Breast Reduction with Lift

Breast reduction at OB CARE removes excess breast tissue and skin while simultaneously lifting and reshaping the breast — addressing both the physical burden of heavy breasts (neck, shoulder and back pain, bra-strap grooves, skin irritation under the fold, exercise limitation) and their shape. The procedure is performed under general anaesthesia by plastic surgeon MUDr. Martin Skála, with surgery in a hospital-grade theatre and overnight recovery in a private inpatient room. Reduction consistently ranks among the highest-satisfaction procedures in plastic surgery because it solves a daily physical problem, not only an aesthetic one.

Heavy breasts are a musculoskeletal issue as much as an aesthetic one. The constant load pulls the shoulders forward, strains the neck and upper back, carves grooves into the shoulders from bra straps, causes intertrigo (skin irritation and infection) in the fold beneath the breast, and makes running and high-impact sport genuinely difficult. Breast reduction addresses the cause directly. **The operation:** Under general anaesthesia, the surgeon removes the calculated excess of glandular tissue, fat, and skin, reshapes the remaining tissue into a smaller, firmer breast, and repositions the nipple-areola complex (kept attached to its blood and nerve supply) to the correct height, usually reducing the stretched areola at the same time. The typical incision pattern is a vertical 'lollipop' or anchor shape depending on the volume removed. Surgery takes around 2.5–3.5 hours. **Functional benefits:** Published outcome studies consistently show breast reduction among the procedures with the largest measurable quality-of-life gains — relief of neck/shoulder/back pain, easier exercise, better-fitting clothes, improved posture. Many patients describe the relief as immediate, noticeable as soon as they stand up after surgery. **Setting and aftercare:** Surgery in OB CARE's hospital facility with ICU backup; overnight stay (or longer as needed) in a private room with nursing care; anaesthetist and internist available 24/7. The package includes the compression bra, anti-thrombotic stockings, and all medication. **Recovery:** Desk work after about 1–2 weeks; the supportive bra is worn for six weeks; lifting and high-impact exercise resume gradually from six weeks. Scars mature and fade over 6–12 months with appropriate care. **Considerations:** Reduction can affect nipple sensation and the ability to breastfeed — the likelihood depends on the technique and volume removed and is discussed honestly at consultation. Where weight loss is planned, sequencing surgery after weight stabilisation gives the most durable result; as part of the OB Klinika building's obesity-medicine ecosystem, OB CARE routinely treats post-weight-loss patients.