Breast Enlargement Surgery in Frankfurt am Main

The term mammoplasty covers several operations: augmentation (implants to increase volume), reduction (excess tissue and skin removed), mastopexy (a lift for sagging), reconstruction (after mastectomy) and correction of asymmetry. Which method is best is decided individually, from your wishes and the surgeon's advice.

Following all recommendations makes complications rare. Still, they may involve hematoma or seroma, infection of the wound, decreased or increased nipple sensitivity, capsular contracture, aesthetic asymmetry, wound separation and tissue necrosis.

The results of mammoplasty are long-lasting: roughly 10–15 years after augmentation (until the implants are replaced) and 5–10 years after a lift or reduction. Weight, pregnancy, skin aging and gravity all influence how long they last. Wearing supportive underwear and managing your weight help maintain the result.

Whether breastfeeding remains possible after mammoplasty depends on the type of operation. With augmentation via an under-breast or armpit incision and the implant beneath the muscle, lactation is usually preserved, as the glandular tissue is spared. After a lift or reduction the risk is higher because ducts may be cut. Talk it through with your surgeon beforehand.

Implant selection considers material (silicone gives the most natural look; saline is less common), shape (round or anatomical teardrop), surface (smooth or textured), size and profile. The surgeon picks the best fit for your anatomy and wishes.

The operation is done under general anesthesia, so the patient feels nothing. Over the first 1–3 days moderate discomfort may occur and is eased with painkillers. By day 5–7 pain drops noticeably, and by weeks 2–3 the discomfort has gone. If the pain is severe, let your doctor know at once.

You can get back to work (no physical exertion) in 7–14 days. Light walks in 1–2 weeks. Fitness and swimming in 4–6 weeks, strength training in 3 months. Pool and sea in 4–6 weeks. Keep wearing compression garments for 4–6 weeks. The precise timing depends on your own recovery.

There is no scientific evidence that mammoplasty increases breast cancer risk. Implants do not cause cancer. After surgery, keep up regular screening — self-exams, mammography and ultrasound. Always tell the examining doctor about your implants.

It is possible to have mammoplasty after a C-section, provided the body has recovered fully. Wait no less than 6–12 months after birth and after finishing breastfeeding. A surgeon's consultation and examination are needed before the operation.

Scarring is part of mammoplasty, but with an experienced surgeon it stays minimal. Incisions are hidden under the breast, around the areola or in the armpit. During the first months scars appear reddish; within 6–12 months they lighten and become almost invisible.

Mild asymmetry in the first weeks after surgery is normal and results from swelling and uneven healing. If a difference in shape or size remains after 3–6 months, see your surgeon for an examination to identify the cause.

A temporary decrease or increase in nipple and breast sensitivity is possible after mammoplasty, caused by irritated nerve endings. Most of the time sensitivity returns within 3–12 months. If it has not improved after one year, see 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.