15 January 2008Artikel

Less Volume – Methods of Breast Reduction

Excessively large breasts can lead to physical complaints and psychological distress. The aim of breast reduction is to bring shape and weight into harmony with body proportions – whilst simultaneously preserving sensation and symmetry.

Assessment Before Every Operation

Prior to the procedure, we analyse body posture, skin quality, and breast volume. A key consideration is whether the primary concern is a straightforward lift (mammaptosis) or a true reduction (mammary hypertrophy). In most cases, a combination of both is present – the surgical concept therefore addresses volume reduction and repositioning of the nipple in equal measure.

Scar-Sparing Techniques

Minor reductions can be performed, for example, using the Benelli technique around the areola. Where greater reshaping is required, vertical methods according to Lejour or Hall-Findlay are employed. These combine an incision around the nipple with a vertical scar down to the inframammary fold, delivering a stable, long-lasting result.

Surgery & Safety

During the operation, excess glandular and fatty tissue is removed in a measured manner. Blood vessels and nerves supplying the nipple are preserved. Careful wound management prevents tension and reduces the risk of circulatory disturbances. Modern suturing techniques shape a natural-looking breast with appropriate projection.

Aftercare and Quality of Life

During the first few weeks, a sports bra and lymphatic drainage protect the result. Scar care and UV protection keep the incision lines fine. Many patients report an improvement in back and neck complaints after a short time – along with a new, positive sense of body confidence.

FAQ

When does Dr. Schuhmann recommend a breast reduction?

When physical complaints, postural damage, recurring skin irritation, or a marked asymmetry are present – and conservative measures no longer provide relief.

What scarring is to be expected?

This depends on the technique. Options include short, peri-areolar scars (Benelli), a vertical incision (Lejour/Hall-Findlay), or a T-shaped incision for larger reductions.

Is the ability to breastfeed preserved?

With modern techniques, the connection between the nipple and glandular tissue is largely maintained. However, the ability to breastfeed cannot be guaranteed.

How long does recovery take?

Light activities are possible after 1–2 weeks. Sport and heavy lifting should be avoided for 6 weeks. A specialist bra helps to stabilise the result.

Über den Autor

Dr. med. Karl Schuhmann

Dr. med. Karl Schuhmann

Facharzt für Plastische und Ästhetische Chirurgie & Handchirurg

Mit mehr als 30.000 Eingriffen und mehrjähriger Tätigkeit als Chefarzt führt Dr. Schuhmann seit 2016 als Gründer von artethic® seine Praxen in Düsseldorf und Berlin.

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