Breast Augmentation

What is breast augmentation?

Breast augmentation (mammoplasty) enlarges and shapes the female breast—either with Silicone implants or the body's own Autologous fat (Lipofilling). The procedure takes about 1–2 hours and takes place in our certified operating rooms in Oberursel. The goal is to achieve natural proportions that suit your body.

Which procedure is appropriate depends on the initial findings: the existing breast shape, the thickness of the soft tissue envelope, and how much volume is desired. Implants allow for more precise planning of the size. With lipofilling, fat is harvested from another area and injected into the breast; this requires sufficient fat reserves, and the volume increase per session is limited because only a portion of the transferred tissue takes hold. This procedure differs from a breast lift in its goal: a breast lift focuses on shape and position with sufficient volume, whereas this procedure focuses on the volume itself. Both procedures can be combined. The consultation and preliminary examination take place at our Frankfurt practice on Goetheplatz, and the surgery is performed in Oberursel.

When the mirror no longer shows who you are

Maybe you know the feeling: You’re standing in front of the mirror, and something’s missing. The proportions don’t match how your body feels. After a pregnancy, you’ve lost some volume, or perhaps you’ve always wanted a more feminine silhouette.

„I didn't want to look like anyone else. I just wanted to be the woman I've always been inside – with proportions that suit me.“ – This is how one of our patients describes her feelings before the treatment.

Breast augmentation isn't about conforming to an ideal of beauty. It's about finally feeling at home in your own body—without feeling like you have to hide anything, and without that unfulfilled desire for more femininity.

We’ll guide you along this journey—with experience, tact, and the goal of creating a natural-looking result that suits your personality.

Author picture

Medically reviewed ✓

Written by Dr. med. Zeynep Potente

Board-Certified Specialist in Plastic and Aesthetic Surgery

✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)

EBOPRAS – European Board of Plastic, Reconstructive and Aesthetic Surgery - ebopras.eu

✓ Over 20 years of experience in plastic surgery

✓ Specialization: Breast surgery and breast augmentation

📅 Last updated: August 11, 2026

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✓ Member of the DGPRÄC (German Society of Plastic, Reconstructive, and Aesthetic Surgeons)

✓ Our own certified operating rooms in Frankfurt and Oberursel

Benefits of Breast Augmentation

Harmonious Proportions – The top complements your body shape

More Self-Confidence – Finally feeling comfortable in your clothes and in your own body

Natural result – Not exaggerated size, but appropriate proportions

Long-lasting – Implants last for many years; autologous fat is permanent

Correcting Asymmetries – Breasts of different sizes are made to match

Postpartum Recovery – Lost volume is restored

Various Methods – Implants or autologous fat, depending on your preference

Can be combined – With skin tightening, if there is excess skin

Who is a good candidate for breast augmentation?

If you'd like more volume
Your breasts are naturally small, and you don't feel comfortable with them. After pregnancies and breastfeeding, your breasts have lost volume and appear saggy. Or perhaps you’ve always dreamed of having more feminine curves. Breast augmentation can help you achieve the proportions that make you feel confident and attractive.

If you want to correct asymmetries
One breast is significantly smaller than the other—a situation that affects many women. Such asymmetries can be harmoniously corrected through breast augmentation on one side or to varying degrees. The result: two breasts that match each other and boost your self-confidence.

When is a medical evaluation advisable?
If you have pre-existing conditions such as diabetes, blood clotting disorders, or autoimmune diseases, a thorough preoperative evaluation is important. If you have a family history of breast cancer, we recommend a mammogram or ultrasound examination before surgery. Women who smoke should abstain from nicotine for at least 4 weeks before and after surgery. We work closely with experienced specialists to ensure your safety.

Implants vs. Autologous Fat—Which Is Right for You?

Aspect Breast Augmentation with Implants Breast Augmentation with Autologous Fat
Volume Growth Cup sizes 1–3 available Half to one full cup size
Duration of surgery 1–2 hours 2–3 hours
Material Silicone implants (certified) Body fat tissue
Anesthesia General anesthesia General Anesthesia or Twilight Sleep
Hospital Stay 1–2 nights 1 night or outpatient
Recovery time 2–3 weeks 1–2 weeks
Shelf Life 10–20 years (not for life) Permanent (approx. 70% take permanently)
Scars 3–5 cm (under-bust fold, armpit, or nipple) Only small punctures (3–5 mm)
Requirement None in particular Sufficient body fat reserves
Special Features Larger volumes are possible and can be planned with precision 100% natural, no foreign substances
Costs starting at 5.500 € 5.500 €

How does the treatment work?

Personal Consultation – Your Journey Starts Here

We take the time to listen to you. During an in-depth consultation, we'll discuss your goals, analyze your breast shape, and create a personalized treatment plan.

What we'll discuss:

  • Your personal goals and expectations
  • What size is realistic and right for you
  • Implants or autologous fat—which method is better?
  • For implants: shape (round or anatomical), size, surface texture
  • Incision site (under the breast, armpit, or nipple)
  • Implant placement (above or below the muscle, dual-plane)
  • Medical History and Pre-existing Conditions
  • Anesthesia Options (General Anesthesia)
  • Realistic results based on photos and sample implants
  • Costs and Financing Options

The Surgery – With Precision and Delicacy

Breast Augmentation with Implants:
After administering general anesthesia, we make an incision—depending on the consultation, in the inframammary fold (the most common method), in the armpit, or at the edge of the nipple. We create a pocket for the implant, either above the pectoral muscle (subglandular), below the pectoral muscle (submuscular), or using the modern dual-plane technique (partially under the muscle). The implant is positioned, and the incision is closed with fine sutures. Once healed, the scars are barely visible.

Breast Augmentation with Autologous Fat:
Under general anesthesia or twilight sedation, we gently harvest fat tissue from suitable areas of the body (abdomen, hips, thighs). The fat is processed and precisely injected into the breast using fine cannulas. We deposit many small fat deposits in different layers to ensure that the fat cells receive an optimal blood supply and can take. About 70% of the injected fat is permanently retained.

Where will the surgery take place?
In our own certified operating rooms in Oberursel (Oberhöchstadter Str. 8). From preoperative preparation through the surgery to the recovery room—everything under one roof.

Our practice at Salzhaus 6 is located in the heart of downtown Frankfurt, a five-minute walk from Konstablerwache and Hauptwache. It is easily accessible by U-Bahn and S-Bahn from all parts of Frankfurt, as well as from Wiesbaden, Mainz, Offenbach, and the entire Rhine-Main region.
For patients from the Hochtaunus district, we also offer our practice in Oberursel.
Consultations and follow-up care can take place at either location. We perform the surgery itself in our certified operating rooms in Oberursel.

Anesthesia – Safe and Comfortable

  • General anesthesia: The standard procedure for breast augmentation with implants

  • Twilight Sleep: Often sufficient for autologous fat treatments


Our specialist in anesthesiology, Dr. med. Livia Köhler, will personally care for you throughout the entire surgery.

Learn more about anesthesia

Aftercare & Recovery – What to Expect

The First 48 Hours: Hospital Stay and Rest
After the surgery, you will stay at our clinic for 1 to 2 nights for observation (autologous fat transfer is often possible on an outpatient basis). A special support bra will be put on immediately after surgery to stabilize the breast. In the first few days, you may experience a feeling of tightness, mild pain, and swelling—this is completely normal. Keep your upper body slightly elevated and avoid sudden movements.

Days 3–7: Mobilization at Home
Starting on the third day, you may shower carefully. You should wear the support bra at all times. Short walks are important, but strenuous activities should be avoided. Do not lift heavy objects (over 5 kg) or make overhead movements. The swelling is at its worst but will subside each day.

Week 2: Suture Removal
The stitches are removed after 7 to 10 days (unless they are dissolvable). Most patients feel increasingly comfortable and can resume light office work. The support bra should continue to be worn day and night.

Weeks 3–6: Return to Normalcy
After 2 to 3 weeks, you will be largely mobile again. Your breasts will still feel firm and sit slightly higher – they will „drop“ into their final position over the coming weeks. The support bra should be worn for a total of 6 weeks. After 4 weeks, you can wear a regular bra again.

Sports, Sun, and Sauna: Take a 6–8-week break
Give your body at least 6 weeks off from exercise that puts strain on the chest (jogging, upper-body strength training). Light walks are possible starting in week 2. You should avoid saunas and swimming pools for 6 weeks. Protect the scars from sunlight for 12 months by using sunscreen with an SPF of 50+ or higher.

The final result after 3–6 months
The full, final results of your breast augmentation will be visible after 3 to 6 months—by then, the implants will have settled into their final position, all swelling will have subsided, the scars will have faded, and you’ll be able to fully enjoy your natural, feminine cleavage.

Potential Risks – We'll Be Open and Honest with You

As with any surgical procedure, there are potential risks associated with breast augmentation. We will discuss these with you in detail:

Common (temporary):

  • Swelling and bruising (1–3 weeks)
  • Tightness and tenderness (several weeks)
  • Temporary numbness in the nipples
  • Asymmetries (often temporary, as swelling subsides)


Rare:

  • Wound-healing disorders (increased risk among smokers)
  • Postoperative bleeding or hematomas
  • Infections
  • Loss or impairment of the ability to breastfeed
  • Seromas (fluid accumulations)


Very rare (especially with implants):

  • Capsular fibrosis (hardening caused by scar tissue around an implant)
  • Implant Rotation or Dislocation (Shifting)
  • Implant Rupture (Tear in the Implant Casing)
  • BIA-ALCL (a very rare form of lymphoma, primarily associated with textured implants)


For autologous fat:

  • Partial reduction of fat cells (about 30% is normal)
  • Oil cysts or hardenings
  • Calcifications (which may be visible on a mammogram)


Our experienced team minimizes these risks through precise surgical techniques, the use of high-quality, certified implants, careful patient selection, and close follow-up care.

Cost of Breast Augmentation

The cost depends on the method chosen, the size and quality of the implant, and any additional services.

Performance Costs starting at
Breast Augmentation with Implants 5.500 €
Breast Augmentation with Autologous Fat 5.500 €
Hybrid Breast Augmentation (Implant + Autologous Fat) 6.500 €
Unilateral enlargement (correction of asymmetry) individual
Implant Replacement starting at 4,500 €
Hospital Stay 500 € per night, not included in the surgery price
General anesthesia 1,000 €, not included in the surgery price
Support Bra approx. 100–150 € (sold separately)

Included in the price

  • Comprehensive Initial Evaluation and Consultation
  • Surgery performed by experienced female specialists
  • High-quality, certified implants (for the implant method)
  • Support Bra
  • Medications and bandages
  • Follow-up examinations
  • Suture Removal


In addition to the price

  • General anesthesia: €1,000
  • Hospital stay: €500 per night


Cash acquisition?

Breast augmentation is generally considered a cosmetic procedure and is not covered by health insurance. Exceptions:

  • Breast Reconstruction Following Cancer Surgery or Mastectomy
  • Pronounced asymmetries accompanied by demonstrable psychological distress
  • Congenital malformations (e.g., tubular breast, Poland syndrome)


In these cases, you can apply to have your costs covered. We will assist you with the necessary documentation.

Alternatives & Combinations

Alternatives to Surgery
Depending on the specific situation, other treatments may also be helpful:

  • Hyaluronic acid fillers: Minimal increase in volume (not permanent; not suitable for large volumes)
  • Push-up bras and pads: Optical magnification without surgery
  • Sports and Muscle Building: Can strengthen the chest muscles (but does not enlarge the breasts themselves)


However, when significant volume is required, there is no alternative to an operational solution.


Useful Combinations
The results can often be improved with complementary treatments:

  • Breast lift: For sagging skin after pregnancy (a combination of lifting and augmentation)
  • Liposuction: On other parts of the body, to use the fat harvested for the breasts
  • Nipple Correction: Nipples that are too large or inverted can be corrected at the same time
  • Abdominoplasty or Liposuction: For harmonious overall proportions (“Mommy Makeover”)
  • Autologous fat for facial rejuvenation: If there is excess autologous fat, it can be used to improve skin quality and for injections into wrinkles


We provide honest, personalized advice—only what truly suits you and meets your needs.

Who is treating you?

Dr. med. Zeynep Potente

Dr. med. Zeynep Potente

Board-Certified Specialist in Plastic and Aesthetic Surgery

Learn more
Dr. med. Bianca Baican

Dr. med. Bianca Baican

Board-Certified Specialist in Plastic and Aesthetic Surgery

Learn more
Dr. med. Livia Köhler

Dr. med. Livia Köhler

Specialist for anesthesia

Learn more
Dr. med. Christina Luther

Dr. med. Christina Luther

Specialist in Surgery and Plastic and Aesthetic Surgery

Learn more

Frequently Asked Questions About Breast Augmentation

How long does recovery take?

You will stay at the clinic for 1–2 nights (often on an outpatient basis if autologous fat is used). Most patients are able to return to work after 2–3 weeks, and exercise is possible after 6 weeks. You will see the final results after 3–6 months.

General anesthesia is typically used for breast augmentation with implants. For procedures using the patient's own fat, twilight sedation may be sufficient. We will discuss with you which type of anesthesia is most appropriate.

The incisions are carefully made in the inframammary fold, the armpit, or at the edge of the nipple. After 6–12 months, the scars are barely visible in most patients. Proper scar care and sun protection support the healing process.

Modern implants last 10 to 20 years or longer. They do not last a lifetime, but they do not need to be replaced routinely as long as no problems arise. Replacement is necessary only in cases of discomfort, capsular fibrosis, or implant damage.

Breast augmentation can affect your ability to breastfeed, especially if the incision is made through the nipple. When the incision is made in the inframammary fold, the milk ducts usually remain intact. However, there is no guarantee. If you haven’t finished planning your family yet, we should take this into account during the planning process.

Modern silicone implants filled with highly cohesive gel feel very natural and are virtually indistinguishable from natural breast tissue to the touch. Choosing the right size and implant placement is crucial. If the implants are too large or there is insufficient natural breast tissue, the implants may be palpable.

Round implants provide more fullness in the upper breast area (cleavage) and are the first choice for most patients. Anatomical (teardrop-shaped) implants mimic the natural shape of the breast but can rotate. We’ll provide you with personalized advice on which shape best suits your preferences and your body type.

The dual-plane technique (partially under the muscle) is now standard: The implant is placed under the muscle in the upper portion and over the muscle in the lower portion. This ensures natural contours and minimizes the risk of capsular contracture. For very athletic women, placement over the muscle may be more appropriate.

If you’d like to increase your cup size by 1–3 sizes and have sufficient fat reserves, both options are possible. Implants provide more volume and can be precisely planned. Autologous fat is 100% natural and leaves virtually no scars, but it requires sufficient body fat and yields moderate results. We’ll advise you based on your wishes and individual circumstances.

From the guidebook

Breast Augmentation

Brustvergrößerung mit Implantat – Schema mit Schnittführungen
Brustvergrößerung mit Eigenfett – Schema mit Injektionspunkten

Details About Breast Augmentation

OP duration: 1–3 hours (depending on the method)

Type of anesthesia: General anesthesia (implants) or twilight sedation (autologous fat)

Hospitalization: 1–2 nights as an inpatient (autologous fat transfer is often performed on an outpatient basis)

Incapacity for work: 2–3 weeks (depending on the job)

Sport: after 6–8 weeks

Socially Acceptable: after 1–2 weeks

Scarring: 3–5 cm (implant) or 3–5 mm incisions (autologous fat)

Shelf life: 10–20 years (implant), permanent (autologous fat)

Final result visible: after 3–6 months

Costs: starting at €5,500 (autologous fat), starting at €5,500 (implant)

Acquisition of a pharmacy: Only when medically indicated

Follow-up care included: Yes, all follow-up appointments

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