Breast augmen­tation.

The choice depends on three factors. First, how much volume you would like — for a marked enlargement (1–3 cup sizes) implants are suitable, for a gentle enlargement (approx. ½ to a full cup size) fat transfer. Second, whether you would like to avoid foreign material — fat transfer uses your own fat, implants are CE-certified silicone. Third, whether there is enough donor tissue — fat transfer needs fat from the abdomen, hips or thighs. Breastfeeding remains possible after both methods. We decide together in the initial consultation (€100).

With fat transfer, fat is first harvested at a donor site — abdomen, hips or thighs — by gentle micro-liposuction, prepared and re-injected into the breast tissue through small punctures; including the harvest, the procedure takes two to three hours under general anaesthesia. About half to a full cup size can be built up per session; a second session is possible for more volume. No foreign material remains, the scars are minimal and the glandular breast tissue is preserved — the ability to breastfeed usually remains.

With us, breast augmentation with fat transfer starts from €7,900 (net), the variant with implants from €7,200. The specific calculation depends on the volume needed, the donor site, the length of the operation and the inpatient effort involved; clinic fees are shown separately. You receive a written cost estimate in the initial consultation (€100).

Yes, after both methods breastfeeding remains possible in the great majority of cases, because the glandular breast tissue and the milk ducts are preserved when the operation is carried out properly. We choose the incision and the implant position so that functional structures remain unaffected.

In most patients, modern CE-certified silicone implants last a lifetime as a rule; many manufacturers offer lifetime warranties against material defects. A routine exchange is not required; we recommend check-ups every 2–3 years by breast ultrasound or MRI.

Both shapes are established and are chosen individually. Round: a classic look with more upper-pole volume, giving a fuller décolletage line. Anatomical (teardrop-shaped): modelled on the natural breast, giving a softer shape that looks natural. In the initial consultation we fit different sizer bras so that shape and volume can be compared visually.

Three accesses are possible. Submammary: in the inframammary fold — the standard access, with a scar that is barely visible once healed and with precise implant positioning. Periareolar: at the transition from the areola to the breast skin — the scar is well hidden, and a slight effect on sensation is theoretically possible. Axillary: in the armpit fold — no scar on the breast itself, positioning technically more demanding. Which access comes into question we decide in the initial consultation.

Sub-pectoral (beneath the chest muscle) gives a more natural transition, is the standard where breast tissue is slim, and needs a longer recovery time. Sub-glandular (above the muscle, beneath the glandular breast tissue) has a shorter recovery time and suits denser breast tissue — the risk of visible implant edges is higher where the starting breast is very slim. The decision is individual.

Sporting activity is possible again after 6 weeks, step by step. You wear the compression bra for 6 weeks, day and night. Desk work is possible again after 3–7 days; avoid movements above the head and lifting in the first 2 weeks. In the first few days wear tops with a button placket (do not pull a T-shirt over your head).

Implants start from €7,200, fat transfer from €7,900. The specific calculation depends on the implant manufacturer, the length of the operation and the inpatient effort involved. You receive a written cost estimate in the initial consultation (€100). Where the indication is purely aesthetic, breast augmentation is a self-pay service.

For two reasons — one legal, one ethical. First, the German Heilmittelwerbegesetz (§ 11 HWG, the Health Advertising Act) prohibits advertising surgical plastic procedures with before-and-after photographs on publicly accessible websites — a rule in force since 2012 that protects patients from distorted promotional depictions. Second, we respect our patients' privacy: even where written consent exists, many would rather intimate photographs of their body did not circulate on the open web. What you can expect instead: in the personal initial consultation (€100) we show you anonymised examples from our own practice documentation — matched to your indication, your build and your aesthetic goal. Those images are shown with the written consent of the patients concerned, exclusively within the protected setting of the consultation, and are never published online. You get a realistic sense of what to expect without anyone having to give up their privacy for someone else's advertising.

Three objective criteria help you get your bearings. First, the specialist qualification: "Facharzt für Plastische und Ästhetische Chirurgie" is a legally protected German specialist title requiring several years of specialist training — unlike general, unprotected descriptions such as "cosmetic surgeon". Second, membership of a medical professional society such as the DGPRÄC (the German Society of Plastic, Reconstructive and Aesthetic Surgeons), which requires binding professional standards and continuous further training. Third, the quality of the consultation: a reputable practice takes its time, is honest about risks, alternatives and realistically achievable results, and does not push you towards a decision. At Ästhetik am Isartor the medical direction lies with Dr. Fabian Weinschenk, specialist in plastic and aesthetic surgery (Facharzt) and a member of the DGPRÄC. Procedures are carried out personally by the specialist, and every treatment is preceded by a detailed medical informed-consent consultation (chargeable at €100).