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Prof. asoc. Dr. Gress

Plastic Surgeon

Breast Augmentation

Professor Gress is one of the top specialists internationally

Art & Precision

Unique combination of the highest demands in terms of precision and aesthetics

Media Partner

First point of contact for international media for all questions relating to intimate surgery

Professor for Plastic Surgery

Professor and lecturer
in Plastic Surgery

Experience makes the difference

  • More than 10000 procedures
  • Over 30 years of experience
  • Inventor and developer of the “Composite Reduction Labiaplasty”
  • Internationally recognized top specialist
  • Author of the international textbook “Aesthetic and Functional Labiaplasty” (Springer Publishers)
  • Professor and Lecturer in Plastic Surgery
“Pioneer of female genital surgery”
“The Vagina Picasso”
“The labia pope of Germany”

In the most important national and international specialist societies

American Society of Plastic Surgeons
German Society of Plastic, Reconstructive and Aesthetic Surgeons
International Confederation for Plastic, Reconstructive and Aesthetic Surgery
International Society of Aesthetic Plastic Surgery
The breasts can vary greatly in terms of shape,
size and consistency, all of which constitute characteristics that may
undergo considerable changes in the course of a lifetime.

From a medical point of view, almost any desired shape or size of breast can now be attained. Breast enlargements are the most frequently performed cosmetic surgery in the world. A breast enlargement by Prof. Gress in Munich will give you the breasts you have always wanted.

Hormonal factors, the individual constitution of the tissue, pregnancy and breastfeeding, gravity and lifestyle, natural aging processes, etc. all play a key role in how breasts are shaped naturally.

Normal femal breast, cup size A

My new look
with beautifully and naturally shaped breasts

Every woman has her own idea of naturalness, the ideal size and shape of her breasts. They should blend harmoniously into the overall picture of the body and have a natural look and feel. Achieving this is the goal of a cosmetic breast enhancement at our Munich practice.

Before the actual procedure, we will make an appointment for your consultation in Munich, where everything will be explained and discussed in detail:

The desired size, shape, implant, access, risks and any other questions. Your expectations for the result will determine the choice of breast implant. The shape can be round or teardrop (anatomical), large or small. It should always be chosen to fit your upper body. The diameter of the implant is the key parameter: If it is too large, the breasts will rub in the middle or protrude to the sides, if the diameter is too small, there will be too much space between the breasts.

The implant can be placed on or under the pectoral muscle, depending on your anatomical situation. In very slim women who have little fatty tissue under the skin, we place the implant under the pectoral muscle. This is to prevent the breast implant from becoming visible, which would look very unnatural.

Breast implant in front of and behind (under) the pectoral muscle

The procedure

The operation takes place in the clinic under general anesthesia with a one to two-day inpatient stay. You will sleep during the operation, but you will not lie flat; the operation is performed in a semi-seated position, as this is the only way to assess how the new breasts look on you. The skin incision is made in the crease under the breast, at the edge of the nipple or in the armpit. This will be discussed with you before the procedure.

Blood and fluid are drained via drainage tubes through the armpit and removed before you go home.


Initially, you will be tightly bandaged around the breast. Please be careful when showering and do not get the bandage wet. The drainage tubes will be removed before you leave the clinic.  We will meet again in the practice a few days later, the bandage will be removed and you will be fitted with the special bra. We can obtain the bra for you if you wish, since we will already have your new measurements at the clinic. You are also welcome to get the bra yourself and bring it to the practice when you have the bandage changed.

In addition:

  • Lie and sleep on your back with your upper body slightly elevated and avoid any pressure on your chest.
  • Avoid any exertion and large arm movements.
  • Take at least one week off before returning to work.
  • You should avoid sports, saunas and strenuous activities for 8 weeks after the operation.


In Germany, it is not permitted to publicly display before and after pictures of cosmetic surgery. Of course, you can view sample photos at our office during your consultation.

Placement of a breast implant under the pectoral muscle, 305 ml,
from cup size A to C/D.
Only when optimally positioned does the implant produce a perfect result: The largest projection (implant height) must be directly behind the nipple, as in the patient shown above.
If the breast implant is too high, the nipple is pressed down, and vice versa: If the implant is too low, the nipple will be too high.

Breasts after enlargement with a 260 ml teardrop breast implant, placed under the pectoral muscle, from B to C cup.
Correction of a tubular breast deformity with a breast implant, round, 240 ml, on top of the pectoral muscle…
…by round breast implants placed above the breast muscles. Medically indicated.

Frequently asked questions about breast augmentation

In very slender women who have little subcutaneous fat tissue, the insert is preferably placed under the breast muscle so that it is sufficiently covered and its outline is not visible through the skin. Other important criteria in making this decision include the nature of the existing breast tissue as well as the shape and type of the implant.

With a few exceptions, most women would like to have well-proportioned and natural-looking breasts that are in harmony with their overall body. In some cases, however, expectations are unrealistic or unreasonable, such as when an excessively large implant would produce an aesthetically displeasing result.

The size of a breast implant should therefore be selected based on the existing physical characteristics, such as the elasticity of the skin and the breast size before surgery.

With a few exceptions, most women would like to have well-proportioned and natural-looking breasts that are in harmony with their overall body. In some cases, however, expectations are unrealistic or unreasonable, such as when an excessively large implant would produce an aesthetically displeasing result.

The size of a breast implant should therefore be selected based on the existing physical characteristics, such as the elasticity of the skin and the breast size before surgery.

There is a wide range of breast implants whose properties and all their pros and cons cannot be individually described here. They basically differ in their shape, firmness, filling material and surface texture.

There are round or oval shapes as well as different heights and projections that are suitable for a breast augmentation. The firmness and consistency varies depending on the filling material and the manufacturer. The surface can have a smooth or roughened texture.

Silicone has received a lot of negative media attention in connection with breast implants. Several years ago, relatively liquid silicone gel was used as the filling material, which could leak out if the implant ruptured, causing bodily reactions in some cases. The silicone used today is cohesive and can no longer leak out, comparable to the consistency of a gummy bear.

Besides silicone, the only other filling material approved in Germany is saline. In more than 98% of all cases, we used implants filled with silicone gel, because they feel the most natural. Saline implants lose their volume over time.

The surgery takes between 1.5 and 2 hours, Depending on the type and quality of the implant, the fees for breast augmentation range between EUR 5,600 and EUR 6,600 incl. anaesthesia and inpatient stay.

We will be happy to find the optimum financing option for you together with our partner MEDIPAY.

Manufacturers of the new generation of implants state that an implant usually need not be replaced. However, if any negative changes occur, such as deforming or hardening, implant replacement needs to be discussed. Usually, implants can remain inside the body for many years or even for a lifetime. It is not necessary to repeat a breast augmentation at any specific intervals.

After a breast augmentation using breast implants, swelling and minor bruising are to be expected. A hardening of the capsule of connective tissue surrounding the breast implant (capsular contracture) or mostly temporary sensory disturbances in the breast or nipple may occur. The ability to breastfeed may also be limited. Breast implants do not increase the risk of breast cancer!

We perform breast augmentations exclusively under general anaesthesia or twilight sedation.

After general anaesthesia, you should stay at the hospital until you have mostly recovered. The time needed to recover varies greatly from patient to patient. Some leave the hospital after only one day, while others take a bit longer.

But you should plan on staying at least one night for monitoring. Outpatient care is also possible.

  • Avoid medications that increase the tendency to bleed (e.g. medicines containing acetylsalicylic acid, such as aspirin or ASS) 15 days prior to the surgery.
  • Stop smoking 2 weeks prior to the surgery! Smoking contributes to circulatory disorders and poor wound healing!
  • If the surgery is performed on an outpatient basis, arrange for someone to pick you up at the hospital or practice after the surgery and to stay with you at home.
  • Get a cooling mask or cold packs for use after the surgery.

  • Lie and sleep on your back with your chest in slightly elevated position.
  • Avoid any physical effort and excessive arm movements.
  • Take at least 1 week before returning to work.
  • Avoid any sporting activities, sauna and strenuous activities for 8 weeks after the surgery.
  • You should wear a tight bra for 6 weeks after the surgery. We will discuss with you how to choose the right bra. You can also buy from us a special bra (with an integrated “Stuttgart belt”).