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    Accessory breasts

    Excess breast tissue is due to incomplete involution of the milk line in the unborn child in the womb. Due to hormonal influences during menstruation, pregnancy or breastfeeding, the so-called accessory (additional) breasts can change in size and cause pain. Since it is normal breast tissue, all forms of breast disease can develop in the supernumerary breast tissue. Excess breast tissue usually occurs on both sides. It often occurs near the armpit and pectoral muscle. It becomes visible by a protrusion, accompanied by cyclic pain and sporadic painful restrictions of movement of the arm. However, the discomfort can be relieved by a scar-saving technique. In the case of very large excess breasts, removal of the skin mantle should be considered. This leaves a scar of a few cm. It is generally recommended to perform such a procedure before pregnancy, if possible, as pregnancy leads to an increase in excess breast tissue and a decrease in skin tone.

    How are extra breasts removed?

    Before each operation, the patient is meticulously checked several times to ensure the greatest possible patient safety. The operation is not started until all requirements have been met according to the checklist.

    Before the operation, the breasts are marked in a standing position. If the operation is performed in twilight sleep, you will be given medication that will relieve your anxiety and reduce your sensitivity to pain. If you do not sleep deeply anyway, you may feel something happening on the surface of your body.

    In the area of the armpit along the natural skin folds, the tissue is first sucked out using the tumescent technique through a skin incision of about one centimetre. The marked areas are injected in order to operate more gently and to prevent the formation of bruises and contour irregularities. The injection and liposuction are performed with fine microcannulas, which are inserted into the subcutaneous fat tissue of the marked areas via the smallest skin incisions of about two to three millimetres. After the tissue has been infiltrated and loosened, the excess fatty tissue is removed by negative pressure using an aspiration cannula. The cannulas are inserted through several openings and guided in a fan shape to achieve a uniform suction image. The mammary gland is then removed through an incision of about one centimetre in the armpit area. In moderate accessory breasts, the skin recedes after six to twelve months. If the breasts are larger and the skin tension is reduced, the excess skin is additionally removed. Depending on the findings, drainage tubes are inserted into the wound, which can be removed again after a short period. The wound is closed with fine threads, which dissolve themselves after about three weeks. Finally, a light pressure bandage is applied.

    The duration of the outpatient procedure is about 60 minutes. Immediately after surgery, you will be taken to the CenterPlast recovery room for continuous medical monitoring. When you are fully awake you can drink something and eat something if you feel well enough. Before you leave the practice, the practice will make appointments with you for check-ups. You will be given a detailed explanation of the aftercare procedures and any questions you may have will be answered. You will be given a comprehensive written report. You can reach the surgeon in an emergency day and night on a special emergency telephone number that will be given to you.

    At CenterPlast, we use virtual reality glasses at the patient’s request: you can use them to watch movies and your favorite series. This is possible during the entire surgical process and not only entertains you, but also, as proven in studies, leads to less sensitivity to pain.

    How can you prepare for the removal of supernumerary breasts?

    • All your questions about possible complications and alternative treatments should be answered before the operation.
    • On the day of surgery, shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel).
    • Keep nicotine and alcohol consumption to a minimum.
    • If necessary, stop taking hormone-containing medication (the pill) temporarily.
    • Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your treating physician.
    • Vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John’s wort preparations, etc.) must be discontinued at least four weeks before the operation.
    • Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel during the four weeks following the operation.
    • Before performing aesthetic surgery, you should take out follow-up insurance.

    What do you have to consider after the removal of excess mammary glands?

    • This is followed by regular checks of your well-being and the results of the operation.
    • An elevation of the upper body of about 30 degrees (also during sleep) over five days is beneficial for the reduction of swelling and wound healing.
    • An elevation of the upper body of about 30 degrees (also during sleep) over five days is beneficial for the reduction of swelling and wound healing.
    • From the third postoperative week onwards, several daily massages for a few minutes in a circle and lengthwise and crosswise to the course of the scar with oily creams (e.g. Bepanthen® ointment or Linola® fat) help to inconspicuous scars.
    • Bending down, lifting heavy loads, swimming, sauna, sexual intercourse and sports activities should be avoided for four weeks, possibly longer if swelling still exists.
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    The author

    Dr. med. Stéphane Stahl

    “We provide you with extensive expert knowledge so that we can work with you to select the best possible treatment path.”

    Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.

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