Breast reduction

Modern breast reduction surgery is all about shaping and stability

In the past, breast reduction surgery often involved mainly the removal of skin and tissue.
We now know that, in the long term, good results depend much more on internal stability and the biological quality of the tissue.
Large and heavy breasts in particular often have:

• soft tissues
• stressed skin
• and reduced elasticity.

If only volume is removed without properly reorganising the internal structures, the breast may sag again or lose its shape in the long term.
This is why modern approaches to internal stabilisation – comparable to an ‘internal bra’ – play a key role.
This involves specifically reshaping and stabilising deeper tissue structures in order to:

• greater stability in the long term
• better projection
• to create softer contours and more harmonious proportions.

This is precisely what helps prevent problems later on, such as:

• further sagging
• loss of shape
• or instability in the lower chest can often be significantly reduced.

In Dr Wiedner’s view, long-lasting, attractive results in breast surgery are achieved not by applying maximum tension to the skin, but by ensuring a stable internal tissue structure.

Different techniques and cuts

Over the years, numerous breast reduction techniques have been developed.
These differ not only in the scar pattern, but above all:

• in the internal tissue structure
• stability
• blood circulation
• and long-term shape control.

For some patients, vertical or so-called Lejour techniques can produce very elegant results – particularly in cases of moderate breast size and good skin quality.
Such procedures often result in fewer horizontal scars and appear very attractive at first glance.
At the same time, even scar-minimising techniques have their limitations.
This is particularly true in cases of:

• very heavy breasts
• significant excess skin
• soft tissue
• or more pronounced sagging

Reducing the cutting path too much may, in the long term, lead to:

• Tensions
• further slackening
• loss of shape
• or lead to a lack of stability.

In such situations, more stable techniques – often involving an inverted T-incision – are anatomically more appropriate.
They allow for:

• better shape control
• more stable internal tissue structure
• and more stable results in the long term.

For Dr Wiedner, therefore, a smaller scar does not automatically mean a better result.
The key factor is always:
Which technique is best suited to the patient’s anatomy, tissue quality and long-term resilience.

The importance of fabric quality

A key factor in achieving long-lasting, attractive results from breast surgery is the quality of the tissue itself.
Just after:

• Pregnancies
• Weight loss
• significant fluctuations in weight
• or in cases of genetically soft tissue

the breast’s biological resilience is often reduced.
A breast reduction can alter the shape and weight of the breast – but it cannot fully restore the biological quality of the tissue.
That is why Dr Wiedner is increasingly incorporating regenerative approaches into her surgical planning.
These include, in particular:

• Autologous fat transfer
• regenerative tissue engineering
• and biological support for healing.

This is not about adding extra volume, but rather about:

• better fabric quality
• smoother transitions
• improved skin texture
• and long-term stability.

In her view, it is precisely the combination of structural surgery and biological regeneration that plays a key role in ensuring that results remain stable, natural and durable in the long term.

Naturalness rather than maximisation

Dr Wiedner deliberately adopts a calm and anatomically oriented approach.
Her goal is not to have the smallest possible breasts.
The focus is on:

• functional relief
• harmonious proportions
• long-term stability
• Mobility
• and a breast that blends naturally into the body.

For her, the most challenging form of modern breast surgery is not the most significant change.
It is a result that:

• reduced symptoms
• takes the strain off the body
• Improved mobility
• and at the same time has a soft, natural and enduringly harmonious effect.

Scars and long-term harmony

Understandably, many female patients are particularly concerned about scarring.
For Dr Wiedner, however, long-term stability is a far greater priority than minimising scarring at any cost.
Reducing the cutting path too drastically can:

• undermine internal stability
• Increase the tension
• and, in the long term, lead to a loss of fitness once again.

That is why, in her view, the aim is not to minimise scarring as much as possible, but to achieve an anatomically sound shape and long-term harmony. At the same time, she naturally pays attention to:

• as fine a grain as possible
• low voltage
• get well soon
• and natural transitions.

Audits and complex initial situations

Many patients now arrive having already undergone preliminary treatment or surgery.
These include:

• previous breast reduction operations
• Breast lifts
• Implants
• Asymmetries
• or tissue problems following previous operations.

Surgical procedures in particular require:

• a thorough understanding of anatomy
• Experience in tissue physiology
• and highly personalised planning.

Often, the real challenge lies not in performing ‘more’ surgery, but in reducing tension, soothing the tissue and restoring natural proportions.
It is precisely in this respect that Dr Wiedner sees a key difference between standardised breast surgery and truly personalised breast surgery.

Your personalised approach

Dr Wiedner does not view breast surgery as a race to achieve the most dramatic transformation.
Their aim is:

• functional relief
• natural harmony
• long-term stability
• softer contours
• and a breast that blends naturally into the body.

She does not wish to create an artificial shape.
She aims to restore balance to the tissue, shape and proportions.
It is precisely in this that she sees the true value of modern breast reduction surgery.