed to support healing.
- Limited arm movement is advised to avoid strain.
- Most individuals return to light activities after 2-3 weeks.
- Heavy lifting and intense exertion should be avoided.
- Regular check-ups ensure proper healing and progress.
- Scars will fade gradually over several months.
- Final chest shape and symmetry become more defined.
- Any changes in nipple sensation will stabilise.
Benefits of Redo/Revision Mastectomy
- Enhances chest contour for a more natural, masculine appearance
- Reduces visible or excessive scarring
- Improves nipple placement and symmetry
- Increases overall satisfaction and comfort with surgical results
Schedule Your One-on-One Session
Frequently Asked Questions
How soon after my first surgery can I have a revision?
Most surgeons recommend waiting at least 6-12 months to allow full healing before considering revision.
Will I need another long recovery period?
Recovery is usually shorter than the initial mastectomy, but it depends on the extent of revision.
Can nipple sensation be restored with revision surgery?
If sensation was lost in the first surgery, it is unlikely to return fully, but minor improvements may occur.
Will scars from the revision surgery be noticeable?
Surgeons aim to minimise additional scarring by working along existing incision lines. Scars will fade over time.