Breast reduction

On the day of your breast reduction, you will arrive at the PSP Plastic Surgery Pyramid two hours before the procedure or, if an overnight stay is planned, at the Privatklinik Bethanien. You will be prepared for the upcoming procedure by the nursing staff and your doctors. This includes taking "before" pictures and drawing in the future breast contour. An experienced anaesthetist will inform you about the planned general anaesthetic.

A smaller, lighter and firmer breast is achieved by removing excess skin, fat and glandular tissue in the lower breast area. The remaining upper parts are used to shape a new breast by remodelling it internally and tightening the skin over it. The areola is reduced in size and the nipple is lifted into its new position. The incision is made around the areola and vertically underneath it. In some cases, a further incision is required along the natural breast crease.

The procedure takes around two and a half hours and is performed under general anaesthetic. An overnight stay is more comfortable but the procedure can often be performed on an outpatient basis

4 ILLUSTRATIONS!!!!

After the operation, the breast is immobilised with a tight-fitting bandage. The next day, the wound drainage tubes, which drain the blood and wound secretions, are removed. A week later, the support bandage is removed and replaced with a sports bra. This takes over the function of the bandage and should be worn during the day and at night for a further three weeks. After four to six weeks, the traces of the operation will have largely healed.

After breast reduction, swelling and sensory disturbances may occur in the breasts, which usually disappear after a few weeks. For a certain period after the operation, it is beneficial if you use a comfortable bra that is pleasant to wear. For optimal healing, we recommend a rest period of three to six weeks, depending on your profession.

The incision is made around the areola and vertically below it. In some cases, a further incision is required along the natural breast crease. The extent to which these incisions remain visible depends on the individual, genetically determined scarring. Normally, breast reduction surgery leaves fine, light-coloured scars that are only marginally visible after a few months.

The removal of tissue and skin changes the position of the nipples. In order to achieve a pleasing aesthetic result, the areola is adjusted in relation to the new breast and the nipple is lifted into the new position without normally affecting sensitivity.

In any case, it is extremely important that you inform the doctor treating you about any illnesses and medication you are taking. Medication containing aspirin (e.g. Aspirin, Aspégic etc.) must not be taken for a fortnight before the operation. Such medication can lead to increased bleeding during the operation and delay the subsequent healing process. The doctor may decide not to perform a planned breast reduction at any time if the risk of surgery is increased as a result of prior medication.

In principle, every operation harbours certain risks (e.g. drug intolerance, haematoma, wound healing disorders, inflammation, scarring problems or sensitivity disorders). They also depend on the individual's state of health. The doctor will discuss possible risks with you during the consultation and preparatory discussions.

This depends on the surgical technique and the individual anatomy. Breastfeeding is not normally affected by a breast reduction. Breastfeeding is possible in most cases.

As large, heavy breasts can be a health problem (e.g. back pain, postural problems, restrictions in everyday life, etc.), the health insurance company will cover the costs of surgery and treatment for a breast reduction in individual cases, provided the following criteria are met, among others:
At least 500 g of breast tissue per side must be removed.
The patient must not be overweight or only slightly overweight (BMI < 25).
Pain and posture problems have so far been treated with non-surgical treatments (e.g. physiotherapy) without success.

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