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Even though large breasts are generally considered beautiful, some women’s breasts are so large that they become a burden, physically and mentally. If the breasts are ‘too large’, a surgical breast reduction can provide relief. In breast reduction surgery, also known as breast reduction plastic surgery, the aim is to reduce the total volume of the breast. Such an operation is useful if the size of the breast exceeds a critical size, for example. However, it is always important to keep the rest of the body measurements and the overall proportions in mind during the examinations. Read more about breast reduction in Berlin here.
Continue readingDuration of the operation: approx. 2 to 4 hours (depending on the procedure and size of the breast)
Length of Stay in the Clinic: 1 day
Anaesthesia: general anaesthesia/ general anaesthesia
Follow-up treatment: 6 weeks compression bra
Resumption of social activities after approx. 2 weeks
The T-incision is a surgical method of breast reduction in which the plastic surgeon can remove the largest volume from the mammary gland. In this method, the incision is made as if it were an inverted T with a ridge along the lower pole of the areola and the underbust crease. The excess mammary gland parts are then removed in the gland’s lower poles area. As with all breast reduction procedures, the areola is repositioned with the nipple facing the head after the excess skin is removed. This ensures the blood supply to the nipple with the areola. Only in rare cases is it necessary to place the nipple on the breast as a so-called free transplant. In case of very large breasts that have caused the nipple to fall down sharply, for example. Here the areola is completely removed and then reimplanted and repositioned. Depending on the existing findings and the patient’s wishes, a further tightening of the mammary gland in the form of a so-called ‘inner bra’ can be carried out. This inner bra consists of individual seams on the breast wall that support the gland. This allows particularly large breast to be reduced in size and held in place despite further aging at our facility in Dahlem, Berlin.
To perform a breast reduction, there are several methods at once:
O-technique:
In the O-technique, also known as the Benelli method, only a round incision is made around the nipples. This allows for the removal of mammary gland tissue as well as fatty tissue, but the possibilities for shaping and tightening are quite limited. Thus, only a minor breast reduction is possible. However, the advantage of this method is that the scars virtually form the edges of the nipples, thus blurring them and making them hardly visible afterwards.
Hall Findlay & I-technique:
In the I-technique, the incision is also made around the nipples and then vertically down to the underbust crease. If the nipples are also rounded and reduced in size, this is known as the Hall Findlay method. With this method, slight to moderate reductions can be achieved. With these techniques, too, the scars usually heal fairly inconspicuously.
L-technique & T-technique:
In these methods, the incision also goes around the nipples, then vertically down to the underbust crease, and then in the underbust crease halfway (in the L technique) or in both directions (in the T technique). In this case, extensive breast reductions can be performed and the scars will not be more noticeable than with Hall Findlay and the I-technique.
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Want to see the effects of a breast reduction before the operation? This is no longer a problem with the 3D simulation software developed in 2009. With the help of two-dimensional images of the breast region, the computer can simulate which cup size best fits the rest of your body. Further information is available here.
Do you have any questions or would you like to make an appointment? Give us a call!
Before a breast reduction, you should first and foremost rule out pathological changes in the breast tissue. Therefore, a medical examination in advance is extremely useful – for example, a mammogram or an ultrasound examination.
There can be various reasons for deciding to have a breast reduction. Stagnant skin inflammation and/or head, neck as well as back pain are often a part of everyday life for women with large breasts. Breasts that are too large can become a serious burden – even the choice of clothes is extremely difficult. If severe limitations in work, sports and love life have become a constant companion, there are reasons enough to consider breast reduction. Especially in case of pain, such an operation should be considered as a matter of principle. Permanent damage with chronic pain syndromes, which inevitably arise in the long term due to breast weight, can be averted with the help of breast reduction.
There are plenty of serious reasons to consider breast reduction – both medical and aesthetic.
Medical reasons:
The most common, medical reasons include headaches, neck pain, back pain and musculoskeletal damage. The heavy weight of the chest pulls the upper body forward, causing postural problems and herniated discs. Sporting, but also everyday activities are often severely restricted to almost impossible. In addition, the skin under the breasts is affected: Moisture, heat and friction in the breast crease cause painful skin irritations, chronic rashes and eczema.
Aesthetic reasons:
Large breasts may be highly prized by many men. But affected women often feel uncomfortable with them, as the bust size causes difficulties that other people often don’t even suspect. Apart from medical problems, too large breasts cause many restrictions in terms of clothing. For one thing, it is difficult or impossible to find beautiful underwear, not to mention delicate lingerie. On the other hand, it is extremely difficult to look elegant with very large breasts – an unfortunate choice of top or a wrong neckline quickly make for a dubious or even disreputable appearance.
We respond to our patients individually in every intervention. In order to ensure the success of the treatment, we have to spend sufficient time and care in the consultation. The costs for a breast reduction, including careful follow-up treatment, can vary accordingly. The costs of the initial consultation always depend on the type and extent of the treatment. In principle, the scale of fees for doctors applies to the consultation hours. Thereafter, patients pay 90 € for the initial consultation with anamnesis, collection of previous findings, physical examination and preparation of a therapy and cost plan. This fee is payable once and will not be credited towards further treatment. However, if the issue it is regarded as detrimental to the patient’s health, for example, if the female breast is so large that it affects the entire statics of the spine and joints, the costs can be covered by the health insurance company. However, not all breast reductions fall within the scope of the health insurance benefits. This varies from case to case. Further information about the costs and cost absorption of a breast reduction.