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mednord Clinic
Dr. Pfützenreuter


Clinic and Day Clinic
For Gynaecologic Surgery, Prenatal Diagnosis

Dr. med. Pfützenreuter (MIC III)
Dr. med. Kurz (MIC II)

Neuro Surgery,
Surgery, Aesthetic Surgery,
and Orthopaedics

Endoscopic Surgery training
 

Not only small breasts lead women to surgery. Lots of women suffer from excess breast tissue or skin which leads to psychological strain, inferiority complex and a lack of body perception but over all there are health reasons like back ache and posture deformities.
 
  1. Before the operation
  2. Breast reduction/Breast lift
  3. After the operation
  4. Potential complications
  5. Medical check-ups
 

Not only small breasts lead women to surgery. Lots of women suffer from excess breast tissue or skin which leads to psychological strain, inferiority complex and a lack of body perception but over all there are health reasons like back ache and posture deformities.
Hanging or asymmetric breasts due to pregnancy, loss of weight or age can be corrected through a breast lift the so-called Mastopexy where excess skin is removed.

Overly large breasts can be reduced by removing breast tissue, fat and surplus skin.
Not taking into consideration your personal reason for the operation surely you still have many questions concerning this theme.

This page cannot replace the consultation of our surgeon, however, it will give you a first impression and a lot of useful tips.

 
1. Before the operation

A breast reduction surgery or a breast lift is a voluntary operation. That is why it is important for you to get thoroughly informed during your decision-making process. The decision in favour or against the surgery though, is your personal decision which should be made solely by you !

Please take into consideration that breast reduction surgery is an operation. Even the very best surgeon will never guarantee you a 100% outcome. Despite this fact such a surgery is relatively uncomplicated.

However, there are the usual risks like adverse reaction to the anaesthesia or the possibility of infection. You should not hesitate to ask about our experience in your initial discussion. You will get a complete consultation including clinical pictures of former patients. We recommend you write down all your open questions before your initial discussion with us.

A thorough preoperative evaluation includes information about any allergies or chronic diseases, if anticoagulant medication is taken or if there is an increased tendency to form scars. A mammogram is recommended to women over 35 prior to breast reduction surgery to exclude the existence of any tumour.

2. Breast reduction/Breast lift

The technique of the surgery depends on anatomical factors and individual wishes.
Typical anatomical factors are:

  • excessively large breasts
  • sagging breasts due to age (Ptosis)
  • tubular breasts
  • breasts that differ in size (Asymmetry)
  • genetically predetermined under-development of one breast (e.g. Poland Syndrom)
All women who have decided to undergo breast reduction surgery desire symmetric breasts and reduced scar visibility. However, opinions differ with respect to size and shape of the “new” breasts. Usually women prefer a natural look. In a breast reduction the genetically predetermined overly large breasts are reduced by removing the mammary glands and fat tissue together with the surplus skin. Different methods are used to ensure the least scarring possible.
If little tissue and a small amount of skin is to be removed only a small incision under the nipple is necessary leaving a hardly visible scar which will, in time, disappear.
The more tissue you remove the more skin must be removed, too. In order to achieve a natural shape the incision is made e.g. vertically downwards from the nipple to the breast crease or sometimes along the breast fold back to the nipple in the form of an inverted T. Other possibilities will be discussed with your doctor as various incisions may be possible according to breast size and shape.

In the case of a breast lift to restore sagging and drooping breasts similar principles are used. Only that the amount of breast glands and fat tissue is much smaller due to sagging skin and receding gland tissue.

3. After the operation

To avoid blood-clotting or serum fluid it is very important to add compression to the operated part. This is achieved through special compression bras. The pressure they provide prohibits the built-up of lymph and blood between implant and tissue. Otherwise this could lead to scarring and bad healing.
For the same reason the drainage is left for some time after the operation in order to allow surplus serum and blood to drain thus accelerating the healing process. After the operation an appointment will be made to discuss all relevant themes, where you can ask any questions which have arisen.

4. Potential complications

Your doctor will discuss possible complications with you mainly concerning common surgery risks like infection, adverse reaction to anaesthesia, heavy and thick scars, etc. .

5. Medical check-ups

Your mednord Clinic doctor will decide how often a check-up is necessary.
It is possible to have a mammography with implants. In the case of a tumour modern screening methods like Sonography, Magnetic resonance imaging (MRI) or Computerized tomography (CT) help to detect the tumour in the early stages.

Phone: +49 (0) 89 - 375 075-0     info@klinik-mednord.de     Heidemannstraße 5b     80939 Munich