The Procedure

A breast reduction is a surgical procedure in which excess breast tissue, fat, and skin are removed. The goal is to make the breasts smaller, lighter, and firmer. In most cases, the nipple is also repositioned to a higher, more natural location. This operation is typically performed on women who experience physical discomfort due to heavy breasts, such as back, neck, or shoulder pain, or skin irritation (chafing) beneath the breasts.

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Type of Anaesthesia

The breast reduction is performed under general anaesthesia. This means you will be completely asleep and unaware of the procedure. The anaesthesiologist monitors your vital functions throughout the entire surgery.

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Duration of the Procedure

The surgery takes approximately 2 hours. If everything goes well, you may go home the same day after the operation.

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Before the Surgery

To reduce the risk of complications and promote good recovery, several important preparations are required:

• Stop smoking: Smoking hinders wound healing and increases the risk of infection and poorly healing scars.

• Discontinue blood thinners: In consultation with your doctor, you will need to temporarily stop taking blood-thinning medications.

• Mammogram: It is advisable to have a mammogram beforehand for screening purposes.

• Tissue examination: It is recommended to send the removed breast tissue for pathological examination.

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Aftercare and Follow-Up Appointment

Proper aftercare is essential for a smooth recovery:

• Rest and recovery: Avoid heavy lifting, strenuous activities, and sports for the first few weeks.

• Support: You will wear a special postoperative bra for comfort and support.

• Recovery time: Most patients resume their normal activities after about six weeks.

• Follow-up: During follow-up appointments, the surgeon will assess the healing process and final results. There is also an opportunity to ask questions or discuss any concerns.

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Scars

A breast reduction leaves permanent scars. These are located:

• Around the areola

• Vertically downwards

• In the breast fold (in an anchor-shaped pattern)

Although scars fade over time, they will remain visible. Proper wound care and protection from the sun will help the scars heal as nicely as possible.

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Complications

A breast reduction is a relatively safe procedure, but like any surgery, it carries some risks:

• Bleeding: This can cause additional swelling and may sometimes require an additional procedure.

• Infection: Keep the wound clean to prevent infections.

• Thrombosis: After the procedure, it's important to take it easy, but also to stay mobile. Move gently several times a day to prevent thrombosis.

• Wound dehiscence and/or widened scar: The skin may not heal properly, which can lead to wider scars.

• Asymmetry: Small differences between the two breasts can occur.

• Changed sensation in the skin and/or nipple (areola): Temporary or permanent changes in sensation may occur.

Discuss any concerns with your surgeon in advance so that you are well-informed about the options and risks.

 

Reimbursement and Costs

Breast reduction may be eligible for reimbursement by your health insurer if you meet the following criteria:

• Cup size D or larger

• BMI under 30

• Demonstrable complaints such as back, neck, or shoulder pain, or unmanageable skin irritation (chafing)

A request to your health insurer is mandatory and must be submitted through a referral from your general practitioner. The insurer will assess the medical necessity based on guidelines and possibly additional information.

If reimbursement is not granted, the costs will be at your own expense.