Conservative orthopedics


Dr. med. Stefan Nolte

Chief of

Conservative Orthopedics

    In conservative orthopedics, our specialists treat your complaints and pain in the back and spine non-surgically. The spectrum ranges from the classic herniated disc (lumbar disc - lumbar spine - and cervical disc - cervical spine) to lumbago and sciatic pain to spinal stenosis, problems of the cervical spine, thoracic spine and lumbar spine, as well as scoliosis.

    Back specialists use specialized injection therapies, osteopathic techniques and pain medicine procedures to relieve your pain and restore your back health. Detailed diagnosis and education precede every treatment.

    Treatment focus

    • Conservative treatments of disc-related and degenerative spinal disorders such as sciatica, etc.
    • Injection treatments on various structures of the musculoskeletal system, e.g. facet joints, sacroiliac joints, fascia structures, trigger point therapy, so-called sclerotherapy, etc.
    • Osteoporosis therapy
    • Various physiotherapeutic procedures, osteopathic techniques such as fascia treatments
    • Natural healing methods such as leech therapy
    • Interventional spinal pain therapy: various peridural injection procedures, PRT, cryodenervation of painful vertebral joints, etc.

    Asymmetry treatment or congenital deformities

    Different breast sizes in a woman have different causes. Many women notice small differences in themselves, without any pathological value. However, there are also congenital deformities in which the breasts have developed differently or are even almost non-existent. An example of this is the tubular breast, as well as Poland syndrome with one-sided breast underdevelopment, pigment disorders and in some cases even underdeveloped pectoral muscle.

    Another common cause of asymmetry is surgery due to breast cancer. Here, initial findings ranging from small defects to complete removal of the breast are possible. We will show you the complete therapy options in our clinic.

    Enlargement of the too small breast by implant or own fat or the adjustment of the healthy or too large breast are common procedures and can also be combined on both sides in each case.

    In the case of pathological changes, we will be happy to help you obtain health insurance coverage.

    Breast Reductions

    A sore neck and tense shoulders or back pain, bra straps that regularly cut in, no matter how wide they are, inflammation in the underbust crease or pain during sports are just a few of the problems that accompany the everyday lives of those affected. to reduce the size of their breasts. They suffer from the burden of their too large and heavy breasts. Often they have already gone through a long ordeal before they decide to have a breast reduction. Unfortunately, health insurance companies only cover this procedure in rare cases.

    In order to reduce the volume of the breast and make the breast appear firmer and more attractive, tissue and skin is removed from the lower part of the breast and the nipple is positioned higher and, if necessary, adjusted in size. Breast reduction is often combined with a breast lift. Therefore, there are different surgical methods for breast reduction, which we will explain to you in detail. Stitches do not need to be removed, as they dissolve themselves.

    After the operation, the breasts are swollen for a longer time and change over the weeks. The absolute final result is seen after 6 months after swelling has subsided and the breasts have returned to normal. The scars mature and fade until they turn white.

    Breast augmentation with implant or autologous fat

    Breast augmentation is the most common aesthetic procedure for women worldwide. The desire for larger breasts arises in various life situations or after major life changes.

    In particular, pregnancy or weight loss may be followed by a significant reduction in breast size. Likewise, natural asymmetries, shape anomalies or a lack of development of the female breast can cause the desire for breast augmentation. This is because it helps to feel more feminine again and thus also improves one's quality of life.

    There are various procedures to choose from. For example, breast augmentation with implants or with autologous fat is possible. Modern surgical techniques make it possible to build up a completely natural-looking breast. An additional breast lift may also be necessary and is offered in the same session.

    We use high-quality implants filled with stable, shape-retaining silicone gel, which are produced in Germany and are guaranteed to be leak-proof due to the modern material composition.

    The implants are available in many shapes and sizes, so that a breast shape harmonious with the body can always be modeled.

    The ability to breastfeed is maintained and the sensations of the breast are not affected. Temporary sensory disturbances may occur after the operation, but these will return to normal after a short time.

    If the patient wishes to build up with her own fat, liposuction is performed in the same operation on the desired areas (for example, riding breeches, waist shaping). A second treatment may also be necessary. Enlargement with autologous fat can only be performed by one cup size.

    Implant change or removal of implants

    Implants have a limited shelf life in the human body. This varies from person to person, so there is no time limit for when an implant should be replaced. The focus here is on existing pain or the development of a higher degree of capsular fibrosis. In these cases, we perform an implant exchange in our clinic. For this purpose, the breast implant is completely removed with its capsule and, if necessary, a new bearing is created under the breast muscle, if this was not already present.

    In rare cases there is a wish to remove the implant completely. The breast is then empty. By means of a tightening operation, our physicians restore a natural shape. Filling can also be done additionally with the patient's own fat tissue.

    Breast lift

    The various methods of breast lift aim to optimize the shape, firmness and size of the breast. Adjusting asymmetries is also possible. By removing excess and sagging skin and reshaping the breast, by moving your nipples to a higher position, your breast will have the desired shape.

    All surgical methods are designed to achieve the least scarring possible. Depending on your wishes, an implant is inserted during a breast lift to regain missing volume. After the operation, the breasts are swollen for longer and change over the weeks. The absolute final result is seen after six months, after the breast swells and sinks to a normal level. The scars mature and fade until they turn white.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Gynecomastia: the "man breast

    Just like women, men have mammary glands. These are developed in different sizes in men as well as in women, and asymmetries are also possible. While a large breast is usually a beauty ideal for women, this is considered "unmanly" for a man. Accordingly, these men desire a surgical reduction of the breast shape.

    A distinction must be made during an examination as to whether the gland itself is too strongly developed ("gynaekomastia vera") or whether rather the fatty tissue located around the breast is too pronounced ("gynaekomastia falsa"). Depending on the findings, the required surgical steps vary. Of course, there are also mixed forms.

    Before the operation, the patient should see a urologist to rule out any pathological causes. The urologist examines the hormone level, performs an ultrasound and, if necessary, checks medications to be taken, since some trigger an enlargement of the gland.

    While pure fatty tissue can be treated well with liposuction, an excessively large mammary gland must be surgically removed via a crescent-shaped incision at the edge of the areola. Usually this is done in combination. Whenever glandular tissue is removed via an incision, this tissue is sent for histological examination.

    Overall, the skin still contracts after the operation, so that the final result is only fully visible after about three months.

    Disease patterns and therapy options around the spine


    Dr. med. Stefan Nolte

    Chief of

    Conservative Orthopedics

      Diagnosis of herniated disc - What now?

      Sciatica - recognize and treat sciatic pain

      What to do for lumbago?

      Our medical team


      Dr. med. Stefan Nolte

      Chief of

      Conservative Orthopedics

        Siarhei Yushkevich

        Leading Senior Physican

        Conservative Orthopedics

          Contact & Appointment


          Claudia Schnitzler-Moos

          Secretariat Conservative Orthopedics

          If you have not found a date that suits you, please feel free to contact us by phone.

          Private outpatient clinic

          Phone +49 2351 945-2249
          Fax +49 2351 945-2253
          sekretariat.nolte@hellersen.de

          Office hours

          0

          Monday, Friday
          8.00 - 12.00
          Appointments by appointment only

          Outpatient Clinic

          Phone +49 2351 945-2251
          Fax +49 2351 945-2253
          sekretariat.nolte@hellersen.de

          Office hours

          0

          Monday - Wednesday
          8.00 - 16.00

          0

          Thursday
          8.00 - 15.30

          0

          Friday
          8.00 - 14.30
          Appointments by appointment only

          Pre-inpatient admission

          Phone +49 2351 945-2115
          Fax +49 2351 945-2253
          sekretariat.nolte@hellersen.de

          At all other times, you will be helped in our Central Emergency Outpatient Clinic Phone +49 2351 945-0.

          Central Emergency Outpatient Clinic