This patient, in her 60s, had undergone a breast reduction 25 years earlier, but over time her breasts had become large and heavy again. Dr. Sisco performed a second breast reduction and lift to reduce their size and restore a lighter, more balanced shape. Revision breast reduction can be more complex because of the scarring and changes from the original surgery, requiring careful planning and technique. She is very pleased with her more proportionate result and the relief she has experienced since surgery.