Breast reduction Reduction mammoplasty | Ocean Clinic
Breast reduction

Breast reduction Reduction mammoplasty

Breast reduction surgery (reduction mammoplasty) 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

Breast reduction: What you need to know

Qué es Breast reduction Reduction mammoplasty, what you need to know. Ocean Clinic

Breast reduction: surgical techniques and scars
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.

Before and after photos

Breast reduction Hall-Findlay

Female patient with large breasts who wanted a breast reduction. A reduction mammoplasty with an inverted T scar, Hall-Findlay technique, was performed.

⇒ see all images

Breast reduction photo before and after

Surgical training video

Breast reduction at Ocean Clinic Marbella

In this breast reduction plastic surgery video, the surgeons from Ocean Clinic, perform a breast reduction in Hall-Findlay technique. Using a cranial-medial pedicle for the MAC (Mamilla-Areola-Complex). In this breast reduction case the normally pure vertical scar is converted in to a inverse T-Scar to offer a solution for a the skin excess in both axillas and lateral breast mound which has been treated with liposuction. The plastic surgeons remove a total of 1900cc from one breast and 1700cc from the other breast to correct the asymmetry. The breast reduction was assisted with liposuction (liposculpture) of the axillas and the lateral breast mound. ⇒ find more videos

3D Animation

Reduction mammaplasty

Reduction mammaplasty or simply, breast reduction, achieves good results in alleviating problems like: Breasts that are excessively large in proportion to body size are a frequent cause of back and neck pain as well as grooves or irritation on the shoulders from bra straps. A breast reduction removes extra breast tissue to achieve a healthier, more comfortable size and reshapes the breasts, making them firmer and lifting them to a more youthful position. ⇒ Find more 3d animations

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)

5 Myths About Breast Reduction Surgery

  • Myth #1. Breast reduction will correct droopy breasts
    If you’re suffering from ptosis, you will also require a breast lift but this can be carried out at the same time.
  • Myth #2. Your nipples will be cut off
    Usually nipples remain attached to the breast tissue beneath, keeping the blood supply intact. They are simply moved to a higher position.
  • Myth #3. You´ll be left with bad scarring
    There will be fine scars around your nipples and vertically down your breasts but, in most cases, these fade to become barely noticeable.
  • Myth #4. Your breasts will grow back
    There is no reason this should happen if you maintain your body weight, however pregnancy could affect your results.
  • Myth #5. You won´t be able to breastfeed
    Leaving the nipple-areola attached maintains your ability to breastfeed, although it’s advisable to wait 24-months for.

Speak to one of our surgeons if you would like to know more about breast reduction surgery.

Reduction mammoplasty in Marbella and Madrid
... after surgery and beyond

Breast reduction aftercare

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.

Breast reduction procedure related risks

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.

Breast reduction alternative treatments

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.

Ocean Clinics experience in breast reduction

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.

In safe hands!

At Ocean Clinic, we bring together the world’s leading plastic surgeons, specialists in breast reduction, with more than 15 years of combined expertise and experience in plastic and cosmetic surgery.

Dr Kai O Kaye | Ocean Clinic
Dr Kai O Kaye

Specialist in plastic, aesthetic and reconstructive surgery, expert member of the ISAPS association and founder of Ocean Clinic.

Dr Richard M Fakin | Ocean Clinic
Dr Richard M Fakin

Plastic surgeon in Zurich and Madrid, member of the European Board of Plastic Surgery and adjunct professor at the University of Zurich.

Dr Felix Paprottka | Ocean Clinic
Dr Felix Paprottka

Member of EBOPRAS, he joined the Ocean Clinic Marbella in 2017 where he completed his residency program in plastic and cosmetic surgery.

Ocean Clinic Group

The best plastic and cosmetic surgery clinic specialized in breast reduction. Located in Marbella, Madrid and Zurich. With more than 15 years of experience and performing more than 1000 surgeries a year. Medical professionals, modern facilities, trust, experience and security. Come and meet us!

Best plastic and cosmetic surgery clinic. Ocean Clinic Marbella Madrid
Marbella
Av. Ramón y Cajal, 7
29601 Marbella
Tel. 951 77 55 18
Madrid
C/ Velázquez nº 109, 1º Izq
28006 Madrid
Tel. 910 56 79 33
Zurich
Limmatquai 2
8001 Zurich
Tel. (+41) 44 250 95 88