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Breast reduction


When breasts become a burden. Breasts that are too big can cause psychological and physical problems. Whether in everyday life or during sports, neck, shoulder and back pain as well as spinal problems and posture problems can arise and the soul can also suffer.

Before and After Pictures

Breast reduction
Breast reduction
Breast reduction
Breast Lift

Many women suffer from their large breasts. The breasts are large, heavy and sagging, the patient no longer feels comfortable with her breasts, suffers from back pain and the breasts are a nuisance in everyday life and during sports. After more than a thousand operations in breast surgery, Dr. Bartsch has gained a lot of experience. He makes an exact analysis of the surface changes, lack of volume or loss, gravity and proportions.

After a comprehensive initial consultation, in which wishes and possibilities are discussed with the patient, the “desired bust” can be depicted by means of 3D planning. The patient sees in the 3D scan exactly what her breast could look like after the operation, gets certainty and can thus better imagine the result. You can see exactly which implant fits your own body best and see how your own breast could look after the operation. It is also important for me to tell the patients honestly and also to show them what is possibly “not possible” with their physical condition. Honesty is our top priority so that no false hopes are raised.

There are findings that show a medical indication, for example, if the large bust is proven to cause significant physical discomfort. If this is the case, the costs for a breast reduction are partly or completely covered by the health insurance. For many health insurance companies, the minimum amount of fat and glandular tissue to be removed is 500g per breast.


To reduce the volume of the breasts, glandular fat tissue is removed and the breast is reshaped. In most cases, a breast reduction is performed with a T-incision, as both skin and glandular tissue must be removed. Breast reduction is performed under a light general anaesthetic. The operation itself takes 1.5 – 2 hours.

The breast reduction procedure takes place in Vienna as a day clinic and under general anaesthesia. An overnight stay in the clinic is rarely necessary nowadays for medical reasons. On discharge you will be given a support bra to wear for 6 weeks. You will be able to work again after 1 to 2 weeks, but you should refrain from sporting activities for the first 6 weeks. After 2-3 days, the plaster will be changed and after approx. 2 weeks, the stitches will be gently removed.

Our team and we doctors are always available for you should you have any questions. In case of emergency, you can always reach us on our mobile number.

Dr. Rolf Bartsch: +43 69911222000

Further check-up appointments in our surgery are important in order to optimally accompany the healing process and will be arranged with you before the procedure.

Proper scar care is important. If you are prone to increased scarring, we can treat this with laser and medical needling (cost € 90,- per session).

After a successful operation and waiting for the healing process, you will have no pain, can breastfeed and do any sport without any problems.


Dr. Rolf Bartsch

The female breast is the most individual and personal thing of all. Patients who suffer from the weight and size of their breasts want a breast that is proportionate to their body. In a comprehensive consultation and a 3D scan of your breast, we can simulate the “desired breast” together and see how it could look on your own body.

Solution in steps
The most important questions and answers

We offer you the all around safety service.

  • Safety, through my many years of experience, because I have already performed over a thousand breast operations.
  • Safety, through the Privatklinik Währing – a renowned clinic with perfectly trained staff.
  • Safety, through my 24h availability. If you have any questions or uncertainties, you can reach me at any time by phone or messenger.

Ask to see before/after pictures, research reviews online in forums and on Google, and find out about the doctor’s experience and the satisfaction of his female patients. In the end, the most important thing is that the gut feeling must fit.

The procedure of breast augmentation takes no more than 60 minutes. You can go home the same day. No more overnight stay is necessary, unless you have the special request. You should take it easy for the first few days after the breast augmentation. If you do not have a physically demanding job, you can usually return to work after one week. Sports are not allowed for 6-8 weeks, as the implants need to heal in position while you rest.

We work with a gentle surgical technique with radiofrequency, which means that there is less tissue damage. Result: faster healing, less pain. Drains are also no longer necessary. Scars that are placed are always visible. Breast augmentation can result in scars in the underbust crease, 99% of which fade very well. I have personally cared for 2 patients in 10 years who developed very noticeable scarring. The scar around the areola, which is done mostly in tubular breasts, is also usually less noticeable because there is a difference in contour between the darker skin of the areola and the skin of the breast so and so. However, we see scarring in about 10% of cases that can be red for several months and must be treated with laser and cortisone.

The breast augmentation procedure takes place in Vienna in a day clinic and under general anesthesia. It is a light anesthesia during which you are completely asleep, but wake up immediately after the end of the surgery. Nowadays it is not necessary to stay overnight in the clinic for medical reasons. Our patients are happy to stay overnight if the journey is long or if you simply want to have a night’s rest from everyday life.

No. The risk of anesthesia is determined individually for each patient by our team in the anesthesia outpatient clinic. We use a very short-acting anesthetic, which allows the patient to be awake again a few minutes after the anesthesia and to leave the clinic a few hours after the procedure, pain-free and alert. In principle, our anesthesiologists are in close contact with the AKH Vienna, which is located right next to the Privatklinik Währing, should a complication occur during anesthesia after all these years.

Yes! After about 1 hour of care in the recovery room, all patients come to the ward, where they can then receive visitors in their room.

The waiting time for a surgery appointment is usually about 4 weeks. Normally, the patient comes to the initial consultation and, should she decide for an operation, an operation date is reserved. At least 15 days before the date of the operation, a consultation with the anesthesiologist and with Dr. Rolf Bartsch personally takes place in order to explain the operation again in detail and to answer any questions. The official documents must also be signed at this time.

Further control appointments in our office are important to optimally accompany the healing process and will be arranged with you before the procedure. After 2-3 days, the plaster is changed, and after approx. 1-2 weeks, depending on the technique, the stitches are removed. Until the stitches are removed, you should avoid sports and do not let the stitches get wet.

The possibility of capsular fibrosis is very rare. The rate of capsular fibrosis in our patients is less than 0.5%. Whenever it affects a patient, the question “why me” arises? The reasons for capsular fibrosis are not exactly clear. Neither you nor the doctor is to blame. What is important is that action must be taken depending on the severity of the fibrosis – this is divided into 4 stages according to BAKER. The costs for a necessary implant change are about 3.900€ and are not covered by any public health insurance.

Yes, the ability to breastfeed remains. You can normally breastfeed your baby without any problems. If you wish to have a child within the next year, we advise you to wait with an operation. Especially with tubular breasts, the ability to breastfeed is impaired even without surgery. With some techniques, such as the incision over the areola, the ability to breastfeed may be more affected. The connection of the nipple to the mammary gland tissue is never cut in modern techniques.

The technique depends on the initial situation. If the breast is round but simply too small, it is usually enlarged via an incision in the underbust fold. In tubular breasts, access via the areola is often useful because the focus is on changing the shape and not just enlarging it. The location of the implant is usually under the muscle. This creates an internal bra that supports and protects the implant. Precise preparation of the implant pocket results in less tissue damage and faster healing. The cavity is thus customized for each patient.

In the beginning yes. The first 6 – 8 weeks the breasts are swollen and harder after each breast augmentation. Over time, the tissue swells and thus the initially stronger projection in the upper half of the breast disappears. The implant is basically placed so that the maximum projection is exactly behind the nipple.

We have a state-of-the-art 3D simulation. With the help of an infrared camera, your own breast is scanned and simulated. Software can be used to determine only the size and type of implant and its location. The 3D simulation can make static and moving images. The simulation can be rotated in all directions and one can estimate exactly how the desired bust might look. Whether from the side, front or top – from any angle we get a good pictorial idea whether the breast will fit you or not. You will get an online access to the breast augmentation simulation and you can look at everything at your leisure at home.