Breast reduction in Berlin
Professional breast reduction

Breast reduction brings relief for the whole body

Large breasts can be a burden. For many women especially when they lose their elasticity after pregnancy or weight loss. Many patients therefore opt for breast reduction or reduction mammoplasty (mamma reduction for short), possibly in conjunction with a breast reduction Breast lift. It is important to us that you are in harmony with your body, so that the health aspect is the main focus during the consultation. Women with large and heavy breasts often suffer from back pain or tension. And also in the aesthetic sense, a breast reduction and breast lift can often have positive effects - for body and mind.

Information on breast reduction at a glance

duration of the surgery1,5 - 2,5 hours, surgery under general anesthesia
anesthesiageneral anesthetic
hospital stayoutpatient or 1 night clinic
Post op6 weeks postoperative compression bra, we recommend at least 3 weeks after the breast reduction to do light everyday tasks.
socially acceptableafter 5 – 8 days
Costsfrom 9.500 € financing with payment in installments possible

Personal advice: For whom is a breast reduction an option and what results are aimed for?

In our practice in Berlin, every breast reduction is preceded by an individual and personal consultation, in which the expectations and goals of our patients are discussed and all questions that arise are clarified. In principle, the decision to reduce the size of the breast is independent of age, there are only two requirements: Growth must be complete and the breast must be fully developed. It should definitely be discussed in advance if patients are planning to lose weight or become pregnant in the near future, since the shape of the breast can change significantly in both cases and affect the outcome of the operation.

Course of the breast reduction surgery in Berlin

In a breast reduction, skin and breast tissue are removed and a new breast is then formed with the remaining tissue. The nipple usually needs to be relocated to match the newly formed breast. As part of this treatment, we have specialized in a scar-saving technique to reduce the size of the breast: depending on the amount that is removed, we use the Lejour or Hall-Findlay technique. With these methods it is possible to preserve the functions of the nipple. (The necessary blood vessels, the intercostal nerve, which is important for sensitivity, and the milk ducts are preserved with the help of a so-called "stick".) Since "only" skin and breast tissue are removed during the procedure, the breast does not lose its natural function. Only as much skin as necessary is removed. If there is a lot of excess skin, another incision may have to be made in the underbreast fold. During the course of the operation, the breast gets a new shape and size. A lasting effect that is only affected by the aging process, weight changes or gravity. When the time comes, a repeat intervention can be discussed if necessary.

Breast reduction: preparation and anesthesia

Patients are usually hospitalized for a breast reduction, usually for two days. Before the procedure, there are preliminary examinations and an advisory discussion with the anesthesiologist about anesthesia. Alcohol, nicotine, sleeping pills and painkillers are strictly forbidden around two weeks before the procedure. If you have to take certain medications regularly, you should let us know during the preliminary examination in order to rule out negative side effects. In addition, it makes sense to have a mammography performed prior to the breast reduction in order to identify any tissue changes that affect the course of the operation in good time. The operation takes two to three hours in total. It is technically quite demanding, but has been a standard procedure in our practice for many years.

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aftercare and healing

The healing process after breast reduction is usually almost painless. However, it cannot be ruled out that there may be severe swelling and bruising in the first few days, which will gradually decrease over the course of the following days and weeks. After about two days you can leave the clinic and wear it - similar to the breast augmentation – a support bra for another month and a half. Initially, the sensitivity to touch of the nipples may be reduced in the period following the breast reduction. A "normal" sensation may not return for a few months after surgery. A final result can only be assessed around six months after the operation. If tissue areas have hardened, it can take up to two years before an improvement occurs. The situation is similar with scars, which will disappear over time until they are inconspicuous.

Possible risks and complications of breast reduction surgery

Just as important as with any surgical procedure: if patients are allergic to medication or care products, you must tell them in advance. Other diseases should also be discussed with the surgeon immediately. Noticeable bruises or persistent bleeding after minor injuries can indicate a coagulation disorder. This should be excluded in advance by a separate investigation. Wounds that don't heal properly can result in scars, tension, pain, and bruising—in severe cases, even infection. Should symptoms of this kind occur, the responsible surgeon should be consulted immediately. He is happy to discuss any possible follow-up treatment. In some cases, the affected skin and tissue regions change again after the operation. This is due to the individual healing process. This can lead to slight differences in the shape of the breast. Another intervention would correct changes in this form. If more than 500 grams of tissue have been removed, a loss of sensitivity in the nipple cannot be ruled out. Very rarely, even tissue (also in the area of ​​the Nipples) rejected due to circulatory disorders. If such symptoms occur, the corresponding areas are replaced with the body's own skin.

regeneration and aftercare

After the breast reduction, it is important not to exert yourself too quickly, even if you feel largely fit again after just a week. It usually takes three to four weeks before you are able to work again, also depending on the exact job. Stress on the breast should initially be avoided as much as possible because this can have a negative effect on wound healing - this applies to household chores as well as sporting activities and sexual intercourse. On the other hand, everything that stimulates the blood circulation in the tissue in a gentle way has a positive effect on healing. This includes not only good skin care but also cold showers, which are permitted again after just a few days. We recommend lymphatic drainage for swelling or tense breasts. If there are problems with the healing of the wound in individual cases (severe pain, possibly in connection with tension and bruising), you should contact the practice immediately.

last updated on 12.07.2023