NP Aesthetics
Breast reduction in Zurich
In a breast reduction, glandular tissue, fatty tissue and excess skin are removed, the remaining tissue is reshaped and the areola is repositioned. The procedure thus combines a volume reduction with a lift. The reasons are both physical symptoms and the feeling that the size and weight of the breast do not suit one's build.
Consultations and surgery are performed by Dr. med. Michael W. Payne or Dr. med. Dr. Phil. Annemarie Nijboer at Klinik Selnau, Zurich.
When size and weight become a burden
Neck, shoulders and back
A high breast weight can contribute to altered posture and to symptoms in the neck, shoulders and upper back. Whether and to what extent a reduction brings relief cannot be guaranteed in advance; other causes are investigated beforehand.
Skin irritation
Recurring redness, moisture and inflammation can occur in the inframammary fold. Documented prior treatments are relevant to the assessment.
Sport and everyday life
Limitations in movement, sport, sleeping position and choice of clothing are among the frequently mentioned reasons for a consultation.
Shape and tissue position
As volume increases, the tissue descends more. Every reduction therefore also contains a lifting component.
Consultation and examination
Planning includes your medical history, a clinical examination, measurements, an assessment of skin quality and glandular tissue, and a discussion of the desired result and its limitations. A current breast examination and, where appropriate, imaging are prerequisites.
You receive a written summary and a conscious period for reflection.
Planning the size
How much tissue can be removed
Decisive factors are the initial volume, tissue composition, skin quality and the blood supply to the areola. A very extensive reduction increases the risk of wound healing and circulation problems.
How the target size is determined
The starting points are build, chest width, proportion and your desired outcome — not a cup size. The figure in grams describes the tissue removed, not the result.
Position of the nipple
The areola is usually moved upwards and often adjusted in diameter. The height is planned in relation to the inframammary fold.
Asymmetry
Differences between the sides are common and are addressed with different resection amounts. An approximation is possible; complete symmetry cannot be planned.
Surgical principles
Incision patterns
A vertical pattern or an inverted T-shape with an additional scar in the inframammary fold are usual. The choice depends on the resection amount, excess skin and the necessary height correction.
Nipple–areola complex
In most cases the areola remains attached to a perfused tissue pedicle and is moved with it. With a very long distance of movement, free transplantation may be necessary; this is discussed in advance.
Anaesthesia
The procedure is performed under general anaesthesia.
Surgery
Resection, shaping, repositioning of the areola and skin closure take place in a single session, usually with a short inpatient stay. Drains may be used.
Recovery
Work and everyday life
Sedentary work is often possible again after one to two weeks, physically demanding work considerably later.
Sport
Light movement early; endurance and strength training in stages after medical clearance.
Support bra
A support bra is worn for several weeks. Duration and model are determined individually.
Scar development
Scars are more extensive with this procedure than with smaller ones. They fade over months; the final appearance can be assessed no earlier than about a year.
Sensation
Changes in feeling in the nipple and skin are common at first. They often subside but can persist.
Breastfeeding
The ability to breastfeed may be reduced. A reliable prediction is not possible.
Risks and limitations
Full information on risks is provided in the personal consultation.
Wound healing
Postoperative bleeding, infection, wound healing problems and fat tissue necrosis are possible, particularly where the scars meet. Smoking markedly increases this risk.
Asymmetry
Differences in size, shape, nipple height and the course of scars may remain.
Changes in sensation
Permanently reduced or altered feeling in the nipple and areola is possible.
Revision
Corrections to scars, shape or differences between the sides may become necessary and are only assessed after healing is complete.
In the long term
Weight changes, pregnancies, hormonal influences and ageing continue to change the breast after the procedure. Renewed descent or an increase in volume is possible.
Insurance cover
Where there is a medical indication, a contribution from health insurance is possible in principle. Whether it is granted is decided by the insurer based on individual criteria — these usually include documented symptoms, completed prior treatments and an application submitted in advance with a medical report. We cannot provide any assurance on this.
Costs and personal consultation
The medical consultation for surgical procedures costs CHF 250. If you subsequently book an operation with us, the consultation fee is credited in full against the price of the operation. Following the examination, you will receive an individual cost breakdown that clearly states which services are included.
Frequently asked questions
Will my neck and back problems disappear after the operation?
Many patients report relief, but freedom from symptoms cannot be guaranteed. Symptoms in the neck, shoulders and back often have several causes, including posture, muscles and the spine.
Will health insurance cover the costs?
Cost coverage is possible if medical criteria are met, but always depends on the insurer's assessment of the individual case. This usually requires documented symptoms, prior treatments and an application submitted in advance.
Is breastfeeding possible after a breast reduction?
The ability to breastfeed may be reduced, as glandular tissue is removed and the areola is repositioned. A reliable prediction is not possible; if you wish to have children, this is discussed before planning.
How much tissue is removed?
The amount follows from the findings, the desired size, blood supply and skin envelope — not from a target in grams or a cup size. It is determined individually and is limited by the anatomy.
Treating physicians
- Dr. med. Michael W. Payne
Specialist in Plastic, Reconstructive and Aesthetic Surgery
- Dr. med. Dr. Phil. Annemarie Nijboer
Specialist in Surgery
A good decision begins with a conversation.
The initial consultation is about clarification, not selling. It does not necessarily end with a surgery date — often it brings the realisation that a different approach, or no procedure at all, is the right choice.
The consultation process
- 01
Discussion
We listen to your concerns, medical history, expectations and what you would like to change about your appearance.
- 02
Examination
A careful clinical examination and assessment of your underlying anatomy.
- 03
Options
Possible procedures, alternatives, limitations and risks — explained clearly and without time pressure.
- 04
Time to reflect
You decide in your own time. Any outstanding questions can be addressed in a further consultation.
Request a consultation
Leave your contact details. Our practice team will call you back during practice hours to arrange a consultation at Klinik Selnau.