The incision runs either half round the areola or across the nipple. After loosening the skin, the mammary gland is almost completely removed. If necessary, the surrounding fatty tissue is aspirated to achieve a smooth transition and avoid dents. The wound is closed intracutaneously with the finest threads and a tight fitting bandage is created. Depending on the extent of the procedure takes about 1 to 1.5 hours. Still in the operating room a special compression belt is put on.