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Breast reduction in Saarbrücken

Breasts that are too large and therefore too heavy can cause physical discomfort such as shoulder, back or neck pain. The weight of the breasts can cause a stooped posture and thus lead to health problems. With extremely voluminous breasts, women also have difficulty finding clothes that fit the size of their breasts. Due to the weight of the breasts, many women suffer from cutting bra straps. In the underbust fold, skin rashes can occur, especially during the warm season.

In addition, patients with a very large bust size also report performance limitations due to the heavy breasts and a feeling of shame due to the movements of large breasts during sports. If you have excessively large breasts, even a sports bra won’t help. Some women even complain of impaired breathing due to the pressure of the breasts. Many women report a psychological burden because their large breasts unwantedly attract all eyes. Sufferers complain that the dimensions of the breasts are perceived as unharmonious and affect self-confidence.

For this reason, some women purchase so-called minimizer bras in order to cache bust size, which, however, cannot solve many of the problems described above and can also only provide limited optical relief. In addition, excessive bust size can also have a negative impact on sex life and, in extreme cases, cause anxiety or depression. Breast reduction, also called mammary reduction, facilitates physical activity and motivates weight loss [1].

What is breast reduction?

Breast reduction or “mammoplasty” involves the removal of excess skin and mammary gland tissue to correct the size and position of the breast. At the same time, the nipple is moved to give the breast a youthful appearance. For optimal results, the areola is often reduced in size. The incision runs around the areola, in the lower breast fold and along a connecting line between these points.

Knowledge of different surgical techniques is important in order to be able to do justice to different findings and wishes. Beyond the reduction, special attention is always paid to harmonious proportions and optimal symmetry and shape of the breasts.

Die Größe einer weiblichen Brust steht von Natur aus im Verhältnis zum Körperbau. Unterschiedliche Größen der weiblichen Brust kommen in unterschiedlicher Häufigkeit in der Bevölkerung vor. Durchschnittliche Größen sind die am häufigsten vorkommenden Größen. Die am häufigsten vorkommenden Größen entsprechen den Bildern der Diagonale von unten links nach oben rechts im Bild. Für ein natürliches Ergebnis empfehlen wir eine durchschnittlich große Brust anzustreben.

Breast reduction facts

OP duration approx. 2-3h
Anesthesia local anesthetic / fast recovery technique
Hospital stay Outpatient
Costs to the price calculator
Aftercare 6 weeks
Thread Traction Self-dissolving threads
Socially acceptableafter 5 days

How is breast reduction performed?

Step 1: Preparation for your breast reduction surgery

To ensure that you are well prepared on the day of the operation, you will already receive all the necessary information during the consultation and the subsequent preparatory meeting. The joy of the new figure is usually greater than the tension before the operation. You do not need to take any luggage with you, as you can be picked up a few hours after the operation. Due to the combination of local anaesthetics and painkillers, you will need very little anaesthetic. General anesthesia is not necessary for the procedure. A long-lasting anaesthetic ensures less pain after the operation. Due to the small amount of anaesthetic, the risk of nausea and thrombosis is lower. Therefore, this method is also called fast recovery technique.

Immediately before the operation, your aesthetic plastic surgeon will meet you. For harmonious proportions, optimal shape and symmetry of the breasts, the surgical plan is drawn on your breast with a special marker. The anaesthetist will then discuss the procedure with you again. Before you are escorted to the operating room, you will be given an antibiotic as a preventive measure.

The entire surgical team routinely makes multiple assurances that the surgery is taking place under the safest and best circumstances. Thanks to state-of-the-art equipment, you will lie comfortably, warmly and well padded while you are administered a little sleeping pill. You usually don’t get to hear anything about the subsequent preparations. Due to the very gentle form of anaesthesia, you can still tell the anaesthetist or the expert in aesthetic plastic surgery at any time if there is something you are lacking.

Step 2: Surgery procedure – performing breast surgery to reduce the size of your breast.

After careful disinfection and sterile covering of your breasts, the operation can begin. The surgeon first anaesthetises the intercostal nerves and also injects a tumescent solution. This numbs the tissue and prevents the formation of bruises. While you sleep or are distracted by a movie on 3D glasses, the entire surgical team is highly concentrated. The procedure takes two to three hours, depending on the findings. The wounds are sutured with fine self-dissolving skin threads. Drainage tubes are only inserted if it appears necessary, and these can usually be removed again the following day. The duration of the operation is about 2.5 hours.

Step 3: After the procedure – the healing process of a mammoplasty

After dressing the wound, the surgical team will already put on the support bra (compression bra) ordered for you. Immediately after leaving the operating room, patients are usually awake and pain-free and can eat or drink something. Normally you can be picked up after a short observation period. You’ll be given a letter to take with you that notes all the behavioral measures. Here you will also find the dates of the follow-up examinations and a telephone number where you can reach your aesthetic plastic surgeon at any time.

What are the methods of breast reduction?

All surgical methods have in common the removal of excess breast tissue (mammary gland tissue and fatty tissue) and skin. Each surgical technique has certain advantages and disadvantages. Depending on the size and shape of the breasts, the advantages or disadvantages of a particular technique may outweigh the disadvantages. Therefore, the key to a perfect result lies in the selection of the surgical method that is specifically appropriate for you, which is characterized by the incision and incision technique:

Thus, a distinction is made between an O technique (Benelli method), an I technique, a J or L technique and a T technique. The O technique is mainly suitable for tightening slightly sagging breasts. In the case of a noticeable reduction or tightening of the breast, the T-technique is usually used. You can find out more about this on our “Breast lift” page.

Combination of breast reduction with liposuction

The combination of liposuction with breast reduction makes it possible to operate in a scar-saving and gentle way. Liposuction is helpful in shaping the lateral contours of the breasts. In addition, excess fat (love handles) in front of the armpit can be corrected. In the case of very large breasts, the combination of breast reduction and liposuction is very useful in order to promote rapid and safe wound healing.

Breast reduction preparation and aftercare

How to optimally prepare for a breast reduction and what to consider afterwards to ensure optimal healing and inconspicuous scars, you will learn in detail on our page Breast Surgery – FAQ.

Before and after pictures

It is not permitted by law to publish comparative pictorial representations of the treatment success by before and after photos on the Internet. That is laid down in Paragraph 1(1)(2) of the Heilmittelwerbegesetz. Nevertheless, such before-and-after pictures of a breast reduction can be used to inform the patient during the consultation. It goes without saying that the data protection regulations are complied with. The pictures were taken with the consent of the patients and help to show the possibilities and limitations of cosmetic surgery. In addition, a special bra in the desired target size can illustrate how large the breasts will be after surgery. You can find more information about this on our page about before and after pictures in the menu category “About us” in the section “Quality”.

Testimonials of a breast reduction in Saarbrücken

Before undergoing a mammoplasty, patients usually research the Internet for well-rated plastic aesthetic surgeons. Here, make sure that the practice has enough testimonials and reviews, as this is the only way to draw a realistic picture of the patients’ perception. Patient testimonials, reviews and ratings of the CenterPlast practice can be found on well-known sites such as Jameda or Google. This information has also been bundled in the category “About us” under the menu item Testimonials.

Frequently asked questions

When is a breast larger than average?

The average size of breasts changes depending on body weight, age and ethnicity. For example, Australian women with a BMI of 18.5 to 24.9 were measured to have an average volume of 327 milliliters [2]. In Turkish women aged 18 to 26 years (BMI 20 to 25), the calculated volume was 407 milliliters [3]. In American women, this averaged 405 milliliters in women aged 22 to 82 years [4].

As the size of the breast increases, the distance from the jugular pit to the nipple increases. The volume of a breast can therefore be calculated using certain metrics [5]. Alternatively, breast volume can be determined with a 3 D scanner or magnetic resonance imaging.

It is generally accepted that a giant breast (gigantomastia) exists when a breast reduction procedure removes at least 1500 grams or more than 3% of the total body weight [6]. For the definition of an above-average breast size, also called macromastia or mammary hypertrophy, different criteria can be found. Some refer to a D cup size as oversized breasts [7].

The author

Unsere Fachärzte für Plastische Chirurgie Saarbrücken
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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