Breast reduction

Breast reduction is requested by women who suffer from physical limitations such as discomfort in the neck, shoulders and back caused by overly large breasts. Breast hyperplasia (overly large breasts) can cause chronic head, neck and back pain, shoulder grooves and skin irritation. During a breast reduction, excess breast tissue is removed and the breasts are reshaped, lifted and reshaped to fit the body.

• Many years of experience in breast reduction
• Detailed consultation & planning of the procedure
• Compliance with the highest hygiene and quality standards
• Scar-saving procedures
• Application of innovative treatment methods
• Outpatient treatment

Breast reduction surgery in Zurich (mammoplasty) can reduce the size and weight of heavy breasts, allowing you to lead a more active lifestyle again. Many women experience relief from chronic back, neck and shoulder pain after the operation. The main aim of breast reduction is functional improvement. The simultaneous breast lift also improves the aesthetics of the breast (also known as a
breast lift
).

Breast reduction in Zurich begins with a personal consultation in our consultation rooms. During this consultation, the customer can describe her anatomy and the various breast reduction options are explained to her. The operation is discussed with the client in detail, the risks and limitations are explained and she is informed about the necessary form of anesthesia (twilight sleep).

The customer’s breasts are then photographed for documentation purposes (photos). A mammogram may be useful under certain circumstances.

The breast reduction itself takes place in our operating theaters at Utoschloss Zurich. A keyhole pattern is very often used for the skin incisions during reduction surgery. An incision is made around the areola. This incision is continued into the underbust crease. The excess skin – mammary gland tissue and fat – is removed and the nipple complex is then repositioned. The skin is then tightened from both sides under the areola, giving the breast a new, firmer shape. The final result of the breast reduction is an inverted T-shaped or vertical scar. For some clients, the horizontal incision in the area of the underbust crease can also be omitted. Whether such a “vertical mammaplasty” can be performed depends on the size of the breasts and the amount of tissue to be removed.

In the vast majority of cases, the nipples are left attached to their blood vessels. However, if the breasts are very large and hang downwards, the nipples may have to be temporarily detached from their connection to the breast and reimplanted at a higher point. This is usually associated with a prolonged loss of sensation in the nipple complex and a complete inability to breastfeed.

It may also be possible to
liposuction
may also be used for breast reduction in Zurich. This will be discussed depending on the individual findings.

If the customer suffers from some of the above-mentioned physical complaints due to her breast size, the health insurance company may be obliged to pay benefits. In Switzerland, health insurance companies require that 500 g per side can be removed and that the body weight does not exceed the BMI (Body Mass Index = body weight in kilograms divided by height in meters2) of 25 kg/m².

A breast reduction in Zurich takes around two to four hours. The duration of the operation depends on the extent of the findings and the technique used. Most breast reductions can be performed on an outpatient basis. The client can be discharged from the clinic and picked up after a few hours. If a lot of tissue needs to be removed, the client will be monitored medically for a longer period of time after the operation. Breast reduction in Zurich is always performed under twilight sedation.

Although the wound area will be relatively large, the pain after a mastectomy is rather mild and can therefore be alleviated with little pain medication.

Immediately after breast reduction, it sometimes feels uncomfortable to get out of bed and walk. It can also feel uncomfortable when the breasts are moved. However, this will improve after a few days.

After the breast reduction in Zurich, the breasts are bandaged with an adhesive bandage. A special bra must be worn to support the breast. Wound drains may be used to help drain wound fluid for a few days. The adhesive bandage will be changed after about a week. It must be worn for around six weeks to ensure optimal scar formation. The customer should wear a support bra permanently for several weeks until the swelling subsides and the breast heals from the inside.

Lighter physical activities can be resumed approximately two weeks after the breast reduction. Major physical activities such as sport should be avoided for at least six weeks. You may shower with the adhesive dressing after breast reduction surgery.

Some women report sudden onset of pain in the nipples and the sides of the breast (like pins and needles) during the first few months. This is usually re-inervation pain (i.e. the skin nerves grow back and the sensation improves).

As a rule, the physical ability to breastfeed is maintained, but every procedure carries a certain residual risk.

If the breast reduction in Zurich is performed on an outpatient basis, please note that your ability to react is temporarily impaired after twilight sleep or the use of a sedative, painkiller or anesthetic. You should therefore be collected after the procedure. On the day of the operation, you must not actively participate in road traffic, drive a motor vehicle or two-wheeler or work on dangerous machinery. In the first few days after the operation, you will need some additional help at home.

Breast reduction in Zurich leads to a tightening of the breasts, especially when excess loose skin or fat deposits are removed. Muscle tightening can support this effect, but the loss of elasticity is not completely eliminated, which means that sagging breasts can form again. Lateral differences, which exist in every person, can also cause slightly different scarring or skin wrinkles after breast reduction.

Other:

• Consult your doctor if the dressing slips or if your state of health deteriorates!
• Avoid sport or physical exertion for the first few days!
• Only wash the breast area after removing the skin stitches!
• You should clarify the timing of the suture removal with your doctor. After the dressing has been removed, you may notice discoloration due to bruising, swelling or a feeling of tightness. However, these usually subside on their own after the first few weeks and are therefore no cause for concern. Sensory disturbances or a feeling of tightness, on the other hand, can persist for several months until they subside.
• Depending on the technique, you should avoid fast movements in the first few days to prevent postoperative bleeding.
• Due to gravity, bruising becomes visible in the lower chest area (duration: 2-3 weeks).
• The nipple area may feel numb for up to 4 months.
• Scars are no longer noticeable after 2 months, except in young clients (duration: several months).
• Sun or solarium should be avoided for 4 weeks.