Plastic and reconstructive surgery

A sore neck and tense shoulders or back pain, bra straps that regularly cut in, no matter how wide they are, inflammation in the underbust fold or pain during sport are just some of the problems that accompany the everyday life of those affected by breast reduction. They suffer from the burden of their overly large and heavy breasts. They often have a long ordeal behind them before they decide to have a breast reduction. Unfortunately, health insurance companies only cover this procedure in rare cases.

In order to reduce the volume of the breast and make it appear firmer and more attractive, tissue and skin is removed from the lower part of the breast and the nipple is positioned higher and, if necessary, adjusted in size. Breast reduction is often combined with a breast lift. There are therefore different surgical methods for breast reduction, which we will explain to you in detail. Stitches do not need to be removed as they dissolve themselves.

After the operation, the breasts remain swollen for longer and change over the weeks. The absolute final result will be visible after 6 months after the swelling has subsided and the breasts have returned to a normal level. The scars mature and fade until they turn white.

Breast augmentation is the most common aesthetic procedure performed on women worldwide. The desire for larger breasts arises in various life situations or after major life changes.

Pregnancy or weight loss in particular can result in a significant reduction in breast size. Natural asymmetries, shape abnormalities or a lack of development of the female breast can also lead to the desire for breast augmentation. This is because it helps you to feel more feminine again and therefore also improves your own quality of life.

There are various procedures to choose from. For example, breast augmentation with implants or with autologous fat is possible. Modern surgical techniques make it possible to create a completely natural-looking breast. An additional breast lift may also be necessary and is offered in the same session.

We use high-quality implants filled with stable, dimensionally stable silicone gel, which are produced in Germany and are guaranteed to be leak-proof thanks to the modern material properties.

The implants are available in many shapes and sizes so that a breast shape that harmonizes with the body can always be created.

The ability to breastfeed is retained and breast sensation is not impaired. Temporary sensory disturbances may occur after the operation, but these return to normal after a short time.

If the patient wishes to have augmentation with autologous fat, liposuction is performed on the desired areas (e.g. saddlebags, waist shaping) during the same operation. A second treatment may also be necessary. Augmentation with autologous fat can only be performed by one cup size.

Implants have a limited shelf life in the human body. This varies from person to person, so there is no time limit for when implants should be replaced. The focus here is on existing pain or the development of high-grade capsular fibrosis. In these cases, we perform an implant change at our clinic. The breast implant is completely removed with its capsule and, if necessary, a new site is created under the pectoral muscle if this was not already present.

In rare cases, there is a desire to remove the implant completely. The breast is then empty. Our doctors restore a natural shape through a lifting operation. Filling can also be performed with autologous fat tissue.

The various methods of a breast lift aim to optimize the shape, firmness and size of the breast. It is also possible to correct asymmetries. By removing excess and sagging skin and reshaping the breast by moving your nipples to a higher position, your breast will take on the desired shape.

All surgical methods are designed to achieve a result with as little scarring as possible. If desired, an implant can be inserted during a breast lift to restore missing volume. After the operation, the breasts remain swollen for longer and change over the weeks. The absolute final result can be seen after six months, after the swelling has subsided and the breasts have returned to a normal level. The scars mature and fade until they turn white.

Just like women, men have mammary glands. These are developed to different sizes in men and women and asymmetries are also possible. While a large breast is usually an ideal of beauty for women, it is considered "unmanly" for men. Accordingly, these men wish to have a surgical reduction of the breast shape.

During an examination, a distinction must be made as to whether the gland itself is overdeveloped ("gynaecomastia vera") or whether the fatty tissue around the breast is too pronounced ("gynaecomastia falsa"). The surgical steps required vary depending on the findings. Of course, there are also mixed forms.

Before the operation, you should see a urologist to rule out any pathological causes. The urologist examines the hormone levels, performs an ultrasound and, if necessary, checks any medication being taken, as some trigger an enlargement of the gland.

While pure fatty tissue can be easily treated with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. This is usually done in combination. Whenever glandular tissue is removed through an incision, this tissue is sent for histological examination.

Overall, the skin still contracts after the operation so that the final result is only fully visible after around three months.

A sore neck and tense shoulders or back pain, bra straps that regularly cut in, no matter how wide they are, inflammation in the underbust crease or pain during sport are just some of the problems that accompany the everyday life of those affected. They suffer from the burden of their overly large and heavy breasts. They often have a long ordeal behind them before they decide to have a breast reduction. Unfortunately, health insurance companies only cover this procedure in rare cases.

In order to reduce the volume of the breast and make it appear firmer and more attractive, tissue and skin is removed from the lower part of the breast and the nipple is positioned higher and, if necessary, adjusted in size. Breast reduction is often combined with a breast lift. There are therefore different surgical methods for breast reduction, which we will explain to you in detail. Stitches do not need to be removed as they dissolve themselves.

After the operation, the breasts remain swollen for longer and change over the weeks. The absolute final result will be visible after 6 months after the swelling has subsided and the breasts have returned to a normal level. The scars mature and fade until they turn white.

Brief overview
Duration of the procedure: 1 to 2 hours
Type of anesthesia: general anesthesia or local anesthesia
Stay: outpatient or inpatient
Special feature: a compression girdle should be worn for 6 weeks
Price: from 4.400 Euro

When the skin and subcutaneous layers lose elasticity, sagging areas appear that are perceived as unpleasant. The causes of sagging include the natural ageing process, obesity and weight fluctuations or a connective tissue structure that is only weakly developed. If exercise and an appropriate diet, as well as simple liposuction, cannot remedy the situation, an upper arm lift is a possible alternative. Lifting operations are often combined with liposuction of localized fat deposits to achieve an optimal aesthetic result.

In an upper arm lift, the incision can be made in different ways. In most cases, the thin remaining scar on the inside of the upper arm runs underneath the biceps so that it conceals the scar. The excess fatty tissue and skin is removed.

The amount of tissue to be removed during an upper arm lift and the type of incision to be used will be discussed with you in a detailed preliminary consultation, as this depends on various factors, in particular the condition of the skin and the extent of the procedure.

Brief overview
Duration of the procedure: 2 hours
Type of anesthesia: general anesthesia
Stay: outpatient or inpatient
Special feature: 4 to 6 weeks wearing a compression bolero
Price: from 5.200 euros

The skin loses elasticity with age. Once the elasticity limit has been reached, excess skin first appears on the inner thighs, which cannot be removed by diet or exercise. This natural ageing process has no pathological value. The effect is particularly pronounced after excessive weight loss or after XXL liposuction following lipoedema.

Lifting operations are often combined with liposuction of localized fat deposits in order to achieve an optimal aesthetic result. The result of a thigh lift depends on your individual general condition and the condition of your skin elasticity.

With a thighthigh liftthigh lift, the incision can be made in different ways. We almost alwayswe almost always try to avoid the long longitudinal (vertical) incision on the inside of the thigh up to the knee, even in patients who have lost a lot of weight.

The incision is always made from the groin via the inner thighs in the crease to the genital/perineal area.JDepending on the extent of the problem, the patient may even be repositioned during the operation in order to remove the excess on the back of the thighs. In this case, the subsequent scar runs exactly in the buttock crease and is concealed by it.

The amount of tissue to be removed and the type of usually horizontal The treating doctor will discuss the amount of tissue to be removed and the type of incision to be used in a detailed preliminary consultation, as this depends on various factors, in particular the condition of the skin and the extent of the scar..

Brief overview
Duration of the procedure: 2 to 3 hours
Type of anaesthetic: general anaesthetic
Stay: inpatient
Special feature: compression trousers should be worn for 5 to 6 weeks
Price: from 6,800 euros

In most cases, pronounced weight loss leads to sagging of the skin - including on the buttocks. Exercise can only tighten part of it. For this reason, tissue can either be removed in a "banana" shape in the buttock crease or folded inwards to achieve a volume effect for a well-shaped buttocks. Of course, shaping can also be combined with lipofilling using the patient's own fatty tissue, particularly in the upper parts where there is often a flattening effect.

The amount of tissue to be removed and the type of additional volume redistribution to be used will be discussed with you in a detailed preliminary consultation, as this depends on various factors, in particular the condition of the skin, the fatty tissue and the extent of the procedure.

Brief overview
Duration of the procedure: 2 to 3 hours
Type of anaesthetic: General anaesthetic
Stay: Inpatient
Price: from €4,900

After significant weight loss, the skin mantle may not completely regress despite intensive exercise. Depending on weight loss and functional disorders, but also soreness in the respective folds with corresponding proof from a dermatologist, the body lift can be covered by health insurance.

We will be happy to advise you on this, take the necessary photos and prepare the corresponding letters with which you can present yourself to your health insurance company and apply for the costs to be covered. Even after stomach reduction or equivalent operations, a body lift is not automatically approved by the health insurance company.

Before a body lift, we will discuss your individual wishes in detail, what conditions exist and how to proceed in detail. We often perform several operations in one session, of course only if there are no or few pre-existing conditions, as the operation times are then very long.

We often start with the complete front. In this case, the abdominoplasty is performed either with a horizontal incision only or in combination with a vertical incision in the midline, depending on the findings. With this additional incision, more waistline can be created than without. The navel is always moved and repositioned. Breast and upper arm lifts are also performed. These costs are often not covered by health insurance, but can be booked as a self-payment service. This means you only need anesthesia and have a more beautiful overall appearance.

After the operation, the compression garments we have ordered for you will be put on in the operating room so that as few bandages as possible need to be fixed with plasters.

These operations are always monitored on an inpatient basis, as there may be significant circulatory problems. After a recovery period of at least four to six months, depending on the combined operations and the overall situation, your back surgery will be performed according to your wishes.

Back surgery is performed in the prone position and involves tightening the back as well as a slight buttock lift and tightening of the lateral thighs. A thigh lift can also be performed, which we often perform in a circular (horizontal) fashion to avoid large vertical incisions in the inner thighs. The circular incision allows the buttock crease to be redefined and lifted very well. In this case, the patient must be turned over in the supine position in the operating theater to complete the thigh lift and continue the incision in the pubic and groin area.

The following applies to all operations: in the morning before the operation, all surgical steps are marked and photo-documented while standing.

Drains (Redon bottles) are placed during the operation. The wound water flows through these tubes. They are removed in the course of the operation, depending on the amount filled and mobility after the operation. These major operations are performed by Ästhetik Hellersen on an inpatient basis. The average length of stay is five days. Compression garments must be worn for six weeks. Patients are also given a second set.

As accompanying body lift operations are often not covered by health insurance, there is the possibility of financing. We can offer zero percent financing for the first year. The office of Ästhetik Hellersen will advise you on the conditions and necessary documents.

The various methods of a breast lift aim to optimize the shape, firmness and size of the breast. It is also possible to correct asymmetries. By removing excess and sagging skin and reshaping the breast by moving your nipples to a higher position, your breast will take on the desired shape.

All surgical methods are designed to achieve a result with as little scarring as possible. If desired, an implant can be inserted during a breast lift to restore missing volume. After the operation, the breasts remain swollen for longer and change over the weeks. The absolute final result can be seen after six months, after the swelling has subsided and the breasts have returned to a normal level. The scars mature and fade until they turn white.

The term "Mommy Makeover" comes from the USA and refers to the combination of various procedures in one operation to restore the remaining changes caused by pregnancies and births that disturb women.

Depending on the woman's individual wishes, two to three of the following procedures can be combined: Abdominoplasty and breast reduction/lift or breast augmentation, liposuction, intimate surgery up to adjustment of the mons pubis (mons pubis).

You can read the individual information on the respective surgical procedures under the corresponding keyword here.

It is generally important for such combination procedures that there are no significant pre-existing conditions, as the operation times add up and a longer recovery period is required.

The attending doctor will discuss all the options and special features with you in detail in a preliminary consultation.