During a breast reduction, skin, mammary gland tissue and fatty tissue are removed to reduce the volume and return the nipple to its original position. The remaining tissue is used to reshape the breast and surround it with a firmer skin mantle.
Large breasts are often not primarily an aesthetic problem, but are associated with physical complaints. Those affected often suffer from neck and back pain, which recurs despite therapy or even leads to permanent postural damage. In addition, the skin under the breast may be irritated and fungal infections may occur. Finally, many patients also suffer from psychological stress.
Prior to the operation, we will discuss your expectations in a detailed consultation and, depending on your age and existing risk factors, initiate an examination for the early detection of breast cancer. In the 14 days before the operation, you should refrain from taking painkillers that affect blood clotting (e.g. aspirin). We also recommend abstaining from nicotine consumption for two weeks before and after the operation.
The operation takes place during a 3-4 day hospital stay and is performed under general anesthesia. Markings are made standing up before the procedure.
In most cases, the areola is reduced in size to fit the new breast and the nipple is repositioned. Excess mammary gland and fatty tissue as well as skin are removed and a smaller, firmer breast is formed. The incision and thus the scars run around the nipple and from there vertically downwards to the underbust crease. An incision along the underbust crease is also common for very large breasts.
After one to two days, the drainage tubes for the wound secretions are removed and a supportive sports bra is fitted. This should be worn day and night for six weeks. The skin in the nipple area is sutured with fine stitches, which are removed after 10-14 days. The remaining threads dissolve. The vast majority of women experience a clear improvement in symptoms immediately, but the definitive shape of the breasts does not become apparent for at least six months.
The removal of mammary gland tissue can lead to a reduced ability to breastfeed. It is also possible that the nipple may not feel well and, very rarely, there may be a circulatory disorder. As with all operations, there is a risk of post-operative bleeding, infection, impaired wound healing or excessive scarring.
Senior Physician, Vice Director of Department, Department of Plastic Surgery and Hand Surgery
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