Breast lift and breast reduction surgery is one of the focal points of our practice clinic in Oldenburg. You benefit from our expertise and from modern techniques which we keep up to date through international congresses and the exchange of experience with colleagues.
Through physical and hormonal changes and the constant effect of gravity, the breast changes in volume and shape over the course of a lifetime. If the breast is very heavy, the development of a sagging breast over the years is inevitable. After pregnancies we frequently observe the phenomenon of the “empty breast” with a marked reduction of the glandular body. Many patients come to us wanting a firmer, more youthful, better projected breast.
Depending on breast size and individual wishes, a lift of the breast – mastopexy – or a breast reduction – reduction mammoplasty – is then required. The two procedures are very similar; with the reduction, glandular tissue is additionally removed.
A breast that is too large can cause considerable problems through its weight. Most frequently patients describe shoulder and neck complaints as well as eczema and fungal infection in the inframammary fold caused by increased perspiration – in technical terms intertrigo. The psychological complaints are a considerable burden too, often within a relationship. Unfortunately the health insurance funds take far too little account of these limitations. In young women we frequently see social withdrawal and a tendency to depressive moods which can improve substantially through a procedure where the indication is sound.
The reduction mammoplasty using the Hall-Findlay technique offered here, which we perform very frequently, is a good option for this: we can reduce and shape the breast almost as desired and thereby achieve a beautifully projected breast.
Your wish is at the centre of the treatment planning – and I would like to realise it together with you. Depending on the findings we offer various techniques. The most frequent method is the inverted T incision, which runs like an anchor. In order not to endanger the blood supply to the nipples, it is important to leave them on a firm tissue pedicle. The pedicle from above and to the middle has proved to be the best variant for us: sensitivity, blood supply and the ability to breastfeed are best preserved.
With this technique the breast is beautifully projected and can, on request, be padded with an autoaugmentation – an “implant” made from your own glandular tissue. This brings considerably more volume into the upper breast than conventional methods, and the risk of “dropping out”, the sagging of the glandular body, is considerably reduced.
The superomedial pedicle of the nipple preserves the best possible blood supply and sensitivity. A further advantage over common methods is the shift of the weight of the glandular pedicle into the upper poles of the breast: the result is longer lasting. In addition we shape the glandular body like an internal bra – so that the breast is supported in its shape from within.
If the breast is lifted around the areola, this is done with an O incision; the scar then runs in an O shape around the nipple-areola complex. If this form of lift is not sufficient, the O incision can be combined with an I incision running vertically to the inframammary fold. If the lower breast is also to be considerably narrowed in width, the incision is continued in the inframammary fold – this is then called the mini-T or T incision.
As early as the preparatory consultation with advice, detailed information about risks and an examination, we plan the operation together. Our aim is to respond to your wishes as well as possible before the procedure and to mark and document the course of the incision.
On the day of the operation, which we carry out in our own rooms in Oldenburg, you are scheduled in such a way that long waiting times are avoided. I will then go through what we discussed with you once more and repeat the markings. Our nursing and anaesthesia team will look after you. After the procedure we accommodate you for one night in one of our patient beds; a nurse looks after you throughout the night and I myself am close by. After the final ward round the following day you can usually leave the clinic.
After the procedure the breast is noticeably fuller again and lifted upwards. Nevertheless it remains subject to a natural ageing process, so that a slight sagging again is entirely normal. After a major breast operation we like to monitor patients for one night because there is a temporary risk of secondary bleeding. As with every operation, wound healing problems, infections and changes in the sensitivity of the nipple are also possible. If you want more volume instead of a lift, breast augmentation with an implant or with autologous fat are the appropriate alternatives.
The question of cost coverage frequently arises. It only comes into consideration where there is considerable medical significance and the findings are correspondingly pronounced – as a rule at least half a kilogram per breast must be removed. The insurance funds therefore cover the costs only very late. If a medical indication is established, you can nevertheless apply to your health insurance fund for reimbursement of part of the costs. Do talk to us about it – arrange a consultation appointment at our practice clinic in Oldenburg.
The two procedures are very similar. With a breast lift (mastopexy) the breast is raised and reshaped; with a breast reduction (reduction mammoplasty) glandular tissue is additionally removed. Which is right for you depends on the size of your breasts, the findings and your wishes.
The O incision runs around the areola. If that is not enough, a vertical I incision down to the inframammary fold is added. If the lower breast is also to be narrowed in width, the incision is continued in the inframammary fold – this is the mini-T or T incision, also called the anchor incision.
The nipple-areola complex remains attached to a firm tissue pedicle from above and to the middle. Blood supply, sensitivity and the ability to breastfeed are best preserved in this way. In addition, this technique shifts weight into the upper poles of the breast – the result lasts longer and “dropping out”, the sagging of the glandular body, becomes considerably rarer.
We shape the glandular body like an internal bra that supports the breast from within. On request we additionally pad the upper breast with your own glandular tissue – an autoaugmentation. This creates more volume at the top, entirely without an implant.
When its weight causes symptoms: shoulder and neck pain, eczema and fungal infection in the inframammary fold (intertrigo) caused by increased perspiration. In addition there is the psychological burden; in young women we see social withdrawal and depressive moods which can improve considerably through an operation where the indication is sound.
Only where there is considerable medical significance and pronounced findings – as a rule at least half a kilogram per breast must be removed. The insurance funds therefore contribute only very late. Where there is a medical indication you can nevertheless apply for reimbursement of part of the costs; we support you with the necessary documents.
After the procedure the breast is noticeably fuller and lifted upwards. It does, however, remain subject to the natural ageing process, so that a slight sagging again is entirely normal. The superomedial pedicle with an internal bra noticeably delays this.
A compression bra is worn for 6 weeks and showering is possible from the 2nd day. We remove the stitches around the areola after 14 days; the remaining suture material dissolves by itself. You are usually able to face other people and to work again after 5 to 7 days, and sport is possible again after 4 weeks.
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