Breast Reduction (Reduction Mammaplasty)

Breast reduction at GISANT removes excess breast tissue, fat and skin to create a smaller, lighter and better-proportioned breast, while repositioning the nipple-areola complex to a natural height. As well as the aesthetic improvement, many patients gain relief from the neck, back and shoulder strain caused by large breasts. The procedure takes about two to three hours under general anaesthesia and involves a two-night hospital stay. Pricing is tiered by the amount of tissue removed: CZK 55,000 up to 500 g per breast and CZK 75,000 above that. A mammogram is recommended for women aged 35 and over before surgery, and breast sensation typically normalises over three to six months.

Reduction mammaplasty brings breast size into proportion with the body while simultaneously correcting sag and elevating the nipple-areola complex — a combined correction that no liposuction or skin-only procedure can achieve. The surgeon removes excess glandular tissue, fat and skin, reshapes the remaining tissue into a lifted position, reduces the areola if needed, and repositions the nipple to suit the new breast volume. GISANT prices the procedure by the volume of tissue removed: CZK 55,000 when up to 500 g is taken from each breast, and CZK 75,000 when more than 500 g is removed, reflecting the greater surgical work involved in larger reductions. The operation is performed under general anaesthesia and takes roughly two to three hours, with anaesthesia and the two-night hospital stay billed separately per the price list. The incision pattern — typically a vertical (lollipop) or inverted-T (anchor) scar — is chosen to match the degree of reduction; scars are positioned in the breast fold and around the areola, where they fade over many months. Because breast reduction involves the glandular tissue, GISANT advises women aged 35 and over to have a mammogram before surgery as a screening precaution. After the operation a compression bra is worn to support the healing breast, stitches are removed at seven to ten days, and breast sensation — which can be temporarily altered by the surgery — typically normalises over three to six months. Return to normal activity is staged over the following weeks. Breast reduction is particularly suited to women who experience physical symptoms from breast weight: chronic neck, back and shoulder pain, grooving from bra straps, skin irritation in the breast fold, and difficulty exercising. It is not generally recommended immediately before a planned pregnancy and breastfeeding, as it can affect milk-duct anatomy. Blood-thinning medication is stopped before surgery and a pre-operative examination is required for general anaesthesia.