Reasons for a breast reduction
Large, heavy breasts can strain posture, cause pain in the back, neck and shoulders, leave marks from bra straps and irritate the skin fold under the breast. Cosmetic reasons and limitations in sport or in choosing clothes also play a role. In some cases the operation is combined with a Breast lift .
How is the operation performed?
During the operation, the doctor removes glandular and fatty tissue and excess skin. The nipple generally keeps its blood supply and is repositioned higher. Depending on breast size and excess skin, a technique with a vertical scar or with an additional scar in the inframammary fold is chosen. With very large breasts, in individual cases the nipple can be moved as a free graft.
Planning and preparation
If possible, you should reduce excess weight before the operation, because significant weight loss later on can cause the breast to sag again. Ideally the operation takes place after family planning is complete. If you do not yet wish to have children, it is still possible, and the ability to breastfeed is often preserved, but it may be reduced. An ultrasound or mammogram is recommended before the operation to rule out any abnormalities.
Aftercare
After the operation you wear a firm dressing, then a support bra as instructed by the doctor. Swelling, a feeling of tightness, wound pain and bruising are common in the first few days. Straight after the operation the breasts often still sit high and look firmer; this settles during healing. Scars are initially red and become paler over the course of months. Scar treatment can support the process.
Possible risks
General risks include infection, secondary bleeding, swelling, wound healing disorders and pain. Specific risks are widened or raised scars, numbness due to severed skin nerves (usually temporary), asymmetry, uneven nipple height and, rarely, impaired blood supply to the nipple. The ability to breastfeed may be reduced. Much of this can be corrected in a second operation if needed.
Costs and health insurance
For medical complaints, it may be possible for the statutory health insurer to cover the costs. As a rule, an application before the operation is required for this. For an operation abroad, this is usually not the case. Ask your health insurer in advance. You will find the prices in the Price list.
Frequently asked questions
Can I still breastfeed afterwards?
In most cases the ability to breastfeed is partly or fully preserved, but it may be reduced. This depends on the technique.
How long do I wear the support bra?
As instructed by the doctor, for several weeks, day and night. This depends on healing.
Will the breast grow again after the operation?
With weight gain or hormonal changes, breast size can change again.
When can I go back to work?
Office work is often possible after about two to three weeks. Physically strenuous work and sport take longer.
Keywords and downloads
Breast reductionReduction mammoplastyBack painHeavy breastsScar patternTissue sample
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General information. It does not replace medical consultation or a personal advisory conversation. As of: October 2026. The results of an operation are individual and cannot be predicted; success cannot be guaranteed.