Augmentation Mammoplasty in Bonn

Yes. Boob job is the everyday name for breast augmentation. At City Medical Centre it is done with round or anatomical implants that the surgeon chooses with you at the consultation.

Breast enlargement adds volume with implants. A breast lift (mastopexy) raises sagging breasts and removes excess skin. Which one suits you is decided at the free consultation.

Mammoplasty is an umbrella for several procedures: augmentation (increasing volume with implants), reduction (taking away excess tissue and skin), mastopexy (lifting sagging breasts), reconstruction (after mastectomy) and asymmetry correction. Your wishes and the surgeon's advice determine the best individual method.

Message us — our coordinator will get back to you shortly and book your consultation. The plastic surgeon consultation is free.

With every recommendation followed, complications seldom occur, though they can include hematoma or seroma, wound infection, reduced or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

Mammoplasty gives a lasting result: around 10–15 years after augmentation (up to implant replacement) and 5–10 years after a lift or reduction. How long it holds depends on weight, pregnancy, skin aging and gravity. To keep the result, wear supportive underwear and keep your weight under control.

Breastfeeding after mammoplasty depends on the procedure. Augmentation through an under-breast or armpit incision with a submuscular implant usually keeps lactation intact, since glandular tissue is not damaged. With a lift or reduction the risk is higher, because ducts may be cut. Be sure to discuss this with your surgeon in advance.

Several things guide implant choice: material (silicone looks most natural, saline is used less often), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon selects the best match for your anatomy and wishes.

Because the operation is done under general anaesthesia, the patient feels no pain. The first 1–3 days may bring moderate discomfort, eased with painkillers. By day 5–7 the pain is much milder, and by weeks 2–3 the discomfort disappears. Let your doctor know immediately if pain is severe.

You may go back to work (with no physical exertion) after 7–14 days, take light walks after 1–2 weeks, and do fitness and swimming after 4–6 weeks. Strength training is allowed after 3 months, pool and sea after 4–6 weeks. Compression garments stay on for 4–6 weeks. Timing depends on your recovery.

No scientific evidence shows that mammoplasty raises the risk of breast cancer, and implants do not cause cancer. After surgery, continue regular screening with self-exams, mammography and ultrasound, and always tell the examining doctor that you have implants.

Mammoplasty is possible after a C-section once your body has completely recovered. Leave at least 6–12 months after childbirth and after breastfeeding has ended. Surgery requires a prior consultation and check-up by the surgeon.

Mammoplasty always leaves scars, though with a skilled surgeon they are minimal. The incisions are hidden under the breast, around the areola or in the armpit. Scars are reddish in the early months but fade within 6–12 months and become almost invisible.

It is normal to have slight asymmetry in the first weeks after surgery, because of swelling and uneven healing. If a difference in size or shape persists after 3–6 months, book an examination with your surgeon to find the cause.

Nipple and breast sensitivity can change temporarily after mammoplasty, either decreasing or increasing. It happens because nerve endings are irritated. Sensitivity usually returns within 3–12 months. If there is still no improvement after a year, consult your surgeon.

Hormonal drugs (contraceptives, hormone replacement therapy) do not affect implants directly, but may cause swelling or changes in breast tissue volume, temporarily affecting appearance. Be sure to tell your surgeon about such medications before surgery.