Breast Reduction (Reduction Mammaplasty)

Breast reduction surgery at MUDr. Kloud's Hradec Králové practice removes excess breast tissue, skin, and fat to create a smaller, lighter, and better-proportioned breast while repositioning the nipple-areola complex to a natural height. The procedure is performed under general anaesthesia at Sanatorium Sanus and takes approximately two hours. Beyond the aesthetic improvement, most patients experience significant relief from neck, back, and shoulder pain caused by heavy breasts. Czech health insurance may cover the procedure when performed for medical indications such as macromastia with musculoskeletal symptoms — patients should check eligibility with their insurer. Self-pay price is CZK 50,000 plus general anaesthesia.

Reduction mammaplasty at this Hradec Králové practice addresses disproportionately large breasts by removing excess glandular tissue, adipose tissue, and stretched skin, then reshaping the remaining tissue into a firmer, higher-positioned mound. The nipple-areola complex is simultaneously reduced in diameter and relocated to a position appropriate for the new breast volume — a combined correction that creates natural-appearing breast proportions. MUDr. Kloud selects the incision pattern based on the degree of reduction required and the existing anatomy. For moderate reductions in patients with reasonable skin elasticity, the vertical scar (lollipop) technique uses a periareolar incision and a vertical line down to the inframammary fold, limiting the scar burden. For larger reductions or breasts with significant ptosis, the classic inverted-T (anchor) technique provides greater reshaping control and a more complete correction. The surgeon presents the options and the associated scar patterns at the pre-operative consultation. Surgery takes approximately two hours under general anaesthesia at Sanatorium Sanus, where patients stay for up to two post-operative nights. The pre-operative workup includes a GP examination approximately seven to ten days before surgery and a mammological assessment. Drain tubes are placed under each breast and removed at the first post-operative visit, typically on day one or two. Recovery follows a structured six-week compression bra regimen. Swelling and bruising are concentrated in the first two weeks. Return to desk work is feasible within two weeks; strenuous activity and upper-body gym work resume after four weeks. Stomach sleeping is avoided for six weeks; full tissue maturation and scar softening take approximately six months. Sun exposure on the scars is avoided or protected throughout the maturation period. Insurance coverage is available through six contracted insurers (VZP, VoZP, ČPZP, OZP, ZPMV, VOZP) when the procedure is performed for health indications — typically macromastia associated with documented back, neck, or shoulder pain, skin irritation, or posture problems. Patients interested in insurance-funded surgery should obtain a referral from their GP or gynaecologist and confirm coverage before booking. The procedure is not recommended for women planning to breastfeed in the near future, as milk-duct anatomy may be affected. Aspirin and anti-coagulants should be stopped as directed before surgery.