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Breast augmentation with autologous fat Frankfurt

Breast augmentation with autologous fat (lipofilling) in Frankfurt with Dr. Nichlos - Naturally beautiful breasts with lipofilling

Would you like a fuller décolleté? But you refuse to have breast implants out of conviction or because you have had (repeated) problems with them in the past? Breast augmentation with autologous fat offers a gentle alternative.

Instead of the usual silicone implants, Dr. Nichlos uses excess fatty tissue in a procedure also known as lipofilling. He takes this from areas of the body with sufficient fat reserves (the classic problem areas) to moderately enlarge and sculpt your breasts. The result is very natural – both visually and haptically – and typical discomfort, which can rarely occur with implants, is virtually eliminated.

Dr. Nichlos will be happy to advise you personally on breast augmentation with autologous fat at our practice in Frankfurt am Main. It is best to make an appointment now.

What is breast augmentation with autologous fat?

The principle of lipofilling is quite simple: Dr. Nichlos removes some fatty tissue from an area of your body where you would perhaps like to get rid of it anyway. This donor fat is then carefully prepared (e.g. blood and tissue fluid are removed) and injected into your breast using a special technique. This allows your breasts to be shaped and enlarged by around half to a full cup size. Foreign bodies are not used as in breast augmentation with implants.

Breast augmentation with autologous fat Frankfurt

Advantages of breast augmentation with autologous fat in Frankfurt

Use of the body’s own fatty tissue without implants

Possibility of very natural shape and volume adjustment

Improvement of the body silhouette through simultaneous fat removal in suitable areas

Low risk of intolerance as no foreign material is used

Harmonious change of previously existing volume differences

Breast augmentation with autologous fat:
At a glance

Duration

1 to 1.5 hours

Typ of anesthesia

General anesthesia

Hospitalization

Outpatient, 1 overnight stay if necessary

Aftercare

No drainage, self-dissolving stitches, sports/support bra, compression garment for 4-6 weeks (removal site), lymph drainage, regular check-ups by arrangement

Socially acceptable

The following day

Sport

after 4-6 weeks

Costs

from 5,500 euros plus anesthesia, clinic costs for 1 overnight stay if necessary

Financing
Portrait of Dr. Emmanouil Nichlos, specialist in plastic surgery, Frankfurt
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Is breast augmentation with body fat suitable for everyone?

Unfortunately not. For breast augmentation with autologous fat, sufficient donor fat must be available forliposuction. In this case, the one or other fat pad on the stomach, hips, thighs or arms pays off and is significantly reduced as a positive side effect of the treatment.

If, on the other hand, you are very slim and athletic (this applies to women with a BMI of around 20), your fat reserves are generally too small for an autologous fat graft. In this case, the only option is classic breast augmentation. Furthermore, breast augmentation with autologous fat transfer is only suitable if you are looking for a moderate increase in size or would like to optimize the symmetry of your breasts, for example after pregnancy or weight loss.

What are the advantages and disadvantages of the autologous fat method compared to implants?

With classic breast augmentation and the alternative with autologous fat, we have two very safe plastic surgery procedures at our disposal to increase your breast volume and shape your breasts according to your wishes. However, the two are fundamentally different. This applies to both the operation and the end result. To make your decision easier, we have compared the advantages and disadvantages of the two methods for you here.

Breast augmentation with autologous fat Breast augmentation with silicone implants
Look & feel Very natural. Your breast feels soft and authentic because we have augmented it using only your own body tissue. Also natural with the right implant. However, the implants can sometimes be felt.
Possible increase in volume Limited. Experience has shown that an augmentation of around ½ to 1 cup size is possible with the patient’s own fatty tissue. Very large. It is possible to gain several cup sizes with just one breast operation.
Scars Minimal. After breast surgery, tiny puncture marks – if any – remain from the fat removal and injection. Visible. Surgery with implants results in scars in the underbust crease, areola or armpit.
Durability Permanent. If the fatty tissue has grown into the breast, it remains there, but can of course change as you lose weight. Long-lasting. Modern silicone implants can remain in your body for 15, 20 or more years.
Compatibility Very high. Rejection reactions are practically impossible as it is your body’s own fatty tissue. Good. Today, breast implants are well tolerated, but remain a foreign body (keyword: capsular fibrosis).
Prerequisites You must have sufficient fat deposits from which we can remove the fatty tissue for your breast. None. There just needs to be enough breast tissue to cover the implant.
Additional effects Yes, unwanted fat deposits on the stomach, hips or thighs are reduced by fat removal. None. When enlarging with implants, we concentrate exclusively on your breasts.

The reasons for breast augmentation with autologous fat

Breast augmentation with autologous fat is suitable for women who want a natural shape and volume enhancement but would like to consciously avoid silicone implants. The procedure is particularly suitable for moderate volume requirements, slight asymmetries or a loss of fullness after pregnancy or weight changes. At the same time, unwanted fat deposits in other parts of the body can be reduced so that two areas of the body benefit. As only the body’s own fat is used, the result is very natural and the risk of intolerance is low.

Breast augmentation with autologous fat - Dr. Nichlos in Frankfurt

What happens before breast augmentation with autologous fat?

We lay the perfect foundation for successful lipofilling surgery and a breast according to your wishes during a personal consultation in our practice. As an experienced specialist in plastic and aesthetic surgery, Dr. Nichlos is initially very interested in finding out more about your motivation. What exactly is it about your breasts that makes you think about breast augmentation? Is it the breast size or shape? What result do you hope to achieve with autologous fat injections? More volume or compensation for asymmetries?

Be open and honest during the consultation. Dr. Nichlos will listen to you carefully and, after a physical examination of your breasts and checking for suitable fat deposits, will give you a realistic assessment of whether your ideas can be realized with the autologous fat method. Feel free to discuss your concerns and ask any questions you may have about the operation.

If you decide to have a breast augmentation using autologous fat grafting and have no pre-existing conditions or allergies that would prevent the procedure, Dr. Nichlos will take before photos after the consultation for documentation and later comparison and will inform you about the exact procedure and associated possible risks. He will then draw up an individual treatment plan and arrange a fixed date with you for the autologous fat breast augmentation.

Good to know: To ensure that you know what you are getting into financially, we will of course provide you with a transparent cost breakdown following your consultation.

How does the actual lipofilling of the breast work?

You will come to the Berger Klinik in Frankfurt am Main for the operation. Here, our team will make your stay as pleasant as possible right from the start. After a brief preparation, Dr. Nichlos will mark the areas where he would like to remove fat and where it is to be injected, as discussed with you beforehand. The anesthesiologist present will then induce anesthesia and monitor your circulation and breathing throughout the procedure.

As soon as the anaesthetic has taken effect and you are deeply asleep, Dr. Nichlos begins to remove the fat using fine cannulas. This is then filtered and processed directly in a sterile system. The pure fat cells are then injected milliliter by milliliter into the breast tissue in a fan shape until the desired shape is achieved. Finally, Dr. Nichlos closes the injection sites with plasters or fine sutures. Drains are not necessary.

After the operation, we will dress you in a support bra for your breasts and compression garments for the donor sites. If you feel fit, you can go home afterwards. A stay in hospital is not usually necessary. Allow about 2 to 3 hours for the entire procedure. Bring someone with you to drive you home afterwards or have someone pick you up at the clinic.

What happens after breast augmentation in Frankfurt?

In the first few days after the operation, you should give yourself and your body plenty of rest. Avoid any pressure on the operated breast at all costs and it is best to sleep in an elevated supine position. Continue to wear the compression garments according to our instructions. Immediately after the operation, it is quite normal for your breasts and the donor sites to feel sore and slightly achy. A mild painkiller such as paracetamol will ease this.

For the first 6 weeks after the operation, please do not lift heavy weights, do any sport or engage in any other strenuous physical activity. However, short walks will not do any harm. On the contrary, to avoid complications such as thrombosis, you should take moderate exercise.

In order for the transplanted fat cells to heal well and be supplied with blood and nutrients, you should also avoid the following:

  • Cooling (restricts blood circulation)
  • Smoking (also constricts the blood vessels)
  • Diets (reduce the important supply of nutrients)
  • Pressure (can squeeze vessels and impair the blood supply)

If acute problems arise, you can of course contact us by telephone at any time. Otherwise, we will see you at the agreed check-up appointments at our practice in Frankfurt. We will inform you of the exact dates for the check-ups after your operation.

What are the possible risks of breast augmentation with autologous fat?

Every operation carries certain risks of complications. Breast augmentation with autologous fat is no different, although it is comparatively very low-risk. However, with the surgical techniques available to us today and the experience of a specialist in plastic and aesthetic surgery like Dr. Nichlos, these can be kept to a minimum. In rare cases, side effects can still occur, for example:

  • General anesthetic risks of general anesthesia such as sore throat and nausea, but also more serious complications such as dental damage or circulatory problems
  • Infections, post-operative bleeding, wound healing disorders, bruising and swelling at the injection sites of the breast and/or the collection sites
  • Asymmetry of the breasts due to uneven growth or uneven resorption of the transplanted fatty tissue, which can, however, be easily corrected later on
  • Temporary sensory disturbances in the breasts and the donor sites
  • Oil cysts and fat necroses that are palpable as round, firm lumps

By following our instructions for aftercare, you can help to minimize complications and optimally support the ingrowth of fat cells.

Frequently asked questions (FAQ)
about breast augmentation with autologous fat

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Im nächsten Schritt erfolgt die eigentliche Liposuktion. Dabei wird das Fett gezielt und präzise abgesaugt, um die Körperkonturen zu definieren und harmonische Übergänge zu schaffen. Die Technik und Tiefe werden individuell an Region, Fettverteilung und Hautbeschaffenheit angepasst.

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Plastische Chirurgie Frankfurt - Dr. Emmanouil Nichlos

Why Dr. Nichlos ?

Dr. Emmanouil Nichlos is a specialist in plastic and aesthetic surgery with over 16 years of experience.

  • Specialist in plastic and aesthetic surgery
    Over 16 years of clinical experience in leading clinics
  • Former senior physician and head of a surgical department at Markus Hospital in Frankfurt
  • Since 2025, he has had his own practice for plastic and aesthetic surgery in Frankfurt

All content on this page has been personally reviewed by Dr. Nichlos and complies with current medical standards.

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More about Dr. Nichlos

Breast augmentation with lipofilling in Frankfurt: arrange a consultation with a specialist now!

Are you thinking about breast augmentation but are not yet sure whether a traditional operation with implants or autologous fat is the best solution for you? Dr. Nichlos will listen to your wishes and give you a specialist assessment based on your medical history and anatomical requirements. Make an appointment directly for a non-binding consultation!

Flexible financing of your desired treatment

You have the option of paying your treatment costs conveniently in monthly installments – individually adapted to your financial framework. The application process is straightforward and is handled by our financing partner.

Your advantages at a glance:

  • Flexible monthly installments for medical and cosmetic services
  • Terms of up to 72 months can be selected
  • Financing also possible for smaller amounts
  • Individual desired amount and installment amount freely definable
  • Attractive conditions with an APR of 10.90% and a fixed borrowing rate of 10.39%
  • Submit your application conveniently online or submit the form as a PDF
  • Financing exclusively with participating partners – subject to creditworthiness
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