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Breast Reduction Surgery (Mammary reduction)

Breast reduction for medical or aesthetic reasons – to relieve physical discomfort and achieve a harmonious breast shape.

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Frau mit nacktem Oberkörper, die ihre Brust mit der Hand verdeckt

Breast Reduction

Relief of chronic pain and physical discomfort

Breast reduction is a well-established surgical procedure that can help women with overly large, heavy breasts achieve a higher quality of life. Beyond aesthetic considerations, physical discomfort and functional limitations are often the primary reasons for surgery. The goal of breast reduction is to create a harmonious, lighter, and better-proportioned breast shape.

Costs
starting at € 11,000
Procedure Duration
approx. 3 hours
Anesthesia
general anaesthesia
Hospital Stay
1 overnight stay in hospital
Aftercare
6 weeks
Work Incapacity
1 - 2 weeks, depending on the patient's occupation
Sports Abstinence
6 weeks
Socially Acceptable
7 – 14 days

Who is a breast reduction suitable for?

A breast reduction is suitable for women who suffer from the consequences of overly large breasts, such as:

  • Chronic back, neck, or shoulder pain

  • Posture problems

  • Skin irritation or infections in the breast fold

  • Indentations caused by bra straps

  • Limitations in sports and physical activity

  • Psychological distress or reduced self-esteem

Requirements for the procedure include fully developed breasts, a stable overall health condition, and realistic expectations regarding the outcome.

Oberkörper einer Frau mit strichlierten Linien an der Brust
Termin vereinbaren

Overview of Breast Reduction Methods

Benelli Method (Periareolar Breast Reduction)

The Benelli technique uses a circular incision around the areola. Suitable for:

  • Small breast reductions

  • Minimal skin laxity

Advantages:

  • Very short, inconspicuous scar

  • Gentle, less invasive procedure

Disadvantages:

  • Limited reduction possible

Lejour Method (Vertical Breast Reduction / “Lollipop” Technique)

The Lejour technique combines an incision around the areola with a vertical incision downwards. Suitable for:

  • Moderate breast reductions

  • Good skin elasticity

Advantages:

  • Fewer scars compared to the T-scar technique

  • Naturally shaped breast

Disadvantages:

  • Temporary skin folds may occur

Hall-Findlay Method

The Hall-Findlay method is a modern form of vertical breast reduction with optimized internal tissue support. Suitable for:

  • Moderate to large breast reductions

Advantages:

  • Excellent long-term results

  • Preservation of nipple sensitivity and breastfeeding ability

Disadvantages:

  • Technically demanding

T-Scar / Anchor Technique

The T-scar technique (also called anchor or inverted-T) is the classic approach for very large breasts. Suitable for:

  • Very large breasts

  • Significant skin laxity (ptosis)

Advantages:

  • Greatest reduction possible

  • Optimal control of breast shape

Disadvantages:

  • Longer scars

  • Medical pre-examination by a general practitioner or internist

  • Mammography or ultrasound, if necessary

  • Comprehensive consultation with the surgeon

  • Discontinuation of blood-thinning medications, such as Aspirin, Thomapyrin, or Thrombo Ass

  • Avoidance of alcohol and nicotine

  • Stable body weight

Frau mit nacktem Oberkörper, die ihre Brust mit der Hand verdeckt.

  • The breast surgery is performed in a private clinic under general anesthesia; we recommend at least one overnight stay.

  • The surgery duration is approximately 3 hours, depending on the technique used.

  • During the procedure, fat and breast gland tissue are removed, the nipple and breast are repositioned, and a natural, harmonious breast shape is created.

  • At the end of the surgery, a supportive bra (sports bra) is applied to stabilize the results.

Schönheitschirurgin zeichnet strichlierte Linien unter Brüsten von Patientin

  • Drain removal: The drainage tubes are removed on the day after surgery.

  • Suture removal: Sutures around the nipple are removed after 7 days; all other sutures are self-dissolving.

  • Supportive bra: Wear a stabilizing bra (sports bra) for 6 weeks.

  • Rest and recovery: Take it easy and avoid strenuous activities.

  • No sports: Avoid physical exercise for approximately 6 weeks.

  • No sauna: Refrain from sauna use for 6–8 weeks.

  • No tanning / sun exposure: Avoid tanning beds or direct sunlight on the scars for 6–12 months.

  • Follow-up appointments: Attend all scheduled check-ups.

  • Scar care: Follow your surgeon’s recommendations, avoid direct sun exposure on the scars, and use SPF 50+.

Note: UV radiation can lead to permanently darkened or thickened scars.
Heat increases blood flow and swelling, which can negatively affect scar healing.

The final breast shape develops gradually over several months.

  • As with any surgical procedure, side effects may occur, including:

    • Swelling and bruising

    • Temporary changes in nipple sensitivity

    • Scar formation

    • Wound healing complications (rare)

    With careful surgical planning and diligent postoperative care, these risks can be minimized.

How much breast tissue can be removed?

The amount of tissue removed depends on the initial breast size, anatomy, and desired outcome. The goal is always a harmonious, functionally relieving breast shape.

Does health insurance cover the cost of breast reduction?

In certain cases, insurance coverage may be possible if medical complaints can be documented. Requirements vary depending on the insurance provider.

Will the breast shape change again over time?

Aging, weight fluctuations, or pregnancies can affect the breasts over time. However, the results of a breast reduction are generally long-lasting.

When will I see the final result?

An initial result is visible once swelling has subsided. The final breast shape usually becomes apparent after about 3–6 months.

Is the result permanent?

Yes, with stable weight and a healthy lifestyle, the result is long-term.

Can a breast reduction be combined with a breast lift?

Yes, a lift is usually part of the procedure, creating a more elevated and youthful breast shape.

Will sensation in the breast be preserved?

Temporary changes in sensitivity are possible. In most cases, normal sensation returns within a few months.

Can asymmetries be corrected?

Yes, asymmetries can be specifically addressed during breast reduction surgery.

At what age is breast reduction possible?

The procedure is recommended after breast development is complete. Individual medical assessment is essential.

Does breast reduction affect the ability to breastfeed?

Breastfeeding may be affected, depending on the surgical technique used and individual anatomy.

Will scars be visible?

Scars are inevitable but fade significantly over time.