Plus-minus surgery:
Combines breast lift and augmentation in one step – for harmonious, natural results.
© Stephan Wieland, Düsseldorf Plus-minus surgery – breast augmentation & breast reduction in one procedure
For harmonious, stable breasts – tailored to your individual needs
Sometimes, the path to a beautiful, balanced breast shape is not just enlargement or reduction- but both at the same time. Plus-minus surgery combines implants (plus) for more volume with tissue reduction (minus) for a harmonious, lasting shape.
This procedure can be particularly useful if:
- There is too much skin and tissue that should be removed for a firm shape
- There are asymmetries where one breast is reduced and the other enlarged
- A permanently full neckline with long-term shape stability is desired
- Diseases of the breast tissue necessitate more extensive tissue removal
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At a glance
- Treatment duration
- approx. 2 hours
- Anaesthesia
- general anesthesia
- hospital stay
- 1 night
- Downtime
- approx. 7 days
- Sport
- 6 weeks
- Price
- from € 9,500
(plus anesthesia costs)
The advantages of this combined technique for you
© Stephan Wieland, Düsseldorf - Harmonious, symmetrical results
- Long-term stability of breast shape
- Permanently full neckline
- Improvement of complaints such as back pain
- Possibly lower risk of breast cancer in dense breast tissue
We take the time to address your questions, wishes, and concerns and provide you with transparent information about the opportunities, risks, and possible complications.
Make an appointment now
How the plus-minus surgery works
1. “Plus” – breast augmentation
Implants are placed to enhance volume and ensure long-term shape stability – typically via an incision in the breast fold, which is already required for the lift or reduction.
2. “Minus” – Breast reduction with lift
Excess tissue is removed using techniques such as the T-incision or vertical method. If medically indicated, almost complete removal of the glandular tissue may also be performed.
3. Shape adjustment & Symmetry
Both breasts are precisely matched in shape and size.
4. Scar design
The incisions are placed as inconspicuously as possible so that the scars remain discreet.
Additional medical benefits:
Studies show that breast reduction can reduce the risk of breast cancer in women with dense breast tissue.
What you should consider before the procedure
- A recent gynecological breast cancer screening is important
- Discuss your wishes and expectations in a detailed consultation
- Surgery should only be performed by experienced specialists in plastic and aesthetic surgery
Can the surgery reduce my risk of breast cancer?
Yes, especially in cases of dense breast tissue, a reduction can statistically lower the risk.
How long is the recovery time?
You can usually return to work after one week and resume sports activities after six weeks.
Are both breasts treated equally?
Not always – each breast is treated individually depending on the initial situation.
Will scars remain visible?
Scars are placed so that they are as inconspicuous as possible and fade over time.
We will answer your questions in detail during a non-binding initial consultation.
Make an appointment now
„Complex procedures require experience and a keen sense of what really makes sense both visually and functionally.“
© Stephan Wieland, Düsseldorf Dr. med. Naja-Norina Pluto
Specialist in plastic and aesthetic surgeryJameda reviews
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Behind every number is a person, behind every procedure is a relationship of trust. In over 15 years and numerous surgeries, we have built up experience that now benefits every single patient.
Interested in a consultation?
We offer non-binding consultations—either in person at our clinic or conveniently online via video. Here’s what you can expect:
- Personal consultation with a specialist physician
- Confidential one-on-one setting
- Detailed discussion of your goals, treatment options, and associated costs
- Initial consultation fee: €50
- Optional: Online video consultation available