Breast Reduction

Duration of the procedure:

3 – 4 hours depending on the preoperative findings

Type of anaesthesia:

general anaesthetic

Outpatient treatment

with medical supervision during the first night, in-patient treatment in more severe cases or for patients at particular risk

Indication

Large, over-sized, fully developed breasts, which are usually saggy as well
Differences in breast sizes (asymmetry)
Breasts with sagging skin (due to pregnancy, weight loss, age)

Often breast reduction is accompanied by a breast lifting.

Operation

Before the operation, patient and doctor plan the optimal size of the breasts according to the patient’s wishes, taking into consideration the original shape and size of the breasts.

In order to reduce breast size, some part of the breast and fatty tissue as well as excess skin are removed. Usually a breast lift is performed at the same time, remodelling the breast tissue and raising the nipples. Ideally the height of the nipple position should be at approximately the middle of the upper arms. The areola, which is usually over-sized as well, is reduced to about 4 cm in diameter.

The method used for breast reduction varies depending on the preoperative situation. The foremost objective is to create symmetrical, round, smaller and firmer breasts by means of an incision that will produce minimally visible scars. For medium-large breasts the incision runs around the areola and then vertically down in the midline of the breast to the inframmary fold. (Lejour technique). For considerably larger breasts Professor Pallua has developed an L-form technique that ensures an unscarred cleavage.

After the operation

  • Sutures are removed after 2 weeks
  • Wear a support bra for 3 months
  • Post-surgical wound care (with scar massage und possibly self-adhesive silicone pads) begins after suture removal
  • Avoid physical strain (especially raising your arms) for 3 weeks
  • Avoid sports involving your arms for 2 – 3 months
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