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Breast reduction

The breast reduction (medically known as reduction mammoplasty) is a surgical procedure to reduce and reshape the female breast. It can be performed for aesthetic or medical reasons, such as discomfort caused by very large breasts or to correct breast asymmetries (macromastia or gigantomastia).

Reasons for breast reduction

Medical reasons:

  • Chronic back, neck or shoulder pain

  • Postural problems

  • Irritation of the skin under the chest

  • Bra straps that dig into the shoulders

  • Limited mobility

  • Psychological stress

Aesthetic reasons:

  • Desire for firmer, smaller breasts

Surgical procedure

Preparation:

  • Informative consultation with the plastic surgeon

  • Mammography or ultrasound if necessary

  • Blood tests, ECG, etc.

Surgical techniques:

  • T-shaped incision: around the nipple, vertically downward and in the submammary fold, indicated in cases of extreme macromastia.

  • Lejour technique: modern technique with minimal scarring, incision around the nipple and only vertical downwards

  • Liposuction: especially in men with gynecomastia; if necessary, an additional periareolar incision is made with minimal scarring around the nipple

Duration: 2-4 hours
Anesthesia: general anesthesia
Hospital stay: 1-3 days (depending on the procedure)

Recovery and aftercare

  • Physical rest: approx. 2 weeks

  • Special bra: use for approximately 6 weeks

  • Physical activity: avoidance of exercise for at least 6 weeks

  • Scar care: regular treatment and sun protection for at least 6 months

  • Medical checkups: recommended periodic reviews

Possible risks and complications

  • Healing problems, infections

  • Altered sensation in the breast or nipple (very rare)

  • Bruising or bleeding

  • Scars (keloids in predisposed individuals)

  • Possible limitation of lactation capacity (rare)

  • Asymmetries (very rare)