Large and heavy breasts can not only be aesthetically unpleasant for affected women, but can also cause physical complaints such as neck and back pain (posture). Postural problems and inflammation of the underbust crease are common consequences.
There are various reasons for an increase in breast tissue and size, such as the menopause or pregnancy. After pregnancy, the glandular tissue of the breast can shrink considerably. A breast reduction and lift can help to restore the desired firm breast shape.
During breast reduction surgery, excess breast and glandular tissue is removed. The breast size can be aesthetically adapted to the body size and shape. If desired, the result can be a significantly smaller but still feminine-looking breast.
PD Dr. med. Mathias Tremp in a consultation
Before any procedure, it is crucial that you as a patient are fully informed. PD Dr. Tremp is ready to answer your questions and inform you about the benefits and risks of the operation.
Find out whether your desired operation is possible. Arrange your personal consultation appointment now.
Large breasts (mammary hypertrophy, macromastia or gigantomastia) can be unilateral or bilateral. In many cases, there is a symmetrical increase in size, i.e. both breasts grow to the same extent.
Macromastia is diagnosed when the expected resection weight of 500g per breast is exceeded in a greatly enlarged mammary gland. The height and weight of the affected person must always be taken into account. For smaller and slimmer women, even a lower breast weight can be a great burden. There are no exact guide values for macromastia, as it always depends on the physical characteristics of the patient.
The optimal method depends on the shape, volume and size of the breast and the patient’s wishes. It runs around the areola and vertically underneath it. As a rule, the areola is also reduced slightly. If necessary, a further incision along the natural breast crease may be required.
The vertical lift (Lejour method) enables a large breast lift with minimal scarring. It is also suitable for large breasts and sagging breasts with medium to large excess skin.
The T and L incision techniques differ only slightly from each other. Both are based on the I method (according to Lejour), but the vertical incision is continued in the inframammary fold. These techniques make it possible to reduce and lift the breast in cases of medium and large excess skin.
The position of the nipples is changed by removing breast tissue and skin. The areola is moved upwards to achieve an aesthetic result. The shape and size of the nipple are also adjusted and corrected.
During a breast reduction, skin, glandular, connective and fatty tissue is removed to reshape and firm the breast. The procedure is usually performed on an inpatient basis under general anesthesia. Depending on the size of the breast, either a vertical (scar-saving) or a small T-shaped incision is used. The choice of incision depends on the patient’s physical condition and wishes. The nipple is repositioned during the operation, resulting in a circular scar in the area of the nipple. Skin and parts of the central glandular body are removed.
After a breast lift (and also breast augmentation or breast reduction) it is perfectly possible to breastfeed. Your decision to undergo surgery does not usually affect your ability to breastfeed your baby. In most cases, women can successfully breastfeed after a breast lift.
During your surgical consultation, you should explain your goals and discuss how these can be accommodated. The surgeon may place incisions in specific locations, dissect the tissue differently and make other modifications to preserve the nipple ducts and minimize scar tissue formation. It is important to keep the central breast mound intact so as not to interfere with milk production. If you were able to breastfeed before the operation, this should also be possible after the operation.
The costsare discussed in detail with the patient beforehand and are The costs for breast surgery are to be understood as a flat rate and include anesthesia, use of the operating theatre and compression garments, but not a sports bra and overnight stay. Costs can only be covered by health insurance in exceptional cases if the overly large breast causes health problems. A detailed medical assessment is required in order to meet the criteria for cost coverage.
Contact us for a consultation.
© 2024 All Right Reserved By Dr. Tremp Plastic Surgery | Design & Developed by Prism Digital.
