Breast Reduction

What is a breast reduction?

One Breast reduction – medical Breast Reduction Surgery – is a surgical procedure to reduce breast size. During the procedure, we carefully remove excess glandular and fatty tissue as well as excess skin, and reshape the breast.

The result: a lighter, firmer bust with harmonious proportions that suits your body and provides you with significant relief.

Often, the focus isn’t on appearance but on symptoms: neck and back pain, constriction from bra straps, or skin irritation in the inframammary fold. Whether health insurance covers part of the costs depends on the individual case and is clarified in advance. How much tissue is removed and how the nipple is repositioned depends on the initial findings and the desired size. Breastfeeding later on is possible depending on the technique and findings, but not in every case—this will be discussed during the consultation. Consultations take place in Frankfurt, and surgeries are performed in Oberursel.

When the mirror no longer shows who you are

Maybe you know the feeling: Others envy your bust size, but you yourself suffer because of it. Your shoulders ache from the weight of your bra straps, your back hurts, and you feel restricted when exercising. On top of that, there’s the feeling of constantly being watched.

“I didn’t want to become invisible. I just wanted to be myself—without that burden on my shoulders and back.”—That’s how one of our patients describes how she felt before treatment.

Breast reduction surgery isn't about conforming to an ideal of beauty. It's about getting your body back—free from chronic pain that dictates your daily life, and free from the weight that takes a toll on you both physically and emotionally.

We'll be with you every step of the way—with experience, sensitivity, and the goal of helping you regain your natural ease.

Author picture

Medically reviewed ✓

Written by Dr. med. Zeynep Potente

Board-Certified Specialist in Plastic and Aesthetic Surgery

✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)

EBOPRAS – European Board of Plastic, Reconstructive and Aesthetic Surgery - ebopras.eu

✓ Over 20 years of experience in plastic surgery

✓ Specialization: Breast surgery and breast reduction

📅 Last updated: August 11, 2026

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✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)

✓ Our own certified operating rooms in Frankfurt and Oberursel

Advantages of a breast reduction

Physical Relief – Neck, shoulder, and back pain are relieved

Greater freedom of movement – Finally, I can exercise again without restrictions

Improved Posture – No more hunched posture caused by the weight of the chest

No more bra constriction – Painful pressure points on the shoulders disappear

Treating Skin Problems – Inflammation in the inframammary fold is a thing of the past

Harmonious Proportions – The top complements your body shape

More Self-Confidence – Feeling comfortable in your own skin and in your clothes

Medically sound as well – If you have verifiable symptoms, your health insurance may cover the costs

Who is a good candidate for breast reduction surgery?

If you suffer from chronic pain
The weight of your breasts causes persistent discomfort in your neck, shoulders, and back. Despite physical therapy and pain medication, the discomfort keeps coming back. Your bra straps dig in deeply and leave painful pressure marks. You hunch over to compensate for the weight—which only makes the problems worse.

If your quality of life is compromised
It’s almost impossible to exercise because your breasts restrict your movement and cause pain. You have a hard time finding bras or clothing that are both comfortable and attractive. You frequently experience skin irritation or inflammation in the crease under your breasts. You feel uncomfortable with the attention your bust attracts.

When is a medical evaluation advisable?
If you suffer from chronic orthopedic conditions, we recommend a preliminary orthopedic examination. If you have existing conditions such as diabetes or severe obesity, an internal medicine evaluation is advisable. We work closely with experienced specialists to ensure your safety.

Surgical Methods – Which One Is Right for You?

Aspect I-Method (vertical incision) T-Method (inverted T)
Main Objective Moderate reduction Significant reduction
Tissue Removal Up to about 300 g per side Over 300 g per side possible
Duration of surgery 2–2.5 hours 2–2.5 hours
Cutting Technique Around the nipple + vertically downward Around the nipple + vertically + under-breast creases
Scars Visible in the middle, fade well More visible, hidden in a fold
Nipple Offset, usually with a stemmed technique Offset, usually with a stemmed technique
Anesthesia General anesthesia General anesthesia
Hospital Stay 1–2 nights 2–3 nights
Recovery time 2–3 weeks 3–4 weeks
Special Features Fewer scars, faster healing Suitable for very large breasts
Costs starting at 6.500 € 6.500 €

How does the treatment work?

Personal Consultation – Your Journey Starts Here

We take the time to listen to you. During a detailed consultation, we’ll discuss your needs, examine your breasts, and develop a personalized treatment plan.

What we'll discuss:

  • Your personal goals and expectations
  • The nature and severity of your symptoms
  • Medical History and Pre-existing Conditions
  • Treatment Options and Surgical Methods
  • Anesthesia Options (General Anesthesia)
  • Realistic Results Based on Photos
  • Possibility of coverage by health insurance if medically indicated
  • Costs and Financing Options

The Surgery – With Precision and Delicacy

I-Method (vertical scar):
We make an incision around the nipple and extend it vertically downward to the inframammary fold. The nipple, along with its nerves and blood vessels, is repositioned higher up. Excess glandular and fatty tissue, as well as skin, are removed, and the breast is reshaped and lifted. This method is suitable for moderate breast reductions and leaves less visible scarring.

T-Method (inverted T):
For very large breasts, a horizontal incision is also made in the inframammary fold—the scar then takes the shape of an inverted T. This technique allows for more extensive tissue removal and lifting. The scar in the inframammary fold is usually not visible in everyday life.

Where will the surgery take place?
In our own certified operating rooms in Oberursel (Oberhöchstadter Str. 8). From preoperative preparation through the surgery to the recovery room—everything under one roof.

Our practice at Salzhaus 6 is located in the heart of downtown Frankfurt, a five-minute walk from Konstablerwache and Hauptwache. It is easily accessible by U-Bahn and S-Bahn from all parts of Frankfurt, as well as from Wiesbaden, Mainz, Offenbach, and the entire Rhine-Main region.
For patients from the Hochtaunus district, we also offer our practice in Oberursel.
Consultations and follow-up care can take place at either location. We perform the surgery itself in our certified operating rooms in Oberursel.

Anesthesia – Safe and Comfortable

  • General anesthesia: Breast reduction surgery is always performed under general anesthesia so that you can sleep peacefully throughout the entire procedure and feel nothing.


Our specialist in anesthesiology, Dr. med. Livia Köhler, will personally care for you throughout the entire surgery.

Learn more about anesthesia

Before | After

These are the results for some of our patients.

breast reduction before Breast reduction after

Aftercare & Recovery – What to Expect

The First 48 Hours: Hospital Stay and Rest
After the surgery, you will stay at our clinic for 1 to 2 nights for observation. In the first few days, drains are usually inserted to remove fluid from the wound. These are removed after 2 to 5 days. You will be given pain medication, and a special support bra will be fitted immediately after surgery to aid healing. Rest is especially important now—keep your upper body slightly elevated.

Week 1: Getting Started at Home
Starting on the third day, you may take a shower with care—the surgical incisions should not come into direct contact with water. Short walks are important for blood circulation. You should sleep on your back and avoid lifting heavy objects. Swelling and bruising are completely normal. The support bra should be worn at all times.

Weeks 2–3: Dressing changes and suture removal
After about 2 to 3 weeks, the stitches will be removed (unless they are dissolvable). You will feel increasingly comfortable and can resume light daily activities. Office work is usually possible after 1 to 2 weeks, but you should wait another 3 to 4 weeks before resuming physically strenuous activities. You should continue to wear the support bra day and night.

Weeks 4–6: Return to Normalcy
Most patients feel largely back to normal after 3 to 4 weeks. Swelling gradually subsides, and the breast takes on its final shape. You can walk more upright again and move more freely. The support bra should be worn for a total of 6 weeks.

Sports, Sun, and Sauna: Take a 6–8-week break
Give your body at least 6 weeks off from sports that put strain on the chest (jogging, tennis, strength training). Light walks are possible sooner. You should avoid saunas and swimming pools for at least 6 weeks. Very important: Protect the scars from direct sunlight for at least 12 months and consistently use a high-SPF sunscreen with an SPF of 50 or higher.

Scar Care Starting in Week 3
Once the wounds have completely closed, scar care begins. Applying special scar ointments or silicone gel daily, as well as gently massaging the scars, promotes healing. The scars are red at first and fade over 6 to 12 months into inconspicuous, light-colored lines.

The final result after 6–12 months
The full final results of your breast reduction surgery will be visible after 6 to 12 months—by then, healing will be complete, all swelling will have subsided, and the scars will have faded. You’ll be able to fully enjoy your newfound lightness.

Potential Risks – We'll Be Open and Honest with You

As with any surgical procedure, there are potential risks associated with breast reduction surgery. We will discuss these with you in detail:

Common (temporary):

  • Swelling and bruising (1–2 weeks)
  • A feeling of tightness and mild pain (easily treatable)
  • Temporary numbness in the nipples
  • Fatigue and general malaise during the first few days


Rare:

  • Wound-healing disorders (increased risk among smokers and people with diabetes)
  • Seromas (fluid collections that can be drained)
  • Postoperative bleeding or infections
  • Asymmetries (usually minor and correctable)
  • Loss or impairment of the ability to breastfeed


Very rare:

  • Complete loss of sensation in the nipples (usually temporary)
  • Severe wound-healing disorders with visible scars
  • Thrombosis or pulmonary embolism (minimized through prophylaxis)
  • Circulatory disorders of the nipple


Our experienced team minimizes these risks through precise surgical techniques, careful patient selection, individualized planning, and close follow-up care.

Cost of Breast Reduction Surgery

The costs depend on the individual diagnosis, the extent of the treatment, and the surgical method chosen.

Performance Costs starting at
Breast Reduction (I-Method) 6.500 €
Breast Reduction (T-Method) 6.500 €
Additionally: Correction of severe asymmetry individual
Hospital Stay 500 € per night, not included in the surgery price
General anesthesia 1,000 €, not included in the surgery price
Support Bra approx. 100–150 € (sold separately)

Included in the price

  • Comprehensive Initial Evaluation and Consultation
  • Surgery performed by experienced female specialists
  • Drainage Devices and Dressing Materials
  • Medications
  • Follow-up examinations
  • Suture Removal


In addition to the price

  • General anesthesia: €1,000
  • Hospital stay: €500 per night


Coverage by Health Insurance Plans When Medically Necessary
If your large breasts are causing demonstrable health problems, treatment may be medically necessary. In that case:

  • Documentation of complaints: Chronic back, neck, or shoulder pain; postural problems; skin problems in the inframammary fold
  • Orthopedic Report: Confirmation that breast size is the cause of the symptoms
  • Adequate resection weight: There is no fixed limit—as a guideline, a planned resection weight of about 1% of body weight per side is used. The decision is made by the Medical Service on a case-by-case basis.
  • Treatments that have been exhausted: Evidence that conservative treatments (physical therapy, pain management) have not been effective
  • Cost coverage may be available: If all criteria are met, the health insurance provider will cover the costs


We would be happy to advise you on this matter and assist you with the application process by providing all the necessary documents and expert reports.

Alternatives & Combinations

Alternatives to Surgery
In some cases, conservative measures may be helpful at first:

  • Specialized bras: Supportive bras can provide short-term relief
  • Physical Therapy: Strengthening the back and shoulder muscles
  • Weight loss: In cases of severe obesity, this can slightly reduce breast size
  • Pain Management: Treatment of the symptoms (not the cause)


These measures can alleviate the symptoms, but they do not eliminate the underlying cause of true macromastia.


Useful Combinations
The results can often be improved with complementary treatments:

  • Breast lift: In cases of additional sagging, this is often already accounted for in the reduction
  • Armpit Liposuction: For smooth transitions
  • Treatment of Asymmetries: A page can be scaled down further
  • Scar Correction: Possible in cases of wide or raised scars


We provide honest, personalized advice—only what truly suits you and meets your needs.

Who is treating you?

Dr. med. Zeynep Potente

Dr. med. Zeynep Potente

Board-Certified Specialist in Plastic and Aesthetic Surgery

Learn more
Dr. med. Bianca Baican

Dr. med. Bianca Baican

Board-Certified Specialist in Plastic and Aesthetic Surgery

Learn more
Dr. med. Livia Köhler

Dr. med. Livia Köhler

Specialist for anesthesia

Learn more
Dr. med. Christina Luther

Dr. med. Christina Luther

Specialist in Surgery and Plastic and Aesthetic Surgery

Learn more

Frequently Asked Questions About Breast Reduction

How long does recovery take?

You will stay at the clinic for 1–2 nights. Most patients are able to return to work after 1–2 weeks (for office work) and after 3–4 weeks for physical labor. You can resume sports activities after 6–8 weeks. Full recovery takes 6–12 months.

Yes, breast reduction surgery leaves scars. These run around the nipple and vertically downward; with the T-incision method, there is an additional scar in the inframammary fold. The scars are red at first but fade over 6–12 months into inconspicuous, light-colored lines. They are usually not visible in a bra or bikini.

If there is a medical necessity and corresponding symptoms, coverage of costs may be possible. Requirements include: verifiable chronic symptoms (orthopedic evaluation), and unsuccessful conservative treatments. The health insurance provider makes this decision on a case-by-case basis, regardless of the chosen treatment method. During the consultation, we’ll discuss which documents are necessary and assist you with the application process.

  • Showers: after 3 days (carefully)
  • Work (Office): after 1–2 weeks
  • Work (physical): after 3–4 weeks
  • Sports (light): after 4–6 weeks
  • Sports (intensive): after 6–8 weeks
  • Swimming/Sauna: after 6 weeks
  • Sun/Tanning Bed: Protect scars for 12 months

If your weight remains stable, the results are permanent. However, significant weight fluctuations, pregnancies, or hormonal changes can cause your breasts to enlarge again.

Breast reduction surgery can affect your ability to breastfeed because glandular tissue is removed. With the pedicle technique, the nerves and blood vessels leading to the nipple are usually preserved, which increases your chances of breastfeeding. However, there is no guarantee. If you have not yet finished planning your family, we should take this into account when planning your surgery.

You won’t feel anything during the surgery because you’ll be under general anesthesia. After the surgery, a feeling of tightness and moderate pain are normal and can be easily managed with medication. Most patients describe the pain as quite tolerable, and it is more than offset by the immediate relief they experience.

In principle, growth should be complete, usually by age 18. If you are experiencing significant distress and your breast growth is complete, surgery may be considered earlier. There is no upper age limit, as long as you are healthy and fit for surgery.

In cases of significant weight gain, hormonal changes (pregnancy, menopause), or another pregnancy, the reduced breast size may increase again. However, if your weight remains stable, the results are permanent.

From the guidebook

Breast Reduction

Breast reduction Frankfurt – Schematic diagram of surgical methods Breast reduction Frankfurt – Schematic diagram of surgical methods

Details on breast reduction

OP duration: 2–2.5 hours

Type of anesthesia: General anesthesia

Hospitalization: 1–2 nights as an inpatient

Incapacity for work: 1–4 weeks (depending on the job)

Sport: after 4–8 weeks

Scarring: Around the nipple + vertically (+ horizontally for the T-method)

Shelf life: Sustained at a stable weight

Costs: starting at 6,500 €

Acquisition of a pharmacy: Possible if medically necessary

Follow-up care included: Yes, all follow-up appointments

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