{"id":2286,"date":"2020-03-16T14:32:56","date_gmt":"2020-03-16T13:32:56","guid":{"rendered":"https:\/\/wolff-edusei.de\/breast-removal\/"},"modified":"2026-02-19T11:33:55","modified_gmt":"2026-02-19T10:33:55","slug":"breast-removal","status":"publish","type":"page","link":"https:\/\/wolff-edusei.de\/en\/breast\/breast-removal\/","title":{"rendered":"Breast removal"},"content":{"rendered":"\t\t
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Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Breast removal or breast amputation (mastectomy)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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A mastectomy can be medically or personally necessary for a variety of reasons \u2014 whether as part of gender-affirming surgery, as a preventive measure in cases of genetic risk, or due to cancer.
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At the Wolff & Edusei outpatient clinic in Berlin, we support people on their journey of gender affirmation with empathy, expertise, and experience. Our board-certified specialists in Plastic and Aesthetic Surgery, Dr. Andrea Wolff and Dr. Isabel Edusei, take the time to address your individual concerns, provide transparent advice, and work with you to develop the right treatment strategy. Our goal is to offer medically sound solutions that take both functional and aesthetic aspects into account \u2014 and to put you, as a person, at the center.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Mastectomy as part of gender-affirming surgery<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Before performing a breast removal or mastectomy as gender-affirming surgery for trans* and non-binary individuals, specific documentation and examination results are required. This includes a psychological or psychiatric assessment confirming the medical indication for the mastectomy, as well as a gynecological examination that includes a breast ultrasound.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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A comprehensive consultation with our board-certified specialists in Plastic and Aesthetic Surgery, Dr. Andrea Wolff and Dr. Isabel Edusei, is an essential part of the preparation process. During this appointment, all questions and concerns are addressed, and your individual wishes and expectations are discussed in detail. Dr. Wolff and Dr. Edusei take the time to inform you thoroughly about the different techniques and options for mastectomy and to develop the most suitable individualized treatment plan together with you.<\/p>\n\u00a0\n

At the Wolff & Edusei outpatient clinic, we are committed to taking the individual wishes of transgender and non-binary individuals into account as fully as possible within the scope of medical and technical feasibility. Some patients, particularly those with a fluid gender identity, wish to retain a portion of their breast tissue. In certain cases, care is taken during the mastectomy to preserve a small amount of glandular tissue in order to achieve a more even contour of the chest area. It should be noted that this approach is not comparable to a complete breast removal, such as that performed in the context of a prophylactic gland removal due to an increased risk of breast cancer. Rather, the aim is to realize the aesthetic goals of the patient while taking medical requirements into consideration \u2014 always within the limits of what is medically achievable.<\/p>\n\u00a0\n

Depending on anatomical conditions and personal preferences, various mastectomy techniques are available:<\/p>\n

The most common surgical approach is a mastectomy with a horizontal incision, in which the nipples are grafted as free nipple transplants. This means they are precisely removed and, after the breast gland has been excised, transplanted to their new position on the chest wall.<\/p>\n\u00a0\n

One disadvantage of this surgical method is that the original sensitivity of the nipple cannot be preserved. In some patients, a certain degree of deep sensitivity may return over time.<\/p>\n\u00a0\n

Alternatively, the nipple can be completely removed together with the breast gland, which is a common preference particularly among non-binary individuals.<\/p>\n\u00a0\n

The so-called keyhole technique, in which the breast gland is removed through a small incision at the edge of the areola, is another frequently requested mastectomy method. Tightening procedures, for example around the nipple, can be performed either immediately or at a later stage if necessary. This technique is often requested and, in suitable cases, may result in discreet scarring; in some cases, partial nipple sensation can also be preserved. However, it can only be performed under certain conditions. These include a small breast size and firm skin that is capable of retracting maximally after the removal of the glandular tissue beneath it.<\/p>\n\u00a0\n

We often combine mastectomy with additional contouring procedures.<\/p>\n

For example, the shape and size of the nipples (nipples or papillae) can be adjusted if desired.<\/p>\n

Liposuction of adjacent areas (for example, localized fat deposits along the lateral chest wall or above the armpit), or to loosen the glandular body and adapt the skin-soft tissue envelope in the keyhole technique, may be beneficial in certain cases to further refine the aesthetic contour.<\/p>\n\u00a0\n

Complete removal of the nipples is also possible upon request.<\/p>\n\u00a0\n

We work closely with an experienced network of psychologists, gynecologists, urologists, and endocrinologists who can also provide support and consultation. In a personal consultation at our Berlin outpatient clinic, we will discuss together which gender-affirming procedures best align with your goals.<\/p>\n\u00a0\n

Dr. Wolff and Dr. Edusei take the time to understand your concerns and create an individualized treatment concept. You can easily book your appointment online.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t

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Mastectomy due to cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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The partial or complete removal of one or both breasts \u2013 medically referred to as a mastectomy \u2013 may be necessary as part of breast cancer treatment.<\/p>\n

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An oncologically indicated mastectomy or breast removal is nowadays performed in a certified breast center. Important aspects for potential follow-up treatments should already be considered during the planning stage. Depending on the individual initial situation, either the entire glandular tissue or the entire breast may be removed. Where medically justifiable, healthy tissue is preserved to create favorable conditions for a later reconstruction.<\/p>\n

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Upon the advice of a gynecologist, genetic counseling can also take place, for example, to assess a hereditary increased risk of breast cancer. In some cases, a preventive removal of the mammary gland with implant placement is recommended to reduce the risk of developing the disease.<\/p>\n

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Comprehensive and early consultation is essential, especially if a subsequent breast reconstruction is being considered. Whether and when breast reconstruction is advisable depends on various medical aspects as well as your personal preferences and the individual course of the disease.<\/p>\n

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Should you have any requests for aesthetic improvements following a completed reconstruction, our specialists Dr. med. Andrea Wolff and Dr. med. Isabel Edusei will take the time to discuss all options with you and address your personal requirements.<\/p>\n

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For example, we provide detailed advice on all possibilities regarding an implant exchange (breast augmentation with breast implants)<\/a>, breast augmentation with autologous fat<\/a>, scar revision<\/a>, corrective breast lift<\/a>, or breast reduction<\/a>, and support you on the path to an informed and self-determined decision.<\/p>\n

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Please note that health insurance providers do not always cover follow-up procedures after breast cancer in all cases or to the full extent. We will review this with you before performing any corrective or reconstructive surgery.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t

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Following a breast removal or mastectomy (mastectomy)<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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After a mastectomy, an appropriate rest period of at least two weeks is advisable, based on our experience, to ensure smooth recovery. It is important to allow both mind and body time to heal after surgery, as a mastectomy can represent a significant turning point in the lives of our patients. Many experience the period following surgery as emotionally meaningful and as an important personal step. This phase after mastectomy serves both physical and emotional recovery and should be approached with mindfulness.<\/p>\n\u00a0\n

As patients are mobilized on the day of surgery, they are able \u2014 with appropriate restraint \u2014 to enjoy a gentle period of recovery that may include light walks and ample rest, allowing body and mind to settle and regain balance.<\/p>\n\u00a0\n

For physical recovery, we recommend wearing a compression binder for at least six weeks. This supports the even adhesion and retraction of the skin and soft tissue envelope and helps minimize postoperative fluid accumulation. The return to normal activities should be individualized and carried out in accordance with the recommendations of the treating physician to optimally support the healing process.<\/p>\n\u00a0\n

Light physical activities can generally be resumed gradually after approximately 4\u20136 weeks, depending on the surgical technique used. More intensive exercise and physically demanding activities (e.g., moving house, painting, overhead sports, swimming) should only be considered after about 12 weeks. In addition, UV exposure, hot baths, and sauna visits should be avoided for a period of three months.<\/p>\n\u00a0\n

Patience is essential, and it is important not to overexert the body in order to avoid compromising the healing process or disrupting the individual course of recovery.<\/p>\n\u00a0\n

Our specialized and dedicated practice team will provide you with all further information and instructions you need during the aftercare and healing period. You can conveniently schedule your personal consultation with our board-certified specialists in Plastic and Aesthetic Surgery, Dr. Wolff and Dr. Edusei, online<\/a>. You can also find additional FAQs on the topic here<\/a>.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t

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SURGERY DURATION:<\/span> from approx. 120 min.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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TYPE OF ANESTHESIA:<\/span> General anesthesia<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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PAIN<\/span>: generally WHO pain ladder level 1<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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AFTERCARE:<\/span> Compression garment for 6 weeks<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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SOCIAL ACTIVITIES:<\/span> after a few days<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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FITNESS FOR WORK:<\/span> depending on findings and occupational demands<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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SPORT:<\/span> after 6 weeks, full physical activity after 12 weeks<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\tAsk our advice.\t\t\t\t\t<\/h2>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t
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We\u2019ll be glad to provide you with detailed information about this treatment. Simply get in touch with us now and obtain advice at an individual and absolutely personal level.
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\n<\/i> +49 30 - 94 041 144<\/p>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t

\n\t\t\t\t\t\n\t\t\t\t\t\tMake an appointment\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Breast removal or breast amputation (mastectomy) A mastectomy can be medically or personally necessary for a variety of reasons \u2014 whether as part of gender-affirming surgery, as a preventive measure in cases of genetic risk, or due to cancer. At the Wolff & Edusei outpatient clinic in Berlin, we support people on their journey of […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3401,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2286","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nBreast Removal \/ Mastectomy - Wolff & Edusei Clinic<\/title>\n<meta name=\"description\" content=\"Mastectomy in the practice clinic Wolff & Edusei | Mastectomy in Berlin - partial or complete breast removal (mastectomy).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wolff-edusei.de\/en\/breast\/breast-removal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Breast Removal \/ Mastectomy - Wolff & Edusei Clinic\" \/>\n<meta property=\"og:description\" content=\"Mastectomy in the practice clinic Wolff & Edusei | Mastectomy in Berlin - 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