Breast reduction — surgery in Germany
The perfect breast shape shown by actresses and photomodels is a rarity. “Perfect breasts” are as rare as ‘normal’ breasts.
There are many variations of female breasts, depending on the width of the breast at its base, height, nipple color and size, breast spacing, skin weight and texture.
Large and heavy breasts lead to overstretching of the thoracic and cervical spine, which causes painful manifestations and often causes psychological problems.
How do large breasts arise?
The formation of the mammary gland is a consequence of genetic development and is not subject to any influence. Some women have breasts that reach a large size already at a young age, while others have “milk breasts” that do not return to their previous state. Women with large breasts have problems that they experience in different ways. From numerous remarks against them, to serious posture disorders, back problems and, finally, more or less serious restrictions in sports. It is scientifically proven that large breasts can lead to overstretching and damage to the spine.
Following a diet has little or no effect on breast size and weight. This often leads women with large breasts to tend to be overweight because they cannot find clothes that fit, even when they are at their optimal weight. Once the size of large breasts is reduced, the motivation to lose weight increases significantly.
What can be done?
The breast reduction – reduction mammoplasty, can effectively solve these problems.
Small to medium breasts that have sagged and lost their shape can be reshaped with a breast lift – mastopexy. This surgical method significantly improves the shape of the breasts.
Reduction mammoplasty has no age restrictions, but is performed on the condition that the development of the mammary gland has already been completed. Therefore, the surgery should be scheduled at an advanced age if possible.
What happens during a reduction mammoplasty?
During reduction mammoplasty, an incision is made around the nipple along the contour of the areolas, after which the nipple, which is usually too low, is moved upward. Excess glandular and fatty tissue from the lower part of the breast is then removed to reduce the size of the breast. The nipples are relocated along with the nerves and blood vessels, which usually allows sensitivity to be preserved.
In the case of a lift, implants may be required to achieve more breast volume. However, this must be decided on an individual case-by-case basis.
What results can be achieved?
A to D breast reduction can be achieved. Smaller breasts retain their shape for many years. Large breasts tend to sag again after a few years.
Feedback from patients after breast reduction surgery is usually very positive. After recovery and healing, the operated breast is again accepted as natural, but it is subject to the usual aging process and over the years will again sag a few centimeters. In this case, if necessary, a second operation can be performed.
Type of anesthesia and length of hospital stay
Surgery to reduce the size of the breast is usually carried out in inpatient conditions. Beforehand, preparatory examinations are performed in the clinic. You will have the opportunity to discuss with the anesthesiologist the specifics of the upcoming anesthesia. Depending on the type of surgery, the duration of stay in the hospital is from 3 to 7 days.
How to prepare for surgery?
Starting at the age of 35, it is recommended to have a mammogram of the mammary glands before breastplasty surgery. Smokers should significantly limit their nicotine intake at least 6 weeks prior to surgery to reduce the risk of impaired wound healing. 14 days before mammoplasty, you should stop taking analgesics, such as aspirin, as they slow down blood coagulation. Alcohol and sedatives are not recommended.
What is the surgery to reduce the size of the breasts?
The method of surgical treatment is chosen individually and is characterized by the type of surgical access or incision used by the surgeon:
- Vertical incision: made around the contour of the nipple areola and from its lower edge to the lower breast crease – the Lejour technique.
- T-incision: if the breasts are very large and sagging, an additional incision along the natural breast crease is required, resulting in a so-called T-shaped or “anchor” incision.
The volume of resection ranges from a few grams to one and a half kilograms per breast. The wound is closed intradermally using a complex suture technique. A tight-fitting dressing or bra is applied. Drainage tubes ensure that blood and tissue fluid drainage is unimpeded. The operation usually lasts 2–3 hours, as the surgeon requires great precision, thanks to which, for example, it is possible to preserve blood circulation and nipple sensitivity.
In addition, in Germany they use ultrasonic scalpel HARMONIC to further protect the lymphatic vessels and avoid harmful overheating of tissues, as it happens with conventional electric scalpels. To reduce the size of scars in Germany, they use PRINEO adhesive mesh, which avoids suturing the skin and makes scars much less noticeable.
Are you looking for a plastic surgeon in Germany? Just call us now. We will help you find a doctor from our list of the top 10 plastic surgeons in Germany and book an appointment. +49 170 62 47 020
What happens after surgery?
Pain after breast surgery is usually minimal, there is little bruising, and swelling subsides quickly.
Nipple sensitivity will be reduced for the first time after surgery. It may take several months before you feel like your old self again. The full effect can be fully appreciated after about 6 months. Over the next 1–2 years, the scars and tissue thickening will gradually smooth out, making them very unremarkable.
Postoperative risks and complications
In rare cases, unaesthetic scarring, pain and bruising, and infections occur. Your plastic surgeon will recommend the necessary post-operative treatment. During the recovery process, there may be changes in the breast that require minor correction. Loss of nipple sensitivity, as discussed above, cannot be ruled out. In rare cases, blood circulation disorders develop in the nipple area. In this case, the nipple will subsequently have to be reconstructed.
What care is required after surgery?
You will feel as normal as possible within a few days after surgery. Depending on your occupation, you will be fully able to work after about 2–3 weeks. Given the suturing and dressing technique, you will be able to shower again after a few days and start taking care of your skin. Dissolving stitches disappear on their own, other stitches are removed after 3 weeks. It is recommended to wear a bra for at least 4 weeks after surgery. After 4 weeks, a silicone film can be applied to the scars to achieve thinner scar formation.
What about breastfeeding?
With modern surgical procedures, breastfeeding is usually an option. However, many women stop breastfeeding early for fear of breast re-sizing.
What should I keep in mind after surgery?
If possible, you should sleep on your back for several weeks after surgery. Lifting weights and other heavy physical activity should be avoided. Your sexual partner should also handle your breasts gently for about 2 months and avoid any overexertion. This also applies to sports and household chores. You should not exercise for about 6 weeks.
Lymphatic drainage may be helpful to relieve swelling and tension in the first few weeks, but is not necessary. You should see your doctor immediately if you notice redness, pain, or discharge from your nipples.
