Breast augmentation with implants

Round breast implants are uniformly circular, providing even fullness throughout the breast. Anatomical implants, on the other hand, have a natural teardrop shape that closely mimics the contour of a natural breast. While round implants tend to create more pronounced curves, anatomical implants deliver a subtler, more natural look. The choice between the two depends on the patient’s aesthetic goals and individual anatomy.

Pressure sensitivity is normal for a few days after surgery, as the implants are placed beneath the pectoral muscle. Pain is typically most intense two to four days post-operation. Depending on individual pain tolerance, pain medication is usually no longer needed after about a week. To prevent the implants from shifting, a supportive bra and, in some cases, a compression belt are applied. These must be worn continuously for four to six weeks and can be somewhat uncomfortable.

The results are immediately visible, although the breasts will initially be firm and swollen. Over the following weeks, they will soften and take on a more natural appearance. Scars may take 6–12 months to fully heal and become barely noticeable.

Physical rest depends on the extent of the procedure and the individual’s constitution. A two-week break is generally recommended to regain strength. During this time, short walks are highly encouraged to maintain circulation and reduce the risk of thrombosis. It is especially important, following breast augmentation with implants, to avoid any activities that require raising the arms above 90° (e.g., washing your hair).

Exercise and sauna use should be avoided for approximately 6–8 weeks. Swimming in the sea is generally safe after 10–14 days, while chlorinated pools should be avoided for about a month. Longer walks are fine after one to two weeks. Please note that excessive sweating on the wound, such as during sauna sessions or intense exercise, can potentially impair the healing process.

You should also avoid tanning beds and sunbathing for approximately six weeks. UV exposure can negatively impact the scar, making it significantly more noticeable.

It is important not to take blood-thinning painkillers (e.g., Aspirin®) if you experience pain. Instead, take medications containing ibuprofen (up to 600 mg twice daily), which provide both pain relief and anti-swelling effects. Additionally, we recommend Traumeel S or bromelain tablets. You can also apply cold packs to the chest and sleep with your upper body elevated.

Many people believe that implants must be replaced after 10 years. This is not true. As long as you experience no issues and annual check-ups show no complications, there is no need to replace the implants.

For most women, breastfeeding with implants is not an issue, as the implant is usually placed under the pectoral muscle, which preserves the milk ducts. If you have any concerns about whether your ability to breastfeed could be affected, please raise them during your consultation.

The cost of breast augmentation varies greatly and depends on the type of implants, the surgical technique chosen, the standard of the clinic, and the length of stay. In Germany, the total cost is usually between €5,000 and €9,000 or more. Since this is generally a purely cosmetic procedure, the costs are not covered by statutory or private health insurance. Coverage is only possible in very rare medically indicated cases (e.g., extreme deformities or after breast cancer).