Breast Augmentation

Breast augmentation or enlargement can be only achieved though implants, i.e. a placement of an implant under the breast tissue in order for it to feel a part of the natural tisse and so that it looks natural, balancing out ones body’s proportions

Since 1963, implants made out of sillicon have been used. After intense discussions about the safety of implants in 1991, new developments and procedures emerged. What is important to know is that according to the latest scientific studies, silicon prothesis or implants pose no increased risks for breast cancer or for development of autoimmune diseases such as Lupus Erythematosus or Scleroderma or Rheumatism.

Our institute uses exclusive products from the world’s most prestigious manufacturers, generally using implants with a roughened up or textured surface, in round or teardrop shapes, filled with a cohesive gel (ruling out any risks of leakage). The surface of the implants connects to the body’s tissues so that the risks of Capsular Contracture are minimal. The contracture of the implant is reduced to a minimim amount. All of our implants are higly regulated, complying to the strick regulation of the EU and the USA.

Alternative filling materials, such as dextran, soybean oil, etc. have had a short time lived euphoria, bbut did not confirm the expectations and were quickly withdrawn from the market. The only alternative still available is saline filled implants, but they have a dimasional instability and the grip panels cannot conpare to the ones we use.

During the consultation with us, you will be introduced to the various implant shapes we use, as well as the preliminary discussion regaring the optimal course of action that needs to be taken for your ultimatel safety and satisfaction.

First and foremost, during the first consultation, you must be able to explain what you envision and the surgeon will clarify to you afterwards what are realistic goals and how to accomplish them by chosing the best path possible, the optimal implant size, shape and positioning.
When performing a breast implant, there are four possibilities of accessing the area of implantation (whereas, the last two are barely done in Germany and are only done when uding implants that are filled once placed in the chest area):

  • through the armpit (transaxillar)
  • through the areola (peri-, infra- or transareolar)
  • through the lower breast fold (inframammaer)
  • through the navel (an endoscopic procedure)

Each of these approaches have their advantages and disadvantages. When using the areola or lower breast fold procedure, the exact area for the placement of the implant can be done precisely, and a meticulous hemostasis can be performed, although the incision is around 4-5 cm wide. The form of the implant chosen depends on what the patient wants: more cleavage and more round breasts require a round and hemispheric implant.


Ifo ne desires a natural, tear-drop shape, a bio dimensional implant should be selected. Furthermore, it should also be clarified in which layer the implant should be placed: it can be placed in the breast cavity in front of the breat muscle (musculus pectoralis) or behind the breast muscle. This, of course, depends on the amount of breast tissue present in the patient’s chest area.

Breat surgery should be done under general anasthesia, but it can also be performed under sedation with local anasthesia, if requiested. Usually, this procedure can be done as an outpatient where the small incision is closed with a special patch and the patient can resume te normal life after two to three days. A special support bra is given for about two weeks and should be permantnely worn. Afterwards, the bra should be worn daily for another two weeks, so that the implant can stabilized and the surrounding tissue healed. Sport activities should be avoided throughout this time, but normal daily troutines can be performed.

If the patient cooperates and follows these after-procedures carefully, the final results will be natural and aesthetically beautiful, rather than dealing with negative consequences, such as „puffed up“ and artifically looking breasts.

Duration of surgery: 1 hour – usually outpatient
Anasthesia: General (if requested, sedation)
Time needed to return to daily routine: After 3-4 days
Price: depending on complexity (depending on the implant)