Breast augmentation Berlin
Decide for yourself about your curves

Before breast augmentation: What is the “ideal” breast anyway?

The answers are as different, as individual as a woman's reasons for having her breast enlarged. An "ideal" aesthetic breast is symmetrical, but whether you prefer it big or small, firm or soft, slightly sagging or "pushed up", opinions and preferences differ widely.

If there is hardly any breast tissue and you have a very flat breast that looks more “like a boy”, women often want more feminine shapes/breasts and a little more cleavage. Some women also have beautiful breasts, but would like to have them bigger. Many patients come to us for a consultation after pregnancy and want their “old”, naturally firm breasts. Others, on the other hand, opt for breast augmentation – be it with implants or autologous fat – or breast correction for age or aesthetic reasons. The question of the individually most beautiful breast is not a question of age - however, you should be of legal age and have completed your body growth. Then we can discuss individually what is most suitable for you.

Breast augmentation: why a plastic surgeon?

Almost any surgeon and specialist who reads the relevant literature is able to slide a silicone pad on or under the pectoral muscle - provided the breast is symmetrical and fits perfectly. Based on our many years of professional experience, such an optimal case tends to be the exception. As a rule, patients come to us because their breasts no longer fit so well after pregnancy, are a little asymmetrical or have assumed a tubular shape. In such cases, various surgical techniques and elements of breast surgery must be combined, which requires 6 years of specialist training in the field of plastic and aesthetic surgery and many years of professional experience.

Detailed knowledge of the exact muscle attachments, the course of the blood vessels and nerves, and the different types of tissue are urgently required for smooth healing. as dr medical and experienced Specialist in plastic surgery can Dr. Bodo will provide you with comprehensive information about the various breast surgery techniques and the risks of breast augmentation, give you an idea of ​​the options and make appropriate recommendations. Breast augmentation is a surgical procedure and should not be taken lightly. For this reason, you should always opt for a specialist in plastic and aesthetic surgery for such an operation.

Detailed analysis and personal advice on site in Berlin

During the initial consultation in our clinic near Kurfürstendamm in Berlin, we will discuss in detail all the options with you, which surgical method and which breast implant can achieve the best possible result for you. It uses Allergan's Biodynamics system. You put trial prostheses in a sports bra and look in the mirror to see which size is right for you. Before and after photos help to find the right size of the implants. In addition, a 3D simulation is possible, with which you can see your possible appearance after an operation on the computer.

During the appointment, we measure your breast, decide where the incision should be made and discuss the precise course of the operation. The consultation lasts about an hour. It is important to us that we answer all of your questions. And above all, that you are satisfied with your decision. You can ask all your questions about breast augmentation and get detailed information without having to enter into a treatment agreement. Depending on your wishes, we will also advise you on alternatives to breast augmentation, such as: Legs Breast lift.

Video: Breast augmentation process at Dr. Bodo in Berlin


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What implants are used for breast augmentation?

Breast augmentation changes the body – in different ways for each patient. It is therefore important to identify exactly which measure suits you best. For breast augmentation, in most cases we use high-quality branded implants with a manufacturer's guarantee made of cohesive silicone gel. In our experience, this is the “gold standard”. It feels the most natural, is very well tolerated and there are no known allergies.

We work with breast implants from Polytech, Allergan, Sebbin and Motiva, all of which meet the highest quality standards. If desired, (almost) all other products can also be used. A new alternative are the particularly light B-Lite implants. These have reduced the weight by around a third through special processing of the silicone gel. This means that 300 gram silicone implants only weigh around 200 grams. This is particularly an advantage with larger implants and in subglandular locations, as the weight of the implant does not pull on the skin as much.


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implant shapes

There are round and teardrop-shaped (anatomical) breast implants in different diameters and projections - low, moderate, high or extra high profile. With the teardrop shape, a distinction is also made between a round base or a transverse and longitudinal oval shape. There are over 200 different implants to choose from. Therefore, the right choice of implants is the key to your “dream breasts”.

If you want beautiful, large and full breasts with a great décolleté, you should choose round implants. If you want your desired breasts to look “as natural as possible”, then teardrop or anatomical implants are a better choice. The exact measurement of the breast and the desired breast shape are important in order to select the right implant.

Whichever form of implant you choose, the "initial breast" is always decisive. A detailed consultation and a conversation about your wishes and ideas is a prerequisite for a result that corresponds to your wishes.


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Alternative to silicone implants: breast augmentation with autologous fat

Possible alternatives to silicone gel implants are saline implants or breast augmentation with autologous fat. Saline implants are rarely used anymore because they are much harder than silicone implants. They can lose volume after a certain time or, in the worst case, burst. The saline is not dangerous or harmful, but in any case it will require surgery to remove the case, which, by the way, is always made of silicone.

An Breast augmentation by Lipofilling is performed in conjunction with liposuction. With the help of our suction procedure, your fat cells remain "alive" and quickly connect to their new environment. This makes the breast feel particularly natural. With a single treatment under local anesthesia, the breasts can be expanded by up to one cup size. Compared to a conventional implant surgery, patients recover from a breast augmentation with autologous fat much faster. A potential downside, however, is that your body may break down your own fat over time and you would have to repeat the process.

Frequently asked questions about breast augmentation by Dr. Julian Bodo.

There are three methods to insert the breast implant:

  • Most often, the incision is made in the inframammary crease. This is very gentle on the breast. In addition, the glandular tissue is hardly touched.
  • The cut on the edge of the nipple is rarer, but still a popular choice. The scar is very inconspicuous, but there is a small risk of restricting the ability to breastfeed. Women who have just become mothers or who want to become mothers usually decide against it.
  • We only use the incision in the armpit for smaller implants. Larger silicone cushions can slip, or from a certain size it is technically almost impossible to place the implant exactly over this cut.

Which method is the right one for your desired breast operation, we will discuss together in a detailed consultation.

A distinction is made between an implant position on (prepectoral/subglandular) or under the pectoral muscle (subpectoral/submuscular). There is also the subfascial position, here the implant is placed under the muscle fascia (connective tissue). In this way we achieve a slightly larger coverage than with the purely subglandular implant position.
If the implant is positioned under the pectoral muscle, we also differentiate between the position completely under the muscle or just under the pectorals major (the large pectoral muscle). After detachment of the muscle there are additional variation possibilities - eg the dual-plane technique grade 1-3: partly under, partly over the muscle.

Whether an implant is placed on or under the muscle depends on the patient's own tissue, the thickness of the skin and the model selected. We usually recommend the position under the pectoral muscle, because in the long run it is better covered there and does not slide off.

We usually perform breast augmentation under general anesthesia. Although there is the possibility of locally anesthetizing the breast, this would require the injection of large amounts of anesthetic, which would change the tissue and make the implant slip more easily. Because you can't really numb the ribs (bones) locally, positioning a breast implant under the muscle under local anesthesia is very uncomfortable. For this reason, local anesthesia would only be an option when positioning the implant on the muscle. We also administer sedatives intravenously. We do not recommend this procedure, but it would be possible in consultation with the anesthetist if there are legitimate reasons against general anesthesia.

The operation usually takes about an hour, which is significantly shorter than one breast reduction. If the breast augmentation is combined with a breast lift, the duration increases accordingly. The postoperative stay in the clinic is typically 24 hours, i.e. an overnight stay for a check-up. But there are also patients who feel so comfortable with us that they stayed two nights.

Of course, the operation can also be performed on an outpatient basis. Depending on the course of the operation, you can be discharged home about 3 hours after the operation, accompanied by a person you trust. Since every patient reacts differently to the anesthetic, we recommend staying one night in our comfortable private clinic for aftercare. There is good food and an extensive TV & video program. The team takes care of you around the clock and when you sleep, the night nurse watches over your well-being. Should you unexpectedly experience pain or discomfort, we will be there immediately. Who has such a service at home?

Yes, despite scar-saving surgical techniques, a scar always remains after breast correction when we insert an implant. Depending on the size of the implant, this is usually only a few centimeters long and is positioned on the breast in such a way that it is hardly visible months later.

During the consultation, you will be asked about allergies, previous illnesses, etc. Blood clotting disorders and pregnancy must be ruled out. Depending on the position and size of the implant, you will feel pain in the chest area in the first 4-5 postoperative days, possibly associated with slight swelling. We can counteract the symptoms with a light medication.

In the first 6 weeks after the treatment, until the implants have grown in, the implant can slip if the postoperative behavior is incorrect. For this reason, it is important that you wear the special bra and avoid straining the chest muscles.

The risk of capsular fibrosis (hardening of the implant) occurs very rarely with the implants we use today. The body forms a capsule around the implant during the wound healing process. The fixing tissue is usually very soft and feels natural. In rare cases, this capsule can harden, which can deform the implant. Capsular contracture can be treated well, but only with another operation.

Other risks associated with any surgical procedure are inflammation, thrombosis, numbness or bleeding. We will explain all possible complications to you in detail before the operation.

After breast surgery, you will need to wear a support bra day and night for around six weeks. For the first 10-14 days you should rest and avoid any exertion. During this time, we also advise you to avoid nicotine and alcohol. After 2 weeks, you can return to your daily activities, but refrain from heavy chest exertion (exercise, heavy lifting), hopping or jumping, and prolonged overhead work with your arms. Please avoid lying on your stomach during this time. After removing the patches, we recommend applying cream and massaging the scars daily for follow-up treatment - if necessary with special scar care products that you can obtain from us.

There is no serious, officially approved and, above all, effective method for breast augmentation without surgery, even if many women want this for fear of scars after breast augmentation. Filling up the breast, for example by injecting hyaluronic acid or other so-called fillers, including macrolane breast augmentation, has the decisive disadvantage that the effect wears off very quickly and the treatment may have to be repeated every one to two years. Breast augmentation with hyaluronic acid is currently not permitted in Germany.

Breast augmentation by injection of saline solution only has a very short-term effect and carries the risk of severe pain and downright sagging of the breast. The procedure is therefore not officially offered and carried out in Germany - it is extremely dubious.

The cost of a breast augmentation in our practice in Berlin is usually between 6.000 and 6.800 euros. We offer favorable financing on request.

If there are no complications, the implants we use can remain for life. An earlier implant change after 10 years is usually no longer necessary.

Breast implants are not harmful to babies, nor do they entail any other limitations. Most women can breastfeed without restriction after breast augmentation. Experience reports show that only about 1 to 3 percent of patients complain about problems. These mainly occur when the nipple does not show the same sensitivity after the operation. In principle, however, we advise that you wait until after the birth and the end of the breastfeeding phase before doing the breast augmentation if you are planning a pregnancy.


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last updated on 15.02.2024