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Reduction mammaplasty

Breast Reduction near Berlin Feel lighter, live more freely – a natural shape that suits your proportions. By experienced specialists at Park-Klinik Birkenwerder.

Overview

Breast reduction at a glance

Costs
from 5.400 € plus anaesthesia; plus VAT for non-medical indications
Surgery duration
about 90 minutes
Anaesthesia
General anaesthesia
Stay
1-2 nights inpatient
Aftercare
All follow-up care included in the price Compression bra for about 6 weeks

The information given is for guidance only. The individual course of treatment and the total cost are determined in a personal consultation at Park-Klinik Birkenwerder near Berlin.

When a large breast becomes a physical and emotional burden

Some women experience from a young age that their bust draws unwanted attention. They try to hide the breast under loose clothing, pull their shoulders forward, or refrain from sports. Others suffer particularly from the weight of the breast, from pain, or recurring skin irritations. Such complaints can significantly reduce quality of life.

  • Neck, shoulder, and back pain
  • Cutting bra straps and pressure points
  • Skin irritation and inflammation in the inframammary fold
  • Limitations in sports, movement, and clothing
  • Embarrassment, unwanted attention, or reduced well-being

A breast reduction reduces volume and weight; at the same time, the breast is lifted. Unlike a pure breast lift, tissue is also removed. Whether the procedure makes sense is clarified together in the consultation.

Preview image: Wann ist eine Brustverkleinerung sinnvoll?
Video: Wann ist eine Brustverkleinerung sinnvoll?

Download transcript as PDF (German)

When does a breast reduction make sense? (video in German)

In the video you learn for which complaints a breast reduction can make sense and what it achieves. Whether the procedure is right for you is something we clarify together in a personal consultation.

“You deserve to feel comfortable in your body. If your breasts are a burden, we will work together to find out what can help you.”

Dr. med. Ursula Tanzella Specialist in plastic and aesthetic surgery Chief Physician, Park-Klinik Birkenwerder
Planning: For whom and when

When is the right time for a breast reduction?

Every breast operation is preceded by a detailed medical history, a careful specialist examination and, if needed, additional imaging. Only on this basis can we assess which surgical procedure is suitable for you and give an individual recommendation.

Our aim is to plan your breast operation carefully and carry it out under optimal, safe medical conditions. The right timing also plays an important role: an aesthetic breast operation should achieve satisfying results in the long term and avoid unnecessary follow-up procedures.

Pregnancy and breastfeeding

Pregnancy and breastfeeding can change breast size and shape. If you plan to have a child in the near future, it may make sense to postpone the operation. If symptoms are severe, an earlier operation is still conceivable. We openly discuss possible limitations to your ability to breastfeed and later changes in shape.

Younger patients

Ideally, breast growth is complete. Under the age of 18, a breast reduction is only considered in particularly justified exceptional cases, after careful medical and psychosocial assessment and with the necessary consents.

Planned weight loss

Larger weight fluctuations can change the shape of the breasts. If significant weight loss is planned, a stable target weight beforehand can make planning easier. Not every large breast shrinks sufficiently through weight loss.

Method & alternatives

Breast reduction: surgical technique, incisions and scars

Before the operation, the procedure is marked on the skin with a pen

Personal consultation and individual surgical planning

The first step towards your breast reduction is a detailed consultation with our specialists in Plastic and Aesthetic Surgery. Together, we discuss your wishes, possible physical complaints, and the desired outcome.

During the examination, we assess the size, shape, and condition of your breasts, the elasticity of the skin, and the position of the nipples. Based on these findings and various measurements, we determine which surgical technique is best suited for you.

Which surgical technique is used for breast reduction?

Not every breast reduction requires the same incision technique. Depending on the breast size, excess skin, and desired reduction, different techniques may be used:

Diagram: I-shaped scar around the areola and vertically down to the inframammary fold

I-shaped scar

A scar around the areola and a vertical scar down to the inframammary fold; suitable for certain initial findings.

Diagram: L-shaped scar, additionally running sideways along part of the inframammary fold

L-shaped scar

In addition, the scar runs sideways along part of the inframammary fold when more excess skin has to be removed.

Diagram: T-shaped scar, additionally running in both directions along the inframammary fold

T-shaped scar

In addition to the incision around the areola and the vertical incision, the scar runs in both directions along the inframammary fold. This technique can make sense when there is pronounced excess skin.

Our goal: as few scars as possible, but as much incision as necessary to achieve a harmonious, natural breast shape.

Therefore, in our clinic, we have developed and standardised our own scar-sparing technique. It is based on the technique of Lejour, a French plastic surgeon. In our clinic, we have further refined this method. This technique can contribute to a breast shape that stays stable over the long term.

Reshaping the breast with the body's own tissue

On breast reduction, not only excess skin is removed, but breast gland and fatty tissue are also reduced. The remaining breast tissue is then reshaped to create a natural, well-proportioned breast. Depending on the surgical technique, the tissue can also be stabilised with internal sutures. This principle is often referred to as an “internal bra” and can help support the new breast shape.

Scar care and scar maturation

To best support scar healing, we recommend regular, gentle scar care after the wound has fully closed. Depending on the healing process, for example, nourishing ointments such as Bepanthen Wound and Healing Ointment as well as special silicone scar gels or silicone patches may be used. A gentle scar massage can also be useful. Which measures are suitable for you and when you should start them will be discussed individually with you during follow-up appointments.

What are the alternatives to breast reduction?

Not every large or heavy breast has to be reduced automatically. Which treatment makes sense depends, among other things, on breast size, tissue, skin elasticity and your personal symptoms. In a detailed consultation, our specialists assess which procedure is suitable for you.

Breast lift

If mainly the shape of the breast has sagged but the volume does not need to be reduced significantly, a breast lift may be the right solution.

To the breast lift

Liposuction of the breast

If the breast consists mainly of fatty tissue and the skin is sufficiently elastic, liposuction may be an option in selected cases. However, it cannot remove excess glandular tissue.

To liposuction

Our approach

“We do not automatically recommend a breast reduction, but the treatment that is medically sensible and best suits your individual circumstances.”

Dr. med. Ursula Tanzella

Before-and-after images of a breast reduction

Many patients want to know what their breasts might look like after a breast reduction even before the surgery. Before-and-after images can help provide an impression of the possible changes in breast size, shape, and proportions.

In Germany, public advertising with before-and-after images for purely aesthetic breast reductions is legally prohibited.

In a personal consultation at the Park-Klinik Birkenwerder near Berlin, we will be happy to show you treatment examples of patients who have consented to the use of their images. Our specialists will explain what results are possible for your individual breast shape, which surgical technique is appropriate, and what scars you can expect.

If you would like to inform yourself before your consultation, you can find a gallery of breast reduction results on the website of the American Society of Plastic Surgeons (ASPS).

Please note that every breast reduction is individual and the results shown may not be applicable to every patient.

Process: From consultation to aftercare

How does a breast reduction procedure work?

In this section, you will learn how to prepare for breast reduction, what to expect during the surgery, and which aftercare measures are important.

  1. Personal consultation and examination

    We discuss your wishes and complaints, examine your breasts and explain which method of breast reduction is suitable for you. You will learn everything about the procedure, possible scars, risks and costs.

  2. Preparation and surgery

    Breast reduction is usually performed under general anaesthesia. Excess breast and fatty tissue as well as skin are removed. The breast is then reshaped and, if necessary, the nipple is moved to a higher position.

  3. Healing and first weeks

    After the operation, you wear a special compression bra for about 6 weeks. Swelling and a feeling of tension are normal at first. When you can return to work, sports and your daily routine depends on the healing process.

  4. Aftercare and final result

    We accompany you with regular follow-up checks after 3 weeks, after 3 months and after one year. Additional interim checks that you wish for are also possible at no extra charge. The breast shape continues to develop during healing, and scars usually fade over several months.

Healing and honest information

How will I feel after the operation?

Smiling woman with raised arms in a bright room

In the first few days, pain, a feeling of pressure, swelling and bruising are common. Many patients notice the first swelling reduction after about five to seven days; initial wound healing often takes two to three weeks. It can take several months until the final breast shape develops. Temporary tingling, numbness or hypersensitivity are possible.

The specially fitted support or compression bra is worn for six weeks at Park-Klinik. Physical exertion, sports, lifting, driving, sleeping position and showering are discussed based on your individual healing process; there is no blanket clearance without medical consultation.

How permanent is the result?

Removed tissue is not simply restored; however, the breast remains influenced by ageing, weight fluctuations, pregnancy and hormonal changes. A lifelong unchanged shape cannot be promised.

What risks are there?

Apart from the general risks entailed in any operation such as postoperative bleeding, infection and disturbing scarring, a distressing loss of sensation in the nipples might occur in some cases (2-10%).

Costs

What does a breast reduction cost near Berlin?

  • Breast reduction from 5.400 €

Price incl. aftercare, plus VAT for non-medical indications, plus anaesthesia

At Park-Klinik Birkenwerder near Berlin, a breast reduction for medical indications costs from 5.400 €. The final price depends on the size of the breast, the desired extent of reduction and the surgical technique required.

After your personal examination and consultation, you will receive an individual treatment plan and a transparent cost estimate. For purely aesthetic procedures, additional VAT may apply; any further costs will be specified in the offer.

Is aftercare after breast reduction included in the price?

Yes, at Park-Klinik Birkenwerder near Berlin, regular aftercare after your breast reduction is already included in the agreed treatment price. This includes all planned follow-up appointments as well as additional interim check-ups – at no extra charge.

Because your care with us does not end with the operation. Our experienced specialists accompany you personally throughout the entire healing phase, monitor the healing process and are at your side with any questions or uncertainties. For your safety, optimal healing and a lastingly beautiful result.

Does health insurance cover the costs of breast reduction?

In the case of medical complaints such as severe back or neck pain, a breast reduction can be medically justified. Whether a health insurance company covers the costs, however, depends on the individual requirements and the commitment of benefits.

The Park-Klinik Birkenwerder is a state-licensed private clinic according to § 30 GewO and does not bill statutory health insurance. If you wish to have the treatment carried out through your statutory health insurance, please contact an appropriately approved hospital already for the consultation.

Private health insurance companies can partially or fully cover the costs of a medically necessary treatment depending on the tariff. A written clarification should be obtained before the operation.

Your safety

Why Park-Klinik Birkenwerder for your breast reduction?

“You deserve to feel comfortable in your body. If your breasts are a burden, we will work together to find out what can help you. I bring 30 years of surgical experience to your treatment. Plastic surgery has been established in Birkenwerder for 27 years. For the past 14 years, the Park-Klinik Birkenwerder, which I co-founded and which operates as a licensed private clinic under the requirements of § 30 of the Trade Regulation Act, has been providing this care. In addition to my clinical work, I am actively involved in scientific research and maintain professional exchanges with various medical societies.”

Dr. med. Ursula Tanzella Specialist in plastic and aesthetic surgery Chief Physician, Park-Klinik Birkenwerder
Terrace of Park-Klinik Birkenwerder with loungers in front of the white clinic building
Birkenwerder · near Berlin Recovery in green surroundings

Four good reasons for your breast reduction with us

  • Own surgical method and international expertise Dr. Ursula Tanzella has developed her own surgical method for breast reduction that aims to minimise scarring, which she also teaches internationally. Her many years of experience enable individualised breast shaping – for a smaller, lighter, and naturally shaped breast that harmonises with your body.
  • Safety of a state-licensed private clinic under Section 30 of the German Trade Regulation Act Your operation takes place in our state-licensed private clinic under Section 30 of the German Trade Regulation Act with professional anaesthesia, modern operating rooms, a recovery room, and inpatient care. The clinic is subject to official supervision and has organisational and medical provisions for emergencies.
  • Personal care and comprehensive aftercare From the first consultation to recovery, we personally accompany you. We take your concerns and wishes seriously and discuss realistic outcomes. Regular follow-up appointments and additional interim check-ups that you wish for are already included in the agreed treatment price.
  • Memberships in professional associations and societies All of our doctors are members of surgical professional associations or societies. You can find the respective memberships and professional qualifications on our doctor profiles.
    • DGPRÄC
    • DGÄPC
    • GAERID
    • ISPRES
    • DGS
    • ISAPS

Experiences of our patients

5.0 4 reviews
Anika R. May 2026
Review from Google Maps
Ich habe eine Brustverkleinerung machen lassen und bin sehr zufrieden!
Dr. Tanzella war super einfühlsam und hat alle meine Wünsche erfüllt :)
Das gesamte Team war überaus hilfsbereit und…
Ich habe eine Brustverkleinerung machen lassen und bin sehr zufrieden!
Dr. Tanzella war super einfühlsam und hat alle meine Wünsche erfüllt :)
Das gesamte Team war überaus hilfsbereit und freundlich. Eine absolute Empfehlung☺️
Unknown March 2024 · eKomi
Vom Erstkontakt bis zum Nachsorgetermin war alles hervorragend. Ich habe mich immer wohl gefühlt, meine Fragen wurden beantwortet, in der Klinik wurde ich super behandelt. Das Personal vom Empfang,…Vom Erstkontakt bis zum Nachsorgetermin war alles hervorragend. Ich habe mich immer wohl gefühlt, meine Fragen wurden beantwortet, in der Klinik wurde ich super behandelt. Das Personal vom Empfang, Reinigung über Pflege bis hin zur Ärzteschaft - alle sehr nett und hilfsbereit. Das Endergebnis sehe ich erst in ein paar Monaten, aber ich bin mit dem Stand jetzt schon sehr sehr glücklich (Brustverkleinerung). Meine OP war Ende Januar.
Unknown February 2020
Lange habe ich überlegt ob ich diesen Eingriff machen lasse, heute frage ich mich warum. Ich hatte Rückenschmerzen und beim Sport war der große Busen sehr hinderlich. Also bin ich fest entschlossen…Lange habe ich überlegt ob ich diesen Eingriff machen lasse, heute frage ich mich warum. Ich hatte Rückenschmerzen und beim Sport war der große Busen sehr hinderlich. Also bin ich fest entschlossen zum Beratungsgespräch und war danach hundertprozentig überzeugt. *** hat mir die Op und Schnitttechnik erklärt und mir alle Bedenken genommen. Vor sechs Wochen wurde ich von *** operiert und heute geht es mir sehr gut. Der Aufenthalt in der Park-Klinik und die Betreuung nach der OP war sehr angenehm, das gesamte Team ist sehr freundlich. Die Schmerzen nach der OP waren gut auszuhalten. Auch hatte ich keine Probleme mit der Wundheilung, alles gut verheilt. Das Ergebnis der Brustverkleinerung ist genial und ich habe keine Rückenschmerzen mehr. Aber am besten ich kann jetzt anziehen was ich möchte und muss nicht mehr alles eine Nummer größer kaufen nur damit nix kneift. Herzlichen Dank an *** und das gesamte Team der Park-Klinik Birkenwerder

More reviews Share your own experience

Your specialist doctors for breast reduction in the north of Berlin

Are you looking for smaller, lighter breasts, relief from physical discomfort, and a renewed sense of your body? Our specialists will work with you—taking plenty of time for a personal consultation—to determine whether breast reduction is the right choice for you and what results can realistically be achieved. Rest assured that you are in safe hands.

Dr. med. Ursula Tanzella

Dr. med. Ursula Tanzella

Chief Physician and specialist in plastic and aesthetic surgery

At this location since 2000, Chief Physician since 2021, with an international reputation and leadership experience.

To the profile
Dr. med. Mathias Kremer-Thum

Dr. med. Mathias Kremer-Thum

Deputy Chief Physician and specialist in plastic and aesthetic surgery

With many years of expertise and leadership experience in international and national institutions.

To the profile

Insights and answers on video

In short videos, our doctors introduce themselves and show how we work and how a procedure is prepared with us. The videos are in German.

Preview image: Why should patients have surgery at Park-Klinik Birkenwerder?
Video: Why should patients have surgery at Park-Klinik Birkenwerder?

Download transcript as PDF (German)

What speaks for having surgery with us? A large team of doctors with many years of experience, individual consultation and the connection to a hospital.

Preview image: Pre-operative consultation at Park-Klinik Birkenwerder
Video: Pre-operative consultation at Park-Klinik Birkenwerder

Download transcript as PDF (German)

What happens before the operation? On the preparation day we calmly take care of registration, blood test, and the anaesthesia and information talks.

Preview image: Which treatments does Dr. med. Ursula Tanzella enjoy the most?
Video: Which treatments does Dr. med. Ursula Tanzella enjoy the most?

Download transcript as PDF (German)

What inspires Dr. Tanzella about her work? She explains why she most enjoys being in the operating room, shaping the breast, abdomen or face.

Preview image: Dr. Mathias Kremer-Thum introduces himself
Video: Dr. Mathias Kremer-Thum introduces himself

Download transcript as PDF (German)

Who is Dr. Kremer-Thum? The deputy chief physician and specialist in plastic and aesthetic surgery has worked in aesthetic surgery for many years.

Preview image: A short look inside Park-Klinik Birkenwerder
Video: A short look inside Park-Klinik Birkenwerder

Download transcript as PDF (German)

What does the clinic look like? A short tour of the rooms of Park-Klinik Birkenwerder.

FAQ

Frequently asked questions about breast reduction

How much does a breast reduction cost?

For a medical indication, the price at Park-Klinik Birkenwerder starts at 5.400 €. The exact amount results from the examination, the technique and the individual treatment plan.

How long do I have to wear the special bra?

Six weeks, unless the treating specialists give different individual instructions.

What scars will remain?

Depending on the excess skin and the technique, I-, L- or T-shaped scars may result. Final scar development often takes at least a year.

Can I still breastfeed afterwards?

Breastfeeding may still be possible after a breast reduction, but it cannot be guaranteed. Pedicled techniques can preserve parts of the milk ducts and nerve connections; however, tissue removal can still affect milk production and transport. Those planning to have children should discuss this before surgery. Midwives and lactation consultants can provide support later.

Does health insurance pay for it?

Cost coverage is decided on a case-by-case basis. For treatment in a private clinic, reimbursement must be expressly clarified.

When can I do sports again?

This depends on the healing process and the strain involved. Individual clearance is given as part of aftercare.

Can the breasts grow larger again?

Size and shape can change again through weight, pregnancy, hormones and ageing.

Are follow-up checks included?

Yes: after 3 weeks, 3 months and one year; additional interim checks that you wish for are not charged separately.

How much smaller will my breasts be after the operation?

The possible reduction depends on your initial size, tissue distribution, blood supply and personal proportions. A specific cup size cannot be guaranteed to the millimetre.

What is the difference between a breast reduction and a breast lift?

In a breast reduction, additional breast tissue is removed to reduce weight. A breast lift mainly changes shape and position, without necessarily involving a significant reduction in volume.

How long will I be unable to work after a breast reduction?

Downtime depends on the healing process and the physical demands of your job. With office work, a return is often possible earlier than with physically heavy work. The individual assessment is made by a doctor; a sick note is not automatically tied to cost coverage.

How long do pain and swelling last after a breast reduction?

Pain and a feeling of tension are common in the first few days and usually ease gradually. First swelling often subsides after about five to seven days; it can take several months until the final shape develops.

When can I shower again after a breast reduction?

This depends on wound closure, dressings and individual aftercare. Please follow the specific instructions of your surgical team.

When can I sleep on my side or on my stomach again?

Sleeping position depends on the healing process and medical recommendation. In the early phase, lying on your back is often advisable; side and stomach positions are only resumed after clearance.

When can I drive again?

Not within the first 24 hours after anaesthesia. After that, only when you can react safely without restrictive painkillers, steer and brake without pain, and your doctor has no objections.

Can I lift my child after a breast reduction?

Heavy lifting and strong arm movements can strain wound healing. How long you should avoid them depends on the weight, the operation and the healing process and is discussed individually.

What do the breasts look like right after the operation?

At first they may look swollen, high-set, uneven or very firm. This is not necessarily the final result; shape and scars change during healing.

How long does it take for the scars to fade?

Scars change over many months and may only be largely matured after twelve months or later. How visible they remain varies from person to person.

Can I have a breast reduction without visible scars?

No. Any surgical removal of tissue requires incisions and leaves scars. A carefully chosen technique can help to make the course of the scars as favourable as possible.

What does the Park-Klinik's BEAULI™ method mean?

The BEAULI™ method is an approach to breast reduction developed at Park-Klinik.

Can a breast reduction improve back pain?

If a heavy breast contributes to mechanical strain, symptoms may ease after a reduction. Complete freedom from pain is not guaranteed, as back and neck pain can have different causes.

From what age is a breast reduction possible?

As a rule, breast growth should be complete. For minors, an operation is only considered in carefully examined exceptional cases.

Do I have to lose weight before a breast reduction?

A larger planned weight loss should preferably take place before the operation, because weight fluctuations can change the result. A blanket weight limit does not replace an individual examination.

Is a breast reduction possible with lipedema?

Whether a breast reduction makes sense depends on the specific breast findings and symptoms. Lipedema alone does not automatically justify an indication for this procedure.

What is included in the price “from 5.400 €”?

For a medical indication, the price is a starting price. The agreed follow-up checks after 3 weeks, 3 months and one year, and additional interim checks that you wish for, are included. Which further items such as anaesthesia, hospital stay or special bra are included in your specific quote is shown transparently in the consultation.

When should I seek medical help immediately after the operation?

In case of severe one-sided swelling, unusual bleeding, increasing pain, fever or conspicuous skin discoloration, contact the clinic immediately. In case of shortness of breath or chest pain, call 112.

Is breast cancer screening possible afterwards?

Yes. Ultrasound, mammography and other medically indicated examinations are also possible after a breast reduction. Scars and remodelling processes can affect the assessment of images, especially in the early healing phase. Depending on age, findings and risk profile, examinations before the procedure may be advisable. Keep your earlier images and inform the radiology department about the operation.

Where exactly is Park-Klinik Birkenwerder, and how quickly can I reach it from Berlin for breast reduction?

Park-Klinik Birkenwerder is located directly on the northern edge of Berlin (Hubertusstraße 22, 16547 Birkenwerder) and can be reached from central Berlin in about 25 minutes. By car, take the A111 motorway (exit Stolpe/Birkenwerder) or the B96; by S-Bahn (lines S1 and S8) you can travel without changing from Berlin-Mitte, Friedrichstraße or Gesundbrunnen to Birkenwerder S-Bahn station. Quiet private rooms with 24-hour nursing care are available for overnight stays after breast reduction.

Map and directions on the Clinic page

The team of doctors at Park-Klinik Birkenwerder

Make an appointment.

Our experienced specialists in plastic and aesthetic surgery take the time for your wishes and questions. Book your consultation at Park-Klinik Birkenwerder near Berlin – for more well-being and quality of life.

Feel in safe hands.

Content medically reviewed by Dr. med. Ursula Tanzella, Specialist in plastic and aesthetic surgery
Last medically updated: