Breast Reduction (Redukce prsou)

Breast reduction surgery removes excess glandular tissue, fat, and skin to reduce breast size and lift the position of the nipple-areola complex. At Plastická chirurgie A-Z Olomouc, the procedure is performed by two specialist microsurgeons with over 20 years of combined experience. It is one of the most functionally motivated procedures in plastic surgery — many patients cite chronic neck, shoulder, and back pain, posture problems, or persistent skin irritation under the breast fold as their primary reasons. VZP insurance may contribute to costs if significant functional impairment is documented.

Breast reduction — reduction mammaplasty — removes a planned volume of breast tissue and skin, reshapes the breast mound, and repositions the nipple-areola complex to a naturally higher position on the chest. The amount removed is planned jointly with the patient in advance; the outcome is a smaller, lighter, and better-proportioned breast that sits firmly on the chest without the heaviness that causes musculoskeletal strain. MUDr. Zálešák and MUDr. Stehlík use one of the standard reduction patterns — vertical (lollipop), inverted-T (anchor), or, for small reductions, periareolar — selected based on the degree of reduction required and the patient's breast anatomy. Surgical time is 2–3 hours under general anaesthesia. The microsurgical loupes the surgeons habitually wear allow fine-detail suturing of the deep tissue layers and more controlled skin closure. The functional benefits of breast reduction are well-documented: relief from neck and shoulder pain caused by excessive weight, improvement in posture, resolution of inframammary skin rash, and elimination of shoulder-groove indentation from bra straps. These functional indications may qualify the procedure — in part — for reimbursement by VZP (General Health Insurance). The surgeon assesses eligibility at the pre-operative consultation; documentation of physiotherapy attempts or orthopaedic referral strengthens an insurance application. Recovery involves wearing a supportive surgical bra for six weeks, avoiding arm elevation and heavy lifting for four weeks, and sleeping on the back for the first two weeks. Bruising and swelling resolve over three to four weeks; scars mature over 12–18 months and typically fade from pink to silver. Most patients consider the scar trade-off highly worthwhile given the functional and aesthetic improvements.