Breast augmentation in Berlin
Your way to a beautiful décolleté

Breast augmentation: information at a glance

duration of the surgeryapprox. 1 hour, surgery under general anesthesia
anesthesiageneral anesthetic
hospital stayoutpatient or 1 night
Post op6 weeks postoperative compression bra
socially acceptableafter 1-2 weeks
Costsfrom 7.500 € outpatient + anesthesia costs, from 8.500 € inpatient

There is no such thing as the perfect breast – it is as individual as each woman herself. Some want a subtle enlargement to achieve a more natural silhouette, while others prefer more volume and fullness.

  • Women with little breast tissue often strive for a feminine shape with more cleavage
  • After pregnancy or weight loss, many patients wish to have their previous, firmer breasts back.
  • Some women choose to undergo breast augmentation for aesthetic or age-related reasons.

Important: Breast augmentation is from 18 years possible, but should only be done once body growth is complete.

Why breast enlargement by a plastic surgeon?

Not every breast surgery is the same. Choosing an experienced plastic surgeon is crucial for a harmonious and long-term satisfactory result.

  • Individual analysis: Every breast is unique – asymmetries or tissue differences require tailor-made techniques.
  • Expertise & Experience: Detailed knowledge of muscles, blood vessels and nerves is essential for a safe and aesthetic result.
  • State-of-the-art surgical techniques: Combination of different methods for optimal placement and durability of the implants.

Our specialist, Dr. Juliane Bodo and wife Dr. Sarah Stannek We will advise you comprehensively about the various options for breast enlargement and help you make the best decision.

Procedure for breast augmentation with implants at the Plastethics Clinic Berlin

Breast augmentation with silicone implants is the most commonly performed method for aesthetic breast shape correction worldwide. Implants can not only enlarge small breasts, but also balance asymmetries and harmonize the breast shape. Dr. Bodo has been successfully performing breast enlargements for almost 20 years. Over the years, she has optimized proven surgical methods to offer each patient an individual solution.

implant placement & incision

  • In most cases, the implants under the muscle placed.
  • The muscle tissue is lifted to allow the implant to be inserted gently.
  • The skin incision is mainly made in the under-breast fold, as this approach is considered to be particularly gentle on the tissue and the glandular tissue remains largely untouched

Detailed analysis and personal advice on site in Berlin

During your first consultation, we take enough time for a detailed analysis and simulation:

  • Biodynamics system: Try different trial implants in a bra.
  • 3D simulation: See your possible final result before surgery.
  • Exact measurement of the breast & planning of the surgical technique.

Duration of consultation: approx. 60 minutes – no obligation to treat.

It is important to us to answer all your questions. And above all, that you are happy with your decision. You can ask all your questions about breast augmentation and get detailed information without having to sign a treatment agreement. Depending on your wishes, we can also advise you on alternatives to breast augmentation, such as Breast lift.

What results are possible with breast surgery?

Modern breast implants are particularly soft, safe and durable. They were developed specifically for young, athletic women and offer a natural feel that is hardly distinguishable from your own breast tissue.

Natural shape & harmonious volume

  • The implants compensate for missing volume without changing the natural shape of the breast – comparable to breast enlargement using the patient’s own fat.
  • Thanks to the special material properties, they do not have to be placed completely under the muscle.
  • About 2/3 of the implant is covered by pectoral muscle fibers, allowing it to adjust naturally over time.

Gentle surgical technique for less discomfort

  • The pectoral muscle is only lifted to gently insert the implant.
  • By the minimally invasive procedure With a scar-free skin incision, there are hardly any postoperative complaints.
  • Early physical resilience is possible – ideal for women who are physically active.

stability & minimal scarring

  • The small skin incision protects the natural ligaments of the inframammary fold so that the implant remains stable.
  • A special four-layer suture technique ensures a secure implant position and prevents slipping, even during weight training or running.
  • The reduced tension in the skin incision area minimizes scarring, so that the scar is hardly visible later.

Maintaining the ability to breastfeed & optimized aftercare

  • The mammary gland remains untouched, thus preserving the ability to breastfeed.
  • A specially developed aftercare concept ensures that the scar is barely visible after healing.

What implants are used for breast augmentation?

The choice of implant influences durability, comfort and aesthetics. We only use high-quality brand implants with a manufacturer's guarantee, including:

  • Polytech, Allergan, Sebbin & Motiva – highest quality & safety.
  • B-Lite implants – 30% lighter for better comfort, ideal for larger implants.
  • Anatomical (teardrop-shaped) or round implants for individual results.
  • Innovative implants with nanotexturing or micropolyurethane foam reduce the risk of capsular fibrosis according to recent studies.

implant shapes

There are runde and teardrop-shaped (Anatomical) breast implants in various diameters and projections – low, moderate, high, or extra high profile. The teardrop shape also comes in round, transverse, and longitudinal oval shapes. There are over 200 different implants to choose from. Therefore, choosing the right implants is the key to your "dream breasts."

If you desire beautiful, large, and full breasts with a great cleavage, round implants are the best choice. If you want your desired breasts to look "as natural as possible," teardrop-shaped or anatomical implants are a better choice. Accurate breast measurements and the desired breast shape are important for selecting the right implant.

Regardless of which implant shape you choose, the "original breast" is always the deciding factor. A detailed consultation and discussion about your wishes and expectations are essential for achieving a result that meets your expectations.

Alternative to silicone implants: breast augmentation with autologous fat

Find here an Breast augmentation by Lipofilling is performed in conjunction with liposuction. With the help of our liposuction procedure, your fat cells remain "alive" and quickly bond with their new environment. This makes the breast feel especially natural With a single treatment under local anesthesia, the breast can be enlarged by up to one cup size Compared to conventional implant surgery, patients recover much faster from breast augmentation with their own fat. A potential disadvantage, however, is that the body may break down the fat over time and the procedure would have to be repeated.

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 around an hour. If 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 check-ups. The operation can of course also be performed on an outpatient basis. Depending on how the operation goes, you can be discharged home around 3 hours after the operation accompanied by a trusted person. However, as every patient reacts differently to the anesthesia, we recommend staying one night in our comfortable private clinic for aftercare. There is good food and an extensive TV & video program. The team looks after you around the clock and when you are sleeping, the night nurse watches over your well-being. If you experience unexpected pain or discomfort, we are there immediately. Who has a service like that at home?

Yes, despite the scar-free surgical technique, a scar always remains after breast correction when we insert an implant. This is usually only a few centimeters long, depending on the size of the implant, and is positioned on the breast in such a way that it is barely 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 enlargements using saline injections only have a very short-term effect and carry the risk of severe pain and a real sagging of the breast. The procedure is therefore not officially offered or carried out in Germany.

from 7.500,00€ outpatient plus anesthesia costs, from 8.500,00€ inpatient

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.

Authorized by dr Julian Bodo

last updated on 23.05.2025

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