Breast Augmentation

Breasts that are perceived as unsightly burden many women permanently and mostly subliminally. Some people avoid going to thermal baths and beach vacations entirely, while others conceal their blemishes every day, and for many, their sex life suffers as a result. Whether breasts are too small or underdeveloped, sagging, asymmetrical or tubular, there are many reasons why women decide to have breast augmentation;

Breast Implant

Breasts that are too small

Naturally small breasts are partly genetic, but hormonal imbalances can also be the cause. Underdeveloped breasts can result if too few female sex hormones (estrogen and progesterone) get into the breast cells. Micromastia can also appear after pregnancy or breastfeeding, during menopause or after significant weight loss (e.g., bulimia, anorexia). A breast augmentation not only gives you a female shape that suits you, but also brings back your self-confident charisma. A lifetime commitment Let us advise you in our practice without obligation.

Sagging breast 

During the natural aging process, the skin and connective tissue lose elasticity, and the glandular body decreases in size. The result is a sagging breast. Sagging breasts can also be observed after pregnancy or breastfeeding. Affected women often feel an enormous psychological burden because they no longer recognize themselves and no longer feel feminine. A sensitive topic that Dr. Hillisch treated particularly sensitively. He will be happy to advise you on your options in a non-binding consultation. In some cases, a breast lift is ideal; in others, it is combined with breast augmentation with implants or autologous fat.

Asymmetrical breasts (breast asymmetry)

Some women find their breasts too small, some too big and still others complain about unevenly sized breasts. A slight asymmetry is perfectly normal, but if there is a difference in size of about one cup, then there is breast asymmetry. This can either be congenital, caused by genetic disorders (e.g. Poland Syndrome) or occur after treatment for breast cancer. Many women with unequally sized breasts have particular difficulties in finding suitable underwear and clothing and are extremely ashamed of showing themselves naked in the swimming pool, in the sauna – or in front of their partner. Whether breast lift, breast augmentation or breast reduction.

Tubular breasts (tubular breast deformity)

Not only the size or the volume, but also the shape of the breast is decisive for the female aesthetic. A “tube breast” or so-called “snout breast” occurs when the lower part of the breast has too little tissue and the nipples point clearly downwards. This “freak of nature” often occurs in the womb and becomes apparent at the onset of puberty. Sometimes breast asymmetry occurs at the same time, which puts even more psychological strain on the women affected.

Breast augmentation with implants

Breast augmentation with high-quality implants is one of the most effective ways to permanently get beautiful, well-formed breasts. We only use the highest quality implants made of silicone—for example, from “Mentor”—which adapt harmoniously to your body. Access is either in the lower area of ​​the areola or in the fold of the breast. There is a barely visible scar.

Depending on your physique and skin texture, there are different shapes that give your silhouette more femininity. You can use a sample pillow to decide which shape and size is right for you.

Drop-shaped implants: for natural curves and an even décolleté

Round implants: for a “push-up” effect and a striking décolleté

Placement of the implants: Not only the shape, but also the placement of the implants influences the result.

Under the muscle (submuscular):

  • For very slim women with small breasts.
  • Natural result, even with round implants.
  • Slightly more painful than other positions.

Under the mammary gland (subglandular):

  • For women with a little more of their own breasts.
  • Natural result with a teardrop shape.
  • Less painful.

You will find out which implants and which surgical technique suit you and your body after an individual examination in a personal consultation!

Before Surgery

  • Stop smoking 14 days before the procedure.
  • No painkillers or blood-thinning medication (e.g. aspirin) for 1 week before the operation.
  • No eating or drinking up to 6 hours before the operation.

Recommended: mammography or ultrasound examination to detect any tissue changes prior to surgery; health examination at the family doctor for patients over the age of 35

After Surgery

  • Special compression underwear for 10 days, sports bra for 2-3 months day and night.
  • Scar care with suitable ointments to support the scar maturation.
  • Able to work after 3-5 days. Sport is possible after 4-6 weeks.

What happens after breast augmentation?

Each breast augmentation is based on your individual needs. These include, for example, the shape of the implant, the size of the implant, and the placement of the implant.

When the implant is placed under the pectoral muscle, part of the muscle is incised. Therefore, you may feel pain for 2-3 days. Of course, you will be given a painkiller. After the third day, the tension pains subside significantly. It is necessary to wear a special bra for 2-3 months and a chest strap for 10 days for the result to be perfect.

Is the ability to breastfeed retained after an operation?

Both the ability to breastfeed and the sensitivity of the breast are usually retained; cancer screening tests are also not significantly impaired.

When can I work and do sports again?

Away from heavy physical work and sports activities for 4-6 weeks. Normal exercise is possible again after a few days. You are even able to work again after approx. 3–5 days.

Do breast implants have to be “changed” after 10 years?

Breast implants usually last a lifetime. However, it depends on when the first breast surgery took place and the quality of the implant. If the operation was done at a young age, another operation at a later date is likely. Due to the change in shape as the body changes with age, however, the implant will also have to be exchanged for another breast correction. A rare capsular fibrosis or an extremely rare slight tearing of the implant could be the cause of the change. With regular check-ups, you can identify such complications at an early stage.


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