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Breast reduction planned? What you should know before the surgery

Some women would like to have a little more bust, others less – and some are so plagued by their large and heavy breasts that sleeping or exercising is out of the question. Breast reduction can be the solution. But how dangerous is such a procedure – and how expensive is it? Tikbow spoke to an expert about it.

Breast reduction method and cost

Anyone who wants to have their breasts reduced must place themselves in the hands of a surgeon with confidence – and trust that he knows his craft. "There are probably as many methods of breast reduction as there &are doctors", says Cornelius Grüber, MD. He is a specialist and co-founder of the Hamburg Hanseaticum Center for Plastic and Ästhetic Surgery. 

As a rule, breast reduction takes two to two and a half hours when operated on in pairs. The cost is around 6000 to 8000 euros. "This usually includes a simultaneous tightening of the breast and the installation of the so-called ‚inner bra’", explains Dr. med. Cornelius Grüber. "In this process, the remaining breast drüse is fixed to the rib cage with a dermis flap (deep layer of skin) so that it lies like in a bra and cannot sag."

The specialist for plastic and aesthetic surgery warns against dumping prices and strongly advises against flying abroad for an operation just because it is cheaper there. "I have already had to save some breasts and nipples because operations abroad failed", Grüber tells. "Also, aftercare is always a problem. "

Special case: nipple

During breast reduction, the surgeon not only removes tissue, but also relocates the nipple. After the operation, some nipples react very sensitively to touch, while others feel numb,” says Cornelius Grüber, MD. These discomforts usually go away and occur less frequently with breast reduction than with breast enlargement. In rare cases, however, women may no longer be able to breastfeed after breast reduction. "These are risks that a surgeon should also inform his patients about in advance," says Grüber.

Reducing the size of the breast again: Is it possible?

It is possible to increase the size of a breast that has previously been reduced. However, this should ideally be performed by the same surgeon who already performed the breast reduction. He knows best where he has made which incisions," explains Grüber. Otherwise, ask for the report of the breast reduction surgery and give it to the surgeon who is to perform the reduction. There is a good reason for this procedure, because if you have already had several breast surgeries, sometimes with different surgeons, you run the risk that a nipple will no longer be adequately supplied with blood due to clipped blood vessels and will die. As a result, the nipple turns black and falls off over time. Breastfeeding is no longer possible in such a case.

Medical necessity

Grüber knows from many years of practical experience how much women suffer from their oversized breasts. "If you put two 1.5-liter bottles of water around your neck and let them hang just üabove your belly button, you will feel what women go through", says the surgeon. The weight goes on the neck, back of the neck and back of the back, and in the long run, no amount of physical therapy or injections from an orthopedic surgeon will help;

How much the surgeon reduces the breast depends on the other proportions. "Many women want breast size C" after surgery, Grüber said. "But the size of the breast is not the decisive factor. It’s more a matter of the breast sitting higher up again and feeling compact."

As a rule of thumb: "If more than 500 grams per breast need to be reduced, it is a medical necessity from a doctor’s point of view", says the specialist in plastic and cosmetic surgery. Important: The application for costübernahme must be made before an operation at the health insurance. It is not always approved, but "for women with dress sizes 34 to 44 and üoversized breasts üthe health insurance occasionally covers the costs for the surgery", knows Dr. med. Cornelius Grüber. In the case of very obese women, the basic problem, the obesity, should first be treated before a breast reduction is considered;

No emergency, no costübernahme

Some women suffer from their large breasts, even though other women would envy their very breasts. If a woman wants to reduce her breast size from D to C, this is often not medically necessary and is therefore not covered by the health insurance system,” says Cornelius Grüber, MD. He warns expressly before hasty decisions: "A breast reduction should be well üconsidered, because even if they fade, women have scars after the surgery for their entire lives."

First lose weight, then have breast reduction

Women who have large breasts are often slightly overweight. Cornelius Grüber, MD, has often seen his patients use breast reduction as an incentive to lose weight overall. But be careful: "If you first have your breasts reduced and then lose 10 kilos, the breasts will sag and droop", the surgeon warns. "You should therefore definitely lose weight before a breast reduction – and not vice versa. After the operation, you can then gladly put on one or two kilos again, which ensures an all-round beautiful, full breast result;