A breast reduction (Latin: mammary duodenal plasty) is an operation for the reduction of large breasts.
The indication, means the occasion of such surgery may have cosmetic or even medical reasons. In women with very large breasts, chronic back pain and tensions, incisor bra straps and skin infections can occur in the breast flap fold (intertrigo). They are also severely restricted in physical activities. These stressful physical complaints are often psychological, especially among younger women. A relative indication is the desire for a cosmetic improvement.
The boundary between the purely cosmetic occasion and a medical necessity of the operation is, according to various specialists, weighing at least 500 g, which would be removed on surgery on each side of the breast.
Men can also have breast enlargement. This breastfeeding in men is more common than is generally assumed, and for the affected patients psychologically very stressful. As a rule, the method of liposuction or a breast reduction with incision around the breast cavity is used in men.
The operation is performed in general anesthesia.
There are numerous surgical techniques, the application of which depends, among other things, on the size and condition of the breast. The incision runs along the edge of the areola and from there downwards into the folds of the chest. For medium-sized and large breasts, a further incision lying transversely in the flap fold is required. The glandular tissue and adipose tissue are not only removed from the lower chest area. Furthermore, the excess skin is removed, resulting in a tightening effect. For all incisions, the nipple and the areola need to be replaced. For this purpose, she needs a stem, through which she receives the blood supply. This supply can take place via parts of the glandular tissue or over parts of the skin. In the case of extremely large breasts, this stem would be too long to ensure sufficient blood flow, in these cases a free transplantation of the nipple must take place.
Breast reduction is an operative procedure which must be carefully planned in order to improve the quality of life of the patient. Particularly before cosmetic surgeries, for which there is usually no mandatory surgical indication, extensive and extensive surgery is necessary.
The greater the weight removed during the operation, the greater the patient's health benefit. Target sizes B-Cup or C-Cup can usually be achieved independently of the initial size. The patients are generally very grateful as they experience a clear relief of their complaints. The most common complication is wound healing, especially in very large breasts and in patients with appropriate risk factors (eg diabetes). They usually occur in the central area of the chest folds and can often be healed without surgery. Patients must also be aware of the possible, but very rare, loss of the nipple caused by the above-described stalking. This also leads to numbness of the nipple and a restriction of the ability to breastfeed. The scars are visible after the operation and are occasionally broadened by the pull of the breast.
Breast reduction - The facts
The cost of a breast reduction in Switzerland is an average from 9500, - CHF.
Operation duration: 2-3 hours
• Narcosis: general anesthesia
• Clinic stay: approx. 2 nights
• After-treatment: 6 weeks of sports bra
• Sports ban: at least 6 weeks
• Social ability: after 1 week
• Inability to work: at least 1 week, often longer, depending on the occupation