Breast Reduction

Oversized breasts are not only an aesthetic issue, but frequently also lead to functional complaints. Their weight leads to a painful pinching of the bra straps and, particularly in summer, to inflammations below the breast, and in most cases also to a curtailment of sports activities. The uneven weight distribution causes defects in the body posture, as well as neck and back pain. It is frequently also difficult to conceal the excessive size with clothing.

In surgical terms, breast reduction is always also combined with breast lifting. The reduction of the volume creates a need to adjust the skin envelope and/or lift the nipple/areola complex. In addition to a scar at the edge of the areola, scars in the shape of an inverted T will be unavoidable in the case of particularly extensive reductions. The objective principally resides in keeping the resulting scars as short as possible and avoiding scars towards the centre as much as possible. I endeavour to make the resulting shape as long-lasting as possible by applying a surgical technique I have personally developed and described: the deeper layers of the excess skin are used to create an "inner supporting bra", which also keeps secondary changes of the shape at bay. Breast reduction surgery requires general anaesthesia and a short in-patient stay of ca. three days. Patients are discharged from hospital with a special breast bandage that provides optimal support, and will be replaced by a sports bra during the out-patient check-up ca. 1 week later.

Showering is usually permitted again 14 days after the operation. It is very important that a sports bra which provides good support be worn consistently for six weeks after the operation, day and night.