Beautymax – Ihr Schönheitsmakler

FAQ – Breast reductions and breast lifts

At what age can a breast reduction/lift be performed?
Patients can undergo breast reduction as soon as their body is fully grown and the breasts are fully developed. However, teenage girls should only consider surgery if the physical and mental burden are unbearable, as there is a risk of further breast growth that may lead to the need for further surgery.

What surgical methods are used for breast reductions/lifts?
There are two preferred methods: one is based on the Lejour approach and results in minimal scarring. Using this method, the incision starts below the areola and extends to the breast crease. The second method involves an anchor-shaped incision that begins beneath the areola and continues into the breast crease.

What exactly is a breast lift and how is it performed?
Over the course of one’s life, your breasts may begin to sag as the breast tissue and areola drop due to excess skin in the lower breast area. A breast lift can help bring back firm, youthful breasts. The lift technique is similar to breast reduction. If required, the surgeon can insert implants to enhance the volume.

What exactly happens during surgery?
1.    In general
The basis of all breast surgery is a precise pre-operative strategy and marking of the patient on the day of surgery. In doing so, the new position of the areola and the skin to be removed will be marked.
The main principles of this surgery are relocation of the glandular tissue to the upper breast area (upper filling), narrowing of the breast by forming a rounder décolleté with central projection, repositioning of the areola and the removal of excess skin. The diameter of the areola will be adjusted to the new breast shape.

The glandular tissue itself will only be removed if there is distinct asymmetry, or if the patient requests breast reduction at the same time.

2.    Scarring after a breast reduction/lift
Depending on the chosen method of surgery, the size and volume of the breast as well as the breast base dimension and the individual consistency of the skin, different scars may be left. Usually the incision is made around the areola, down to the breast crease and possibly also along the breast crease.

If undergoing aesthetic surgery, the scars should be kept as short as possible and follow the natural contours of the breast. The initial redness will fade over time. In case of unpleasant, excessive scarring, scar revision can be undertaken after 6-12 months. The rate of success of scar revision using scar reducing techniques, which involves deliberately allowing the skin to shrink and not removing it by making longer cuts, is higher than other reduction techniques.

If a breast augmentation is required in addition to a lift, the surgeon can insert the implants inside the reshaped breast or underneath the muscle during the same procedure or in a follow-up procedure.

Will I experience pain after a breast reduction/lift?
People experience pain differently. After breast reduction, it is fairly rare to feel severe pain. The pain that might occur is treatable with painkillers.

Will I still be able to breastfeed after having breast reduction/lift?
Breast reduction can reduce or even fully eliminate the ability to breastfeed. Women wishing to breastfeed should bear this in mind.
A breast lift does not affect the ability to breastfeed.

Will the nipples be repositioned during breast reduction/lift?
In most cases, this is necessary to ensure an aesthetic result. In a worst-case scenario, your nipples may lose sensitivity.

Will I need to stay at the clinic after a breast reduction/lift?
Yes, you should expect a 2 to 3-day hospital stay.

How long will I need to wait before I can do sport again?
You should not do any sport for about 4-6 weeks after a breast reduction/lift to avoid jeopardising the results.

When will I see the final results?
An impression of the final results can be gained after approximately 6 months, whereby the scars may take another 1-2 years to heal.

When is a breast reduction/lift right for me?
When the skin loses its elasticity, the breasts can lose they former shape and firmness, go slack and become saggy.
As a result, most women find their breasts unattractive and start to suffer from early ageing and adverse changes in the form. Overly large breasts (gigantomachy) may encourage sagging.

When should I decide against a breast reduction/lift?
The lift effect may not be permanent for those with large or overly large breasts, or intending to become pregnant again after surgery – no treatment can permanently beat gravity!
Patients are advised to consider their family planning carefully before undergoing the procedure. Breast reduction may reduce or even fully eliminate the ability to breastfeed.
Further pregnancies may also have an unfavourable impact on the lift effect.

What may I expect from breast reduction/lift?
Many factors such as pregnancy, breastfeeding, age, size and weight of the breast, connective tissue weakness, skin elasticity, genetic disposition and many more may influence the shape of your breast.

Many women wish to have breast correction as the breast volume has shrunk and the skin has been left saggy after a pregnancy and breastfeeding. In many cases, women also get stretch marks, which are an indication of a loss of elasticity.

A breast lift can greatly improve your appearance and self-esteem.
Optimal results can be achieved with women who have normal-sized, saggy breasts and well-preserved skin elasticity.

Is this an outpatient procedure or will I need to be hospitalised?
Usually patients are hospitalised for 1 to 3 days. You should take about one week off work though.

Am I going to be under general anaesthetic?
Procedures that change the shape of the breast – reductions or lifts – are normally performed under general anaesthetic.

Extensive swelling of the breast due to the injection of a local anaesthetic, as performed with liposuction can make it difficult or even impossible to reshape the breast. If undergoing minor cosmetic corrections around the areola, such as a lift or inverted nipple correction, it may not be necessary to put you under general anaesthetic.

How can I best prepare for surgery?
Your doctor will recommend a mammography before surgery depending on your age, the results of a breast examination as well as family particularities.

Nicotine restricts the blood flow and may hinder the healing process. Also, statistically the risk of inflammation and infection is a great deal higher among smokers! For your own good, we highly recommend giving up smoking at least 4 weeks before surgery.

Avoid taking painkillers that contain acetylsalicylic acid (e.g. aspirin). This substance may have a significant impact on blood clotting and increase the risk of after-bleeding as a consequence.

Your doctor will provide specific advice on nutrition before surgery, on taking your usual medication and hormones/birth control pill as well as on general behaviour on the day before surgery.

Saggy, slightly enlarged breasts that may seem to need aesthetic surgery are not classified as an illness by your health insurance! Therefore you cannot obtain a sick note after having cosmetic surgery. Usually patients are able to return to work one week after surgery.

What do I need to heed after breast reduction/lift?
After surgery, you will wear a compression bra for a few days, which will subsequently be replaced by a well-fitting sports bra.

You will be able to shower on the first day after surgery, but you should avoid bathing for at least 4 weeks.

You should wear a bra 24/7 for at least 6 weeks after surgery.

Avoid sleeping on your stomach until fully recovered! You should also avoid pressure and impact on your breasts, as well as sports that cause the breasts to bounce or swing (e.g. jogging, aerobics, horse riding).

Six weeks after surgery, you can slowly return to your usual activities. If going to the solarium or out in the sun, your scars should be covered with sun cream with a high sun protection factor.

What are the risks involved in a breast reduction/lift?
Slight pain and swelling of the wound for a few days are normal and can be treated with painkillers and soothing medication. Minor haematomas will rapidly disappear.

After-bleeding, major haematomas, infection and healing process disturbances of the skin, the glandular tissue, the fat tissue and the areola are very rare side effects that may require follow-up corrections or treatments.

The feeling in your nipples and parts of the breast’s skin may be reduced or numbed after surgery. In most cases, it will return to normal within a few weeks or months.

You can expect to lose the ability to breastfeed depending on the surgical technique and the volume of glandular tissue that must be removed.

Your doctor will do their best to keep your scars as small and subtle as possible so that even a little bikini will be able to cover them.

The obvious initial redness will fade over time.

Will I need to consult a doctor later on?
The shunts inserted to drain excess fluid will be removed after 1-3 days. All incisions will be stitched using self-dissolving stitches, which will dissolve within the first few months. Only a couple of stitches will need to be removed after 7-10 days.

You should undergo a routine post-operative check-up at your family doctor within the first week, as well as after 1, 3 and 12 months. After 3 months (at the earliest), you can expect a complete reduction in the swelling and regression of the excess skin if you had scar reduction treatment.

Can a breast reduction/lift be reversed?
No, after performing a lift, you will be left with visible scars for life. Usually these scars fade to fine white lines after a year.

Is it possible to repeatedly undergo a breast reduction/lift?
Due to the natural ageing process and additional pregnancies, you may suffer from a loss of elasticity and saggy breasts again. It is no problem to perform further breast reduction or lift along the old and existing incisions. It is also possible to repeatedly remove glandular tissue to reduce the breast.

email to beautymaxgi to mediago to inquiry