Breast Augmentation

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.

The presentation of before/after pictures on the Internet is prohibited in Germany for aesthetic operations, so we only show pictures of medically indicated treatments here. Please understand that we may only show you pictures during a personal consultation.

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.

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.

The fees range between 6,600 and 7,000 € plus anaesthesia and two days of inpatient stay, depending on the size and type of the implant and scope of the procedure. If the surgery is purely cosmetic (no medical indication), VAT of 19% is added to the costs.

Please understand that we are unable to provide any financing ourselves. However, MEDIPAY has been our reliable partner on this matter for many years now. You can find all the relevant information on our information page or by visiting www.medipay.de.

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”).