

Breast Reduction in Cologne for Beautiful, Natural-Looking Breasts
Having a large bust can be a burden for women: whether their bust size doesn’t match their own ideal of beauty or they feel that it doesn’t fit in well with their overall appearance. A large bust can also be perceived as a nuisance in everyday life or when participating in certain sports.
The desire for breast reduction surgery may also arise for health reasons. This is because very large breasts can lead to chronic pain. It is not uncommon for this to result in increased tension in the back, neck, and shoulder areas, which can trigger postural problems or headaches.
A breast reduction can help counteract these health consequences. During breast reduction surgery, excess skin, fat, and glandular tissue are removed. This reduces the size and weight of the breasts and significantly minimizes the strain on the neck and back.
On this page, we’re happy to provide you with information about breast reduction, also known as mammoplasty, at our PALMCLINIC in Cologne.
At a Glance: Breast Reduction
| Surgery duration | 2 hours |
| Clinical Rotation | At least 1 night |
| Aftercare | Absorbable sutures, compression garments for 6 weeks |
| Anesthesia | General Anesthesia |
| Socially presentable | After 7 days |
| Sport | After 6 weeks, you can resume exercising |
The Breast Reduction Procedure
There are various techniques used for breast reduction surgery. What they all have in common is that fat and glandular tissue are removed from the breast. The difference lies in the incision. We always decide which method to use for breast reduction surgery during a personal consultation beforehand. The goal is to minimize scarring as much as possible.

Breast Reduction Using the T-Method
If the T-method is chosen, the incision is made around the areola. The incision then runs vertically from the nipple down to the inframammary fold. An additional incision is made in the inframammary fold. This creates a T-shaped incision. After the breast tissue is removed, the nipple is repositioned higher on the breast, and the wound is sutured.
Breast reduction using the T-method is particularly suitable for very large or significantly sagging breasts.
Breast Reduction Using the I-Technique
If the breast is to be reduced only slightly—by up to 500 grams—and there is also a significant amount of excess skin, the I-incision technique is usually chosen. In this procedure, the incision is made around the nipple and vertically downward to the nipple. Once the tissue has been removed, the skin is tightened. This results in minimal scarring.
Breast Reduction with an L-Incision
Similar to the I-incision technique, the incision is first made vertically downward. As with the T-incision, a horizontal incision is then made in the breast fold. Because this incision is not made on both sides as with the T-incision, the incision is smaller and results in less scarring.
Circular Tightening, also known as the O-incision technique
In the O-incision technique, the incision is made solely around the nipple. This method of breast reduction is suitable only when there is very little excess skin and the breast reduction is to be minimal. Tissue is removed through the resulting incision in the same way as with other breast reduction techniques.
All of these methods can be combined with the “internal bra” technique to further enhance stability and lift the breasts. We’ll determine which method is best suited to your individual needs during a no-obligation preliminary consultation at our PALMCLINIC in Cologne.
Frequently Asked Questions About Breast Reduction
You surely have many questions before undergoing breast reduction surgery. To help you make your decision, we’ve answered the most common ones below. Please don’t hesitate to contact us if you have any questions. Feel free to schedule an initial, no-obligation consultation at PALMCLINIC.
How much does a breast reduction cost?
The cost of breast reduction surgery varies from case to case. The price for breast reduction surgery is approximately €8,000.00. We would be happy to advise you on your specific breast reduction procedure and provide you with a transparent breakdown of all treatment costs.
When is breast reduction surgery recommended?
If the size of your breasts significantly limits your daily activities, a breast reduction may be a good option. This can be the case, for example, with physical activities such as jogging or other sports. If you also experience pain in your neck and shoulders, a breast reduction may be considered for health reasons as well.
How painful is a breast reduction?
As with any surgery, bruising and swelling are to be expected after breast reduction surgery. These mild symptoms are normal physical reactions and will therefore subside quickly on their own and heal completely.
Contact
For appointment inquiries, please contact Dr. med. Lijo Mannil, PALMCLINIC®
Availability by telephone +49 (0)221 25944333

