Breast Reduction  | Ocean Clinic
Breast Reduction

Breast Reduction

Breast reduction surgery is the procedure of choice for women experiencing discomfort and symptoms related to large and heavy breasts (Breast Hypertrophy).
Many patients complain about skin rashes, redness and itching, especially during the hot summer months. A majority also suffers from back and neck pain, which is usually progressive over the course of time, despite regular physiotherapies and cranio-sacral massages. Breast reduction is a single-step procedure, instantly relieving the symptoms by reducing and remodeling your breast tissue and the excess skin. It is not only about downsizing the size but also about achieving a more attractive and symmetric shape.
After the surgery, patients often report an absence or big reduction of cervical / back pain, a more active lifestyle, new motivations towards sport activities, as well as an elevated self-confidence.

  • Technical term
    Reduction mammoplasty
  • Duration of surgery
    120 – 200 minutes
  • Anaesthesia
    General
  • Discharge from clinic
    Same day or 1 day
  • Fit for society
    10-14 days
  • Back to work
    10 days
  • Aftercare and recovery
    Special bra for 4-6 weeks

What to know before Breast Reduction

What to Know Before Breast Reduction . Ocean Clinic

There are numerous novel and established techniques in breast reduction surgery. The choice of the right method, tailored to you, depends on your anatomy, the size of the breasts, degree of sagging, laxity of the skin, position of the nipple etc.. These and many more factors should be addressed by your surgeon in the decision process. Furthermore, additional liposculpturing, is often an integral part of the operation, remodelling the surrounding areas (such as lateral thorax, axillas, back…), resulting in an optimal body contour. Our goal is to create minimal scars whenever possible.

Light breast hypertrophy (expected resection volume under 350g):
  there is an analogy to breast lifting techniques, which can be used with additional removal of breast tissue in case of light to moderate breast hypertrophy. Scars are around the areola and, if necessary, with a vertical extent (lollipop shape).

Moderate breast hypertrophy (expected resection volume over 350g):
When a more excessive degree of hypertrophy is present, we use pre-dominantly the ’Hall-Findlay’ technique. It is a modification of the widely used ’Lejour’ method. The scars are, as described above, in a lollipop shape, and sometimes an additional short scar in submammary fold is necessary (short anchor or inverted-T).

Extremely heavy breasts, ’gigantomastia’ (expected resection volume over 1000g):
The scars are more extended along the submammary fold, resulting in a full-length inverted-T. Sometimes a free nipple graft is inevitable.

Patient testimony

The pain and the redness are finally gone. I feel free now (…), I can wear what I want and do things I could not do for a long time.

Paula S. (30)

The Ocean Clinic is dedicated to avoiding any unnecessary pain. We routinely perform a temporary local nerve block of relevant sensory nerves, thus considerably lowering the pain in the early post-operative period. With an additional combination of one or two painkillers, you should be free of pain. Our suturing is resorbable; there is no need to remove stitches. Postoperative lymphatic drainage is advisable after this kind of procedure.

We will provide you with a special bra to be worn for about 4 to 6 weeks. Do not lift any objects beyond 5kg and avoid sports involving weights during this period.

There are non-specific risks that are connected to any kind of surgical procedures like hematoma, infection, seroma. When choosing the right technique for shaping the pedicle perfusing the areola, the restriction of blood supply to the nipple or areola (necrosis) is extremely rare. Avoiding smoking for 1 month prior to surgery and 4-6 weeks post surgery enhances the wound healing process and to minimize risk for nipple necrosis. The impairment of lactation in case of future pregnancy is a possibility.

In cases of a predominantly saggy breast with only some degree of hypertrophy, a breast lift with limited removal of breast and fat tissue could be an option. 
However, most cases will require a full breast reduction in order to cure the symptoms and result in a proportional, attractive and adequately smaller breast.

In 2004 Dr. Elizabeth Hall-Findlay published her modified and novel approach for breast reduction. In 2007, we started to operate large breasts with this method and with a growing number of satisfied patients and long-term outcomes, it became our standard breast reduction procedure. 
We perform our specially developed peri-areolar suture technique (if necessary) in order to minimize the appearance of scars. Our after treatment relies on an inter-disciplinary program for post-operative scar treatment. We are mostly performing simultaneous liposuction in the surrounding areas, such as the rest of the chest, flanks and the area frontal to the axilla for a better aesthetic result and have no need for drains in most cases.

The next step

Breast Reduction  after surgery and beyond. Ocean Clinic