Your breast augmentation in Sindelfingen

Breast augmentation with silicone implants is still the gold standard. There is a reason for this, because high-quality, shape-stable implants offer you an immediate and, above all, reliable method of achieving your desired breast volume and shape.
Alternatively, I can also offer you the option of changing volume and shape by means of autologous fat transfer (lipofilling) or a combination of both techniques.
This is then referred to as hybrid breast augmentation, which can achieve particularly soft and natural transitions.
The fat cells are usually harvested from the lower abdominal region or the outer thigh region by liposuction and then gently processed for transplantation using a special procedure. With gentle movements, the fat is then injected multidimensionally via a cannula in front of and behind the mammary gland tissue, taking care to distribute the fat cells as evenly as possible so that they can connect to the blood vessels and thus to nutrients. As the fat cells are very fragile before they heal in, it is understandable that an arbitrarily large quantity of fat cells cannot be injected in one session, because the sensitive cells can only tolerate a little pressure or mechanical stress. This also explains why, even with great experience and the gentlest handling of tissue, a certain proportion of the fat cells injected into the breast never heals in, and why several sessions are often required to achieve a certain volume or a shape adjustment with a symmetrical result. Once the fat has healed in, however, you benefit from all the advantages of your own tissue, which is very similar to natural breast tissue, follows your personal weight fluctuations and ages with you.

Which procedure is possible and, above all, sensible for you can be answered during your consultation and physical examination. You should of course have a certain amount of fat pads. Regular nicotine consumption, on the other hand, is difficult to reconcile with autologous fat transfer, regardless of where it is injected. A precise analysis of the conditions that you bring as a patient is therefore required. If these are favorable, autologous fat treatment can be a suitable alternative or complement to the silicone implant, especially if a moderate breast augmentation (about one cup size) is desired, if asymmetries need to be evened out or for minor shape corrections.
I have many years of experience in autologous fat treatment for both reconstructive and aesthetic purposes and have already given several scientific lectures on the limits and possibilities of lipotransfer.

Numerous surgical techniques have been described, for example regarding the access through which a silicone implant is inserted, where the implant is positioned (in front of or behind the muscle) and whether round or teardrop-shaped (anatomical) implants make sense. There are numerous aspects to consider here. Of course, it is important that your surgeon uses a technique that he masters safely, ideally several. But there is certainly no single implant or technique that is the solution for all requirements, and the credo “the result is what counts” is not enough either. Your aesthetic ideas and wishes and your individual requirements in everyday life or during sports are the priority. My responsibility as a specialist is to compare these with the conditions you bring as a patient and check their feasibility, so that I can give you realistic expectations.

I still come across major differences when it comes to handling tissue as gently as possible, using special surgical instruments, for example to reduce the risk of bleeding, and strictly adhering to hygiene standards during surgery. These aspects have a considerable impact not only on your safety and the risk of possible complications (e.g. capsular contracture) but also on the durability of the surgical result.
In many cases, the use of drains is just as unnecessary as wearing special compression bras. Although this must be weighed up in each individual case and depending on the type and position of the implant, it cannot be generally recommended. Not infrequently, this leads to further problems such as unnecessary pain, bleeding or general restrictions. These and many other factors largely determine how quickly you can move around in everyday life again without impairment, go about your daily activities, whether you have little or severe pain after breast augmentation and how quickly you can return to work.

For me, modern breast surgery means

No drains, gentle surgical technique, little pain, quick recovery with few restrictions, natural and stable results

With regard to the surgical access route, it can be said in advance that the inframammary fold has become established worldwide as the safest access for inserting silicone implants, even though, as always, each procedure has advantages and disadvantages, which I will of course be happy to explain to you. With normal wound healing, the fear of wide, long scars is unfounded, and modern surgical techniques always aim to be scar-sparing anyway. Many colleagues advertise particularly short skin incisions or terms such as “minimally invasive”, but do not explain how much strain is placed on the tissue, for example when inserting the implants, or how much control the surgeon loses in the surgical area, which can ultimately lead to unsightly scars and irreparable internal tissue damage. So always remain alert to such statements and ask critical questions, because different implants sometimes require access routes of different sizes. Experience shows, however, that with good planning the resulting scar can be placed almost exactly in the inframammary fold and, with consistent scar care and massage and protection from UV exposure during the scar maturation period of up to twelve months, it heals very inconspicuously in most cases.

With regard to implant position, depending on the initial situation, there are various aspects such as tissue thickness, the shape of the chest or the breast itself that must be taken into account to ensure the most natural and optimal treatment result possible, and that ultimately speak for or against a position in front of or behind the large pectoral muscle or for a particular type of implant. I will explain all these and other important aspects to you in detail and give you an individual concept tailored to you that on the one hand comes closest to your wishes and on the other hand always keeps your health and safety and the goal of the most harmonious result possible in focus.

All reputable and well-known implant manufacturers now use leak-proof and shape-stable (cohesive) silicone gel as the filling substance and usually give a lifetime guarantee on the implants. They also meet the necessary safety standards with certifications as medical devices, such as CE marking and various DIN standards. Unfortunately, the use of such implants is still not a matter of course, which continues to lead to major problems to this day. In your own interest, do not be tempted by low treatment costs and go into a consultation prepared and critical.

Out of medical responsibility towards you as a patient, but also as a specialist in plastic and aesthetic surgery and a member of national and international professional associations, I feel obliged to offer only implants from well-known, internationally leading manufacturers without exception. For years, I have used exclusively implants from POLYTECH, a German company that is subject to the strictest safety controls and offers particularly high product quality and the widest range of breast implants. This guarantees you the greatest possible safety with regard to implant quality and builds further trust thanks to transparent information from the manufacturer about the place of production and the production chain.

Thanks to my long experience in breast augmentation, I can not only offer you all common types of implants but also have particular expertise in the use of PU (polyurethane)-coated implants and the very light B-Lite implants. Although these innovative implants are not the solution for every need, they have outstanding properties, which I will be happy to explain to you in a personal consultation and compare with conventional smooth and textured surfaces. You therefore benefit from the entire portfolio of options and have the choice. There are few aesthetic plastic surgeons in Germany with corresponding experience with polyurethane-coated implants or B-Lite implants.

The personal consultation is followed by a detailed analysis with physical examination and measurements, taking into account your physique and your proportions. I will draw your attention to various important aspects that must be considered, for example, when choosing a suitable implant with regard to your desired volume or shape. This also includes trying on trial implants (sizers), which, unlike the highly praised 3D simulations, allow you to get a realistic picture of the expected breast volume in front of the mirror – with or without your partner. Thanks to this precise analysis, many possible doubts and uncertainties can be dispelled in advance. This detailed consultation concept not only benefits your safety but also builds trust in terms of realistic expectations of a treatment result. The decision is ultimately yours, and I will be happy to guide you to it. If I ever advise you against a particular type of implant or implant volume, there is a reason for it. The most important thing is that you feel in good hands and can trust me, because it is about your body and your health.

Planning and performing breast augmentation is not enough on its own. After the operation, I will support you for 1 year. During this aftercare period, you may and should always contact me with all your questions, including by phone, even outside the agreed and regular follow-up appointments. Think of me as a reliable partner and companion who, like you, is interested in an optimal result and will therefore give you all the recommendations and tips along the way. This also means that I depend on your cooperation in following these recommendations. This includes, for example, what you should avoid in the first days, weeks and months and what you can do without any problems. You will find a lot of information on this website, and I will also give you a corresponding document after the operation.