Gynecomastia
Adjustment of the breast volume to the individual body proportions
Breast Augmentation Frankfurt
Natural breast augmentation with implants or own fat – at Dr. Nichlos
For many women, beautifully shaped breasts are an important part of their femininity and play a major role in their self-esteem. If they feel they are too small, are bothered by an asymmetrical shape or simply do not meet their expectations, their satisfaction and self-esteem suffer. Women often no longer feel comfortable in their own skin and hide their cleavage.
With breast augmentation, modern plastic and aesthetic surgery offers the possibility of adapting the size and shape of the natural breasts to individual wishes. The aim is for you to feel comfortable and feminine in your body and to be able to wear your favorite clothes to your heart’s content.
However, breast augmentation – whether with implants or autologous fat – requires a great deal of expertise to ensure that your breasts blend harmoniously into your silhouette. You are in the best hands with Dr. Nichlos. The experienced plastic surgeon regularly performs the operation and will be happy to advise you on the options for augmentation in your case without obligation.
What is breast augmentation?
In breast surgery, breast augmentation is primarily used to increase breast volume in the case of breasts that are perceived as too small or sagging, as well as to even out breasts of different sizes. However, it can also be used to remodel the shape of the breasts and give the patient a new body image with a more feminine silhouette.
Advantages of breast augmentation in Frankfurt
Table of contents
Breast augmentation:
At a glance
Financing
Breast Augmentation Specialist in Frankfurt
Dr. Emmanouil Nichlos has specialized in breast augmentation for over 17 years and has extensive experience in aesthetic breast surgery.
With a keen sense of proportion and natural forms, Dr. Nichlos achieves aesthetic and harmonious results. During the recovery phase, patients who have recently undergone surgery receive personalized care, and Dr. Nichlos is available at any time, even around the clock, if needed.
What methods are available for breast augmentation in Frankfurt?
We use two proven methods in plastic surgery for breast augmentation: Implants and autologous fat. Both methods have their specific advantages. Which method is most suitable for you depends, among other things, on the degree of augmentation you require.
- Breast augmentation with implants
With this method, we insert silicone implants (usually under the pectoral muscle). Depending on which breast shape or size you want, we can use different implants. In addition to the round implant, more and more patients are requesting teardrop-shaped implants, as these provide a very natural and feminine breast shape.
The use of implants is particularly suitable for women with small breasts who want significantly more breast volume and/or a defined breast shape. We can also use this method to fulfill the desire for larger breasts if you have a very slim figure with little autologous fat.
- Procedure for breast augmentation with implants
Breast augmentation with silicone implants takes about 1-2 hours and is performed by us at the Berger Klinik exclusively under general anesthesia. Before inducing the anaesthetic, Dr. Nichlos will first mark out the areas for the operation. As soon as you are asleep, the actual operation begins. The specialist will first make the incisions to insert the implants into your breast. There are different approaches and types of incision: the incision is most frequently made in the underbust crease. The advantage of this is that the incision is barely visible later on. For implants with a smaller volume, an incision can also be made at the edge of the nipple. A third alternative is an incision in the armpit.
Regardless of the type of incision, a pocket is formed in the breast tissue during breast surgery into which the implants are inserted. These can be placed either under or over the pectoral muscle. Placement under the pectoral muscle has the advantage that the implants are less palpable later on and allows for a more natural shape. Placement above the muscle is associated with a shorter healing time, but is only possible if there is sufficient breast tissue.
Dr. Nichlos then inserts the implants under sterile conditions and checks their exact position and symmetry. Finally, he closes the wound with self-dissolving sutures and applies a bandage and compression bra.
- Breast augmentation with autologous fat (lipofilling)
Alternatively, the volume can be increased using the body’s own fatty tissue. This is taken from the abdomen, hips or thighs, for example, processed and then injected specifically into the breast. The enlarged breast looks and feels natural. A practical side effect: the removal of fatty tissue from another area automatically optimizes this area as well.
Lipofilling is suitable for women who want a small volume adjustment and reject the use of foreign material in the body.
- Procedure for breast augmentation with autologous fat
Breast augmentation with autologous fat takes about 1-2 hours – depending on the extent – and is performed on an outpatient or inpatient basis under general anesthesia, depending on the individual case.
After the anaesthetic has been administered, Dr. Nichlos first injects a special tumescent solution into the fat removal area selected for the operation (e.g. abdomen, hips, thighs). It has an anaesthetic effect and at the same time loosens the fat cells so that they can be removed more easily by liposuction. We then process the fat obtained in this way in a special machine until only the pure fat cells remain.
Dr. Nichlos then injects this purified fat into the breast in several layers using very fine cannulas, sculpting it until the desired shape is achieved. Further treatments may need to be carried out after some time to achieve the optimum volume. The great advantage of this type of breast augmentation is that it does not require large incisions; small puncture sites are usually sufficient. After the procedure, you will be given compression garments, which you should wear consistently for the following weeks.
What are the reasons for breast augmentation?
There are many different reasons for wanting a breast augmentation. By far the most common is that women simply feel their breasts are too small and therefore want fuller, more feminine breasts that provide a voluptuous cleavage and make aids such as push-up bras superfluous.
Sometimes, however, sagging or drooping breasts as a result of severe weight loss or pregnancy can also be the impetus to take a closer look at breast augmentation and/or a breast lift.
Other reasons are asymmetries of the two breasts, which can often be compensated for with breast augmentation. Breast augmentation is also an option after breast surgery (e.g. tumor removal) to compensate for the loss of volume and give the breast back its feminine shape.
Breast augmentation Frankfurt: What happens before the operation?
Before your breast augmentation, you will come to our practice in Frankfurt for a thorough examination, where you will have a detailed consultation with Dr. Nichlos in a relaxed atmosphere.
The specialist in plastic and aesthetic surgery will want to know why you have decided to have a breast augmentation and what you hope to gain from the operation. You will discuss the extent of your breast augmentation and whether the use of implants or autologous fat is the most suitable method for you. Dr. Nichlos can also show you before and after pictures of breast augmentations that have already been carried out.
Depending on which option you choose, the breast surgery procedure will change, which Dr. Nichlos will of course explain to you as well as the possible risks and complications and what you should pay attention to before and after the breast surgery.
Of course, you will also want to know what the costs of breast augmentation will be. As a rule, it is not possible to give you a fixed price. However, we will provide you with a customized quote in which you will find a clear list of all costs.
Procedure for breast augmentation with implants
Breast augmentation with silicone implants takes about 1-2 hours and is performed by us at the Berger Klinik exclusively under general anesthesia. Before inducing the anaesthetic, Dr. Nichlos will first mark out the areas for the operation. As soon as you are asleep, the actual operation begins. The specialist will first make the incisions to insert the implants into your breast. There are different approaches and types of incision: the incision is most commonly made in the underbust crease. The advantage of this is that the incision is barely visible later on. For implants with a smaller volume, an incision can also be made at the edge of the nipple. A third alternative is an incision in the armpit.
Regardless of the type of incision, a pocket is formed in the breast tissue during breast surgery into which the implants are inserted. These can be placed either under or over the pectoral muscle. Placement under the pectoral muscle has the advantage that the implants are less palpable later on and allows for a more natural shape. Placement above the muscle is associated with a shorter healing time, but is only possible if there is sufficient breast tissue.
Dr. Nichlos then inserts the implants under sterile conditions and checks their exact position and symmetry. Finally, he closes the wound with self-dissolving sutures and applies a bandage and compression bra.
What happens after breast augmentation?
In the first few days after your operation, you may experience slight swelling, bruising, tightness and pain in the area of your breast. However, this is completely normal in the first few days and usually subsides within 1-3 weeks.
It is important that you wear a compression bra or support bra after the insertion of implants and that you wear compression garments at the donor sites as continuously as possible after the insertion of autologous fat. The purpose of the compression garment is to support the healing process and help stabilize the results of the operation. Initially, please sleep on your back and do not exert any pressure on the breast.
Make sure that you do not lift or carry anything heavy for the first 6 weeks and refrain from physical exertion (including sport). Be sure to attend the regular follow-up appointments at our practice in Frankfurt am Main.
What are the risks and complications of breast augmentation?
Every surgical procedure involves certain risks, and this also applies to breast augmentation – both with autologous fat and with traditional silicone implants. However, breast surgery is a very frequently performed routine procedure and complications only occur in very rare cases due to the fact that the surgical area is limited to the skin, tissue and muscles. However, they can never be completely ruled out.
The general risks and complications during and after breast augmentation include the usual risk of anesthesia, post-operative bleeding, wound healing disorders and infections. Injuries to individual nerves or the pectoral muscle are also possible, but very rare. However, these risks can be minimized if the procedure is carried out professionally by an experienced specialist such as Dr Nichlos and the strictest hygiene guidelines are adhered to.
One of the long-term risks of breast surgery with implants is capsular fibrosis. This causes the tissue around the implant to harden. The reason for this is that the body perceives the implant as a foreign body and tries to isolate it with a solid capsule. In the worst case scenario, the implants need to be replaced. However, the risk of developing capsular fibrosis is very low thanks to the use of modern implants.
Other very rare complications of breast augmentation can include
- The breast implant slips downwards (also known as bottoming out). This causes the breast volume to shift downwards and the nipple to move upwards. This can occur, among other things, if the recovery period after the operation is not consistently adhered to.
- Breast Implant Illness (BIL for short), which can cause various symptoms in the body of silicone implant wearers, ranging from chronic fatigue (fatigue syndrome) to hormonal problems, skin irritation or palpitations, depending on the individual case.
- Breast implant associated anaplastic large cell lymphoma (BIA-ALCL for short), a very rare form of non-Hodgkin’s lymphoma associated with silicone and saline implants. BIA-ALCL affects only about 1 in 50,000 women.
In rare cases, breast augmentation with autologous fat can also lead to hardening and lumps. It is also possible that the inserted fatty tissue heals irregularly, which means that the volume is no longer uniform.
Breast Augmentation Costs in Frankfurt
How much does breast augmentation cost?
Many patients want to know the costs associated with breast augmentation before undergoing treatment. Since each procedure is planned individually, the exact price may vary depending on the method and the patient’s initial condition.
At our practice in Frankfurt, the cost of a breast augmentation typically starts at:
- Breast augmentation with autologous fat: starting at €5,500
- Breast augmentation with implants: starting at €7,500
The exact costs depend, among other things, on the chosen method, the extent of the surgery, and your individual circumstances. Following a personal consultation, Dr. Nichlos will create a personalized treatment and cost plan that transparently lists all services.
What is included in the price?
The total cost of breast augmentation consists of several components. These typically include:
- detailed consultation (€100 – fully credited toward subsequent treatment)
- individual treatment plan
- Surgery fee
- Any necessary implants or materials
- Follow-up care and check-up appointments
In addition, breast augmentation involves anesthesia costs and clinic fees, as the procedure is performed under general anesthesia in a specialized clinic.
For breast augmentation with implants, a compression bra is also part of the post-operative care. An overnight stay at the clinic can be arranged additionally, depending on your individual recovery or personal preference.
Can breast augmentation be financed?
To help you plan your desired treatment flexibly, you have the option to finance your breast augmentation conveniently in monthly installments.
Financing is provided by an experienced financing partner and can be individually tailored to your financial situation. This means you do not have to cover the costs all at once, but can pay for the treatment in monthly installments.
We would be happy to inform you about the requirements and the financing process during a consultation.
Frequently asked questions
about breast augmentation:
- What methods of breast augmentation are available?
Two established procedures are available for breast augmentation: the use of silicone implants and autologous fat transplantation (lipofilling). While implants provide significantly more volume, treatment with the patient’s own fat ensures a particularly natural look and feel. Both procedures are regularly performed by Dr. Nichlos in Frankfurt.
- Who is breast augmentation suitable for?
Breast augmentation is suitable for women who feel their breasts are too small, who suffer from a loss of volume after pregnancy or weight loss or who want a more harmonious shape. Asymmetrical breasts can also be balanced out with the right method. Which technique is suitable depends on body type, tissue and the desired result.
- What is the difference between implants and autologous fat?
With implants, volume is created using dimensionally stable silicone cushions – ideal if a significant enlargement or specific shape is desired. With lipofilling, fat is removed from the abdomen, hips or thighs, processed and injected into the breast. This method is particularly suitable for moderate augmentation and offers a natural tactile sensation – without any foreign bodies.
- How many cup sizes can a breast be enlarged with autologous fat?
Experience has shown that breast augmentation by half a cup to a whole cup size is realistic when using autologous fat. More is only possible with repeated autologous fat treatments or in combination with the use of implants. Dr. Nichlos will be happy to advise you on this in a personal consultation.
Find out more about the right cup size
I explain what really matters when choosing a breast size in the blog article “Which cup size suits me?“. Find out more now. - How does breast augmentation with implants work?
The procedure takes about 1 to 1.5 hours and is performed under general anesthesia at the Berger Klinik. The implant is inserted above or below the pectoral muscle through a small incision (e.g. in the underbust crease). The breast is then sutured, bandaged and a compression bra is applied. In most cases, the patient can leave the clinic on the same day – an overnight stay is only required if necessary.
- Can I see before and after pictures of a breast augmentation?
❌ According to the Therapeutic Products Advertising Act (HWG), the public presentation of before-and-after images for aesthetic plastic surgery procedures such as breast augmentation is not permitted.
✅ During a personal consultation, you have the opportunity to view anonymized image documentation from previous treatments. This will give you a realistic impression of possible results and give you a better idea of the process. You are also welcome to bring your own sample images with you to discuss your ideas with us and tailor the planning to your individual wishes.
- How long does breast augmentation last?
Modern implants are long-lasting and do not need to be replaced routinely if the procedure is free of complications. Breast augmentation with autologous fat also offers long-lasting results – around 60-80% of the injected fat remains for the long term. How long the result remains visible also depends on age, skin elasticity and lifestyle.
- Is breast augmentation painful?
Thanks to general anesthesia, the operation itself is painless. In the days following the operation, you may experience a feeling of tension or slight tenderness – especially if the implant is placed under the pectoral muscle. This discomfort can be easily treated with painkillers. Most patients are fit for social life again the following day.
- Are there different types of implants?
Yes, with breast augmentation you have the choice between the classic round and the newer teardrop-shaped breast implants. The latter are designed to give the breasts a particularly natural look thanks to their anatomically correct shape. However, body proportions should be taken into account when deciding for or against one of the implants.
- Do breast implants have to be replaced after a certain time?
No, with modern silicone gel implants, such as those we use in our practice, replacement is generally no longer necessary. It used to be said that breast implants lasted around 10 to 15 years and should then be replaced. However, this no longer applies to today’s breast implants. As long as there are no complaints, they can last a lifetime. Nevertheless, it makes sense to have them checked regularly.
- Will there be visible scars after the procedure?
The incision is usually made in such a way that scars remain as inconspicuous as possible – e.g. in the underbust crease. The stitches dissolve by themselves. With good care, the scars fade over time. With the autologous fat method, there are only tiny puncture marks, which usually heal completely.
- How does the breast feel after breast augmentation?
Your breasts will hardly feel any different after an augmentation than before. Especially not if we use your own fat. Since in this case no foreign body in the form of an implant is inserted into the breasts, they continue to feel very soft and natural. If implants are to be inserted, Dr. Nichlos uses special surgical techniques to position them in such a way that they are neither visible nor palpable. Only in the case of naturally very slim women with implants that are large in relation to the mammary gland tissue can they be felt in rare cases.
- Can I still breastfeed after breast augmentation?
Yes, in most cases breastfeeding is still possible after breast augmentation. Implants are placed behind the mammary gland or the pectoral muscle and do not usually affect the ability to breastfeed. Breast function is also preserved after augmentation with autologous fat.
- What are the risks of breast augmentation?
As with any surgical procedure, there are also risks associated with breast augmentation, e.g. wound healing disorders, bruising or infections. In rare cases, capsular fibrosis can occur with implants. Uneven volume distribution or hardening is possible with the autologous fat procedure. Dr. Nichlos will inform you in detail about all possible risks during your consultation.
- How long does it take to heal after a breast augmentation?
You should avoid physical exertion for at least 4 to 6 weeks after the operation. You may experience swelling, tightness or slight pain in the first few days. It is important to wear the compression bra consistently for a period of six weeks. Follow-up appointments and lymphatic drainage if necessary support the healing process.
About the Author
Dr. Emmanouil Nichlos, MD, is a board-certified specialist in plastic and aesthetic surgery in Frankfurt and has specialized in breast augmentation and other aesthetic procedures involving the breasts for over 17 years.
The content of this page has been personally reviewed by him and is in line with current medical knowledge and the professional standards of plastic and aesthetic surgery.
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Are you unhappy with your breast size or shape and would like to make a change? During a consultation in our practice, Dr. Nichlos will be happy to show you the options for breast augmentation in Frankfurt without obligation. Simply submit your request for an initial consultation online using our form.