What is breast reduction surgery?

breast reduction is use full
As desirable as a large, well-shaped breast is, oversized breasts can also quickly become a physical and mental burden. Due to the high weight, neck pain, headache and back pain, as well as the incorrect posture of the entire upper body, are mostly pre-programmed. In addition, the tension and elasticity of the tissue diminish with increasing age, and the already large breast slackens and hangs down.

What is breast reduction, and when is it useful?

With the surgical breast reduction (breast reduction plastic), the excess skin, fat and gland tissue in the lower breast area is removed, and the breasts are reshaped. Breast reduction is often combined with a tightening. The procedure can generally be carried out at any age, provided that growth has been completed and the breast is fully developed. Experts advise that breast reduction should only be carried out after pregnancy, as impairment of breastfeeding cannot be ruled out entirely.

If an overall high percentage of body fat is responsible for the high breast volume, natural breast reduction without surgery can also be achieved to a small extent by losing weight, changing diet and exercising. This decrease the amount of fat in the breast tissue, and the breast loses volume and weight; the excess skin can be removed by tightening the skin if necessary. If losing weight is not enough, additional liposuction can also help reduce breast size, especially if the breast is very wide. Even with asymmetrical breasts, slight liposuction can help to shrink the larger breast.

Breast reduction is often carried out in men. With so-called gynecomastia, an enlarged glandular body leads to unnatural breast growth, with lipomata, however, due to fat deposits in the breast area.

What methods of breast reduction are there?

process of breast reduction

All techniques of breast reduction plastic have the aim of reducing excess fat and glandular tissue as well as excess skin and reshaping the breast. As a rule, the nipple is also moved. The methods differ mainly in terms of the cut. With all common surgical techniques, access is around the areola.

For smaller corrections, this circular opening around the areola (circular cutting technique, according to Benelli) is often sufficient, through which the excess tissue can be removed. For larger volume reductions, for example, a breast reduction from D to B, a further cut vertically down to the breast fold is necessary (I cut, LĂ©jour method). In order to be able to optimally treat very large or sagging breasts, the vertical cut can be combined with an additional horizontal cut on one or both sides (L or T cut). So it is possible to achieve a breast reduction from F or G to C or even B. Additional tightening is often necessary.

The breast finder, according to Hall Findlay, is considered to be particularly gentle on the nipple, in which, in contrast to other techniques, the nipple is not separated and replanted. Instead, the nipple remains connected to the glandular tissue via a "stem" and is only brought into the new position by a rotational movement. Blood circulation, sensitivity and milk production are guaranteed.

Does the combination of a breast reduction with a lift make sense for me?
Especially with particularly large and sagging breasts - often reinforced by poor connective tissue - the reduction of fat, glands and skin tissue is often not sufficient to give the breast a permanently high projection. In such cases, an additional breast lift is recommended to remove the excess, sagging skin that can no longer contract on its own, thus improving the shape and firmness of the breast. It has proven useful to combine breast reduction with an inner bra. Part of the excess skin is used to form an internal support structure for the breast.

Is the nipple moved when the breast is reduced?

As a rule, the breast nipple is moved together with nerves and blood vessels in the case of a breast reduction.  Must be a result of the reduction in breast volume, the whole breast is lifted and reshaped so that adjusted the position of the nipple of the new breast shape. With only a small reduction, it may be enough to expose the nipple to remove the surrounding tissue. The Hall Findlay method also offers the ability to maintain the connection between the nipple and the mammary gland. The nipple and milk ducts are then largely unaffected, and the risk of impaired breastfeeding is low.

What are the long-term experiences with breast reduction?

With a breast reduction, the size and shape of the breast are permanently changed. However, changes in volume and shape can occur over the years as a result of the normal ageing process, pregnancies or severe weight fluctuations. If necessary, a second breast reduction can then be carried out.

Can my breasts get bigger after breast reduction?

A strong increase in weight also increases the amount of fat in the breast, so that the breast can definitely become larger again. If the breast reduction was carried out before pregnancy, the volume of the breast could increase again somewhat in the case of later pregnancy. The same applies to hormone changes, for example, during menopause or by taking the pill. However, an "increase" to the original shape is unlikely.

Can I see what my breast will look like after the breast reduction?

videos after breast reduction

Those who find out about breast reduction will find numerous testimonials, videos, before and after pictures or photos of breast reduction from celebrities online. So you can get a first impression of what is fundamentally possible. However, the images of other breast reductions cannot simply be transferred to your own body. 3D simulation offers a way to see which result can be achieved with your own breasts. Based on photos from different perspectives and the selected surgical method, the software calculates a before / after picture that clearly shows what the final result of the breast reduction could look like.

Where can I get before/after pictures of a breast reduction?

In the case of pictures on blogs or in forums, it is often not possible to determine whether they are real before/after pictures, and patient examples are often presented in a more beautiful way. In addition, the Therapeutic Products Act only allows the use of such images to a very limited extent. Instead, ask your doctor in the consultation for actual photos from his professional practice. This way, you can get an idea of which surgical technique he was able to achieve which results, what the scars are like and whether his aesthetic understanding corresponds to your ideas.

How does a breast reduction surgery process?

Breast reduction is usually done in a hospital and can take between two and four hours. During major interventions, the patient often stays in the hospital for one or two nights to monitor wound healing. The treatment itself is normally executed under general anesthesia.

Before the operation, the surgeon draws the planned incision and marks the new position of the nipple. Excess tissue is removed, the bust is reshaped, and also the nipple area is rearranged.. The operation is carried out in an inclined position because, in this way, the breast shape can be better assessed. The skin is then tightened, and the wound is closed with fine sutures. A tight bandage protects and supports the chest, and wound drainage ensures that tissue fluid can drain off. Depending on the degree of reduction, the method chosen, and possible additional treatments such as liposuction or firming, both breast reduction procedures and procedures can vary.

What is important before and also after breast reduction?

boobs operation


Before the breast operation, it must be ensured that there are no pathological changes, so mammography, ultrasound and other preliminary examinations are necessary before the breast reduction. Alcohol, nicotine and anticoagulant medication should be avoided around two weeks before the operation. The further medication intake should be discussed with the doctor treating you.

To accelerate the healing process after breast reduction, a specially adapted support bra is put on immediately after the procedure and should be worn permanently for the first two to three weeks. Drainages are usually removed on the second day after the operation, and threads are pulled after 10 days at the earliest. An ointment or cream is usually prescribed for scar care after breast reduction. To support wound healing, you should primarily sleep on your back or side in the first few months.

When you can start working again after the breast reduction depends on the extent of the procedure and the individual physical requirements, as a rule, you will be able to work again after 10 days to two weeks; physical exertion, sport, sauna and sun exposure should be avoided for a few more weeks. The final result of breast reduction can be seen after six months at the latest.

What are the risks?

Risk of breast reduction


Since surgery is performed, complications cannot be completely ruled out. As a rule, however, risks in breast reduction are stated as minimal. Common side effects include short-term wound pain, bruising and swelling. Wearing a tight-fitting support bra can minimize these symptoms. Occasionally, wound healing disorders may occur after breast reduction, and in very rare cases, infections or inflammation. Temporary sensitivity disorders on the skin and nipple are also possible. The deafness only remains permanent in individual cases. 

By choosing a qualified and experienced surgeon, side effects, complications or aesthetic problems can largely be excluded in breast reduction surgery.

Are my nipple and skin feeling affected after surgery?

A sensitivity disorder in the first postoperative months is not uncommon; however, the sensation usually returns during the healing process. Depending on the method chosen, the nipple must be moved during the procedure. If she is completely transplanted for this purpose, the sensibility can remain permanently limited. However, modern techniques allow the nipple to be left on a tissue stem and thus avoid the risk of permanent impairment.

Do permanent scars remain?

No surgery can do without scars entirely. The extent and course depend on the cutting technique. With minor interventions, the scar only runs around the areola, with larger reductions, another scar is created vertically downwards and possibly in the breast fold. With good care and aftercare, scars become less and less noticeable after breast reduction and largely fade after one to two years.

Is general anesthesia necessary? When is local anesthesia possible?

As a rule, the operation is carried out under general anesthesia, especially if it is a large and complex reduction. With smaller interventions, the breast reduction can also be made on an outpatient basis and without general anesthesia. Then local anesthesia is used, possibly supplemented by analgesia (twilight sleep). Local anesthesia injects substances that on the one hand, switch off the pain sensation locally and at the same time reduce the extent of the bleeding. Which form of anesthesia is suitable in an individual case can be clarified in the preliminary consultation with the doctor.

How painful is breast reduction?

Pain relievers are administered immediately after surgery to minimize wound pain. A more or less strong feeling of tension, an increased sensitivity to pressure or touch as well as temporary sensitivity disorders can occur but usually subside within a few days.

Why is advice so important in advance?

Doctor Advise


Breast reduction is a sensitive procedure with far-reaching consequences. It is therefore exceptionally necessary to clarify the possibilities, limits and risks of the intervention in advance. To do this, the doctor has to take the time to understand the motives and wishes and to be able to give a realistic assessment of what is medically feasible. For this, a mutual relationship of trust between the patient and the treating doctor is essential. In addition to the preliminary physical examination, a comprehensive consultation includes information about various surgical methods, the associated risks and the transparent presentation of all costs.

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