Breast augmentation in the Stuttgart region
Rapid recovery technique – “24 hour recovery breast augmentation”
Breast augmentation is one of the most common operations performed at our clinic in Böblingen near Stuttgart.
Many patients choose our clinic in Böblingen near Stuttgart because we specialize in low-bleeding and therefore gentle breast surgery. This means
- without drainage
- with short operation time
- Without compression belt (Stuttgart belt)
- without special bra
- Minor pain
- Faster recovery (rapid recovery)
- Few restrictions in everyday life
- Application of premium implants from Polytech
Is breast augmentation in the Stuttgart region right for you?
If the breasts are perceived as too small, the majority of them are small, firm breasts. There are various successful surgical procedures for enlarging the breasts, but there is no satisfactory enlargement without surgery. Breast augmentation (BV) operations are also known as “breast augmentation” and “breast augmentation”. We would like to provide you with detailed information on our website to help you decide whether this procedure could be right for you. At the bottom of this page, for example, you will find FAQs on breast augmentation and other breast operations at our clinic in Böblingen near Stuttgart. With the book “Herzenswunsch Brustvergrößerung”, the first comprehensive guide on the German market, detailed information has also been available since July 2022. The guide is available in bookstores and many online stores. In addition to a wealth of information, the book also provides an insight into the basis on which your TRAUMKLINIK experts carry out consultations and breast operations.Breast augmentation with implants
at your TRAUMKLINIK in Böblingen near Stuttgart
If you want a more attractive décolleté with a naturally beautiful breast shape, we at the TRAUMKLINIK in Böblingen near Stuttgart recommend breast augmentation with implants. In addition: If the breasts have sagged after weaning, dieting or due to the natural ageing process as a result of a loss of volume (reduction of the glandular body and fatty tissue), the breasts can be lifted with a breast lift in combination with breast augmentation.The size of the implants for breast augmentation near Stuttgart
The size of the implants is determined in consultation with you. Special trial implants (so-called sizers) in various sizes are available for this purpose, whereby it should be borne in mind that each sizer size represents a group of implant sizes and shapes. For example, the 315 ml sizer represents implants of around 300-335 ml with different shapes, diameters and projections. If you decide on a sizer size of 315, for example, you may receive a size 330 silicone implant because this would best match the base of your own breast shape. With our sizers, we therefore only imitate the expected result of the operation approximately.Which cup size should I choose?
When choosing breast implants, your anatomical conditions should be taken into account as well as your desired size. The diameter of your breasts at the base plays a decisive role here, but also the elasticity of the breast and the thickness of the tissue in the underbust fold. In the case of breast augmentation, the size of the silicone implant depends on the height, width and depth (the profile). In the Stuttgart region, breast augmentation from cup size A to B and from B to C can usually be achieved with relatively small breast implants. On the other hand, relatively large breast implants are required for breast augmentation from AA to C, from A to C or from B to D. Intensive consultation is therefore particularly important in these cases. However, you should always bear in mind that the volume of a bra depends on the circumference in the underbust fold, so that a B cup with a circumference of 70 cm, for example, has significantly less volume than a B cup with a circumference of 80 cm. Also, as you probably know, there is no standardization and cup sizes can vary depending on the manufacturer. It is therefore not possible to determine your exact cup size, so the size to be achieved is only an estimate.Selection of breast implants for breast surgery in Böblingen near Stuttgart
Choose your breast implants carefully, because ideally you will spend a lifetime with them. There are numerous renowned manufacturers – at the TRAUMKLINIK we have opted for the manufacturer Polytech for breast augmentations, which also offers B-Lite implants, among others. You can select your silicone implant according to four characteristics:- Size
- Shape (anatomical or round)
- Projection (low, moderate, high or extra-high)
- Surface (polyurethane, textured or smooth)
The shape of the breast implants
A distinction is made between round and anatomically shaped silicone implants when viewed in profile. In the case of round implants, the implant width corresponds to the implant height (basic type: round; at Polytech “Même”). Three different height dimensions are available for the anatomical implants (base type): extended base (implant higher than wide; with Polytech “Optimam”), round base (implant as high as wide; with Polytech “Replicon”) and shortened base (implant flatter than wide; with Polytech “Opticon”).The surface
In our clinic, silicone implants with a smooth and textured surface as well as implants with a polyurethane coating (PU foam) are available for breast augmentation. The surface is so important because it is in contact with your tissue. Here, the surfaces lead to different tissue reactions. In this context, we are often asked what happens when the body rejects the implants. Our answer to this is always the same: your body will always classify the implants as foreign and, as a reaction to the rejection, it will form a very delicate and fine capsule around the implant after the procedure, which you can neither see nor feel. In the case of implants with a smooth surface and those with a textured surface, this capsule forms separately from the implant. The smooth silicone implants do not bond with the capsule, and the textured implants adhere more or less to the capsule from the inside, but can also detach again. In the case of implants with a polyurethane coating, the capsule forms inside the foam. This reduces two risks: capsular fibrosis is less likely to develop and rotation or displacement of the implants to the sides or downwards is extremely rare. They remain in their initial position for months and can only be moved (e.g. pushed) over time.Filling the breast implants
When filling modern breast implants, a distinction is made between an aqueous saline solution and an adhesive (cohesive), rather firm silicone gel. We do not offer breast augmentation with saline-filled implants. Instead, we use implants with a silicone gel filling, as we believe that silicone implants with a saline filling offer more disadvantages than advantages. We will be happy to explain the reasons for this in a personal consultation. In addition to silicone implants with only one firmness of silicone gel, we use a series of breast implants filled with two different gels, the so-called “4Two implants”, for breast augmentation. These are generally firmer than the implants in the “Sublime” series. The choice of implant is ultimately a question of taste.The quality of silicone implants
All the silicone gels we use are cut-resistant and therefore cannot leak. We only use intensively tested brand implants for which the manufacturer offers a lifetime guarantee against material defects in the silicone implants. We therefore do not consider it necessary to change the breast implants if there are no complaints, but this can be done at any time for aesthetic reasons.Access via the underbust fold
The approach via the inframammary fold is our preferred method for inserting breast implants during breast surgery at the TRAUMKLINIK. This approach has several advantages over the other approaches (armpit and areola). Firstly, the scars are barely visible when the implant is inserted via the underbust fold: initially inconspicuous, they fade over time to form very fine lines that are usually concealed by the breast. Secondly, the implant pocket can be prepared most precisely here, which leads to an optimal result. This approach causes little tissue damage, which is why the risk of bleeding is also low. In addition, the risk of infection or capsular fibrosis is lower as the breast implants do not come into contact with bacteria from the armpit or areola. Access via the underbust crease is via a small incision in the natural crease under the breast. This incision creates a space for the implant, which can be placed either under or over the pectoral muscle. The incision is then closed with fine stitches to minimize scarring.Choice of implant position
The breasts themselves consist of glandular tissue and fatty tissue. The large pectoral muscle lies underneath. The glandular tissue can temporarily increase in size during pregnancy and especially when breastfeeding, but then often shrinks to a smaller volume than before pregnancy (involutional atrophy). Adipose tissue, on the other hand, reacts to diet-related weight fluctuations. If these alternate frequently, the breasts unfortunately often shrink over time. The extent to which breastfeeding as well as weight gain and weight loss affect the volume of the breasts therefore depends on the percentage of the breasts made up of the two tissues. During the consultation, you will be informed about the different approaches and the position of the breast implants, which can be placed under the muscle (submuscular) or between the muscle and the mammary gland (subglandular).Breast augmentation over the muscle – epipectoral position
If there is sufficient subcutaneous fatty tissue, it is possible to place the breast implants under the glandular body (subglandular). In this case, the silicone implants lie above the large pectoral muscle (pectoralis major). This placement of the implant is called epipectoral or subglandular. However, as the breast implants are rarely completely covered by the glandular tissue, they lie directly under the subcutaneous fatty tissue in these areas and can be visible and palpable if the fatty tissue is very thin or becomes thinner over time. This can be particularly disturbing in the décolleté, especially if edges are visible and lead to an unnatural, “made” appearance. A loss of fatty tissue can occur due to the pressure of the implant from the inside or due to weight loss. The more of your own fat you have before the procedure, the better: this means that the implants are better covered by the fatty tissue after the procedure. During a personal consultation at our clinic, we will advise you in detail as to whether this method of breast augmentation is suitable for you.Breast augmentation under the muscle – submuscular position
For breast augmentation at our clinic in Böblingen near Stuttgart, there are three possible implant placements under the pectoral muscle (submuscular):- The traditional form in which the pectoral muscle is not cut at the ribs. This placement is very rarely chosen today.
- The total position under the muscle, in which the implant is also covered by muscles in the lateral part. This placement is also rare today.
- The so-called “dual plane” position, which is what is usually meant today when we talk about “under the muscle” (pectoral muscle). In this form, the muscle part that attaches to the ribs at the bottom is separated and the pocket for the silicone implant is then formed under the muscle. The inserted implant is thus covered by the muscle at the top and in the middle (in the décolleté), but only by a skin-fat mantle at the bottom and outside. The silicone implant therefore lies under two different tissues (planes), the muscle tissue and the skin-fat tissue. This is why the term “dual plane” is used.
What speaks in favor of a submuscular position of the breast implants
At our clinic, we generally recommend a submuscular position for breast augmentation implants. The reasons for this are as follows: The extended soft tissue coverage of the breast implants creates a more harmonious shape and the implant is less visible and palpable. It can also be assumed that the result will remain stable for longer, i.e. the breast will sag less quickly than in the position over the muscle. Finally, the capsule that surrounds the muscle adheres to the non-displaceable ribs at the back and thus ensures greater stability.What speaks against a submuscular position of the breast implants?
Special anatomical conditions such as a very accentuated underbust crease with a slightly sagging breast and a short distance from the nipple to the underbust crease can lead to an increased risk of a double-bubble if the muscle has to be cut to position the implant under the muscle. We will decide whether this placement of the implant is unsuitable for your breast augmentation on site at our clinic in Böblingen near Stuttgart.Breast augmentation with autologous fat
at your TRAUMKLINIK in Böblingen near Stuttgart
In addition to breast augmentation with breast implants, which has been established for decades, breast augmentation with “autologous fat” has been performed at our clinic in Böblingen near Stuttgart for several years. In this procedure, fat is obtained from you during liposuction, processed and immediately injected back into the breasts. Quantities of around 200 ml per breast are common. Around 40 percent of the fat inserted is broken down by the body, leaving around 120 ml per side after breast augmentation. At the TRAUMKLINIK, we advise against freezing leftover fat for a second breast augmentation, as very few fat cells are likely to survive. Autologous fat transplantation is therefore ideal for patients who only want a small breast augmentation or who are ready for a second or even third procedure with repeat liposuction. Important: Long-term studies for autologous fat transplantation are still pending, which is why most patients at our clinic in Böblingen near Stuttgart opt for breast augmentation with silicone implants.Consultation for breast surgery in the Stuttgart area
Breast implants can be used to enlarge small breasts and lift sagging breasts. Such a change to the breast is not possible without surgery. Advertisements promising “breast augmentation without surgery” should therefore not be taken seriously. Please note that the result of the procedure depends very much on your initial situation:- What is the position of the nipples (symmetrically wide apart, close together or unequal from the midline or varying in height)?
- How is the available volume distributed (evenly, more at the top, more at the bottom or hanging)?
- How are the skin and connective tissue (tight or lax)?
Case studies
Small, firm breasts before breast augmentation at our clinic in Böblingen near Stuttgart
Sometimes it happens that the breasts on the left and right are not only different sizes, but are also positioned unevenly on the rib cage. They then have different “footprints”, for example when one breast is lower and further out on the ribcage. The areolas and nipples can also be unevenly positioned on the left and right. This can make it look as if the breasts are “looking” in different directions. Unfortunately, these forms of asymmetry cannot be changed by simply enlarging the breasts. If breast augmentation is combined with a breast lift, at least the size and position of the areolas and nipples can be changed. This is particularly useful if the larger breast hangs significantly more than the smaller one, as every augmentation lifts the breasts to a certain extent according to the volume. However, if the firmer, smaller breast were to receive the larger implants and the more sagging, larger breast the smaller ones, the latter would probably still sag after the procedure. This can only be remedied by a lift – either before, at the same time as or after the breast augmentation at our clinic in Böblingen near Stuttgart.Sagging breasts before breast augmentation with lift at our clinic near Stuttgart
If both breasts are very saggy, then a breast lift is necessary on both sides, because even if every breast augmentation at our clinic in Böblingen near Stuttgart lifts the breasts, this is rarely sufficient to avoid a lift. There is often a misconception that all you have to do is increase the size of your breasts and then breast augmentation alone will be sufficient. Unfortunately, this is not true. In addition, asymmetries are often noticed during the examination, as the left and right breast are never the same in terms of shape and size. Breasts are always “siblings”, not “twins”. During a breast augmentation at the TRAUMKLNIK in Böblingen near Stuttgart, we check exactly how obvious the difference is. If there is a significant difference in size, implants of different sizes can be inserted on the left and right. This will equalize the size of the breasts (but never balance them out). If both breasts are firm, the adjustment usually works well to very well. However, if the smaller breast is firm and the larger breast is rather saggy (perhaps even drooping), size equalization will not work optimally. In this case, the firmer breast would receive the larger implants and thus appear even firmer and plumper, whereas the sagging breast would receive the smaller implants and these may not be sufficient to evenly position the breasts. Instead, a unilateral lift (and reduction) of the larger breast may be the most sensible measure.Breast surgery in Böblingen near Stuttgart – possible risks
General risks associated with surgery are post-operative bleeding, infection, healing disorders and unsightly scarring. Special risks associated with breast augmentation are the rotation of the implants and the formation of capsular fibrosis or BIA-ALCL(breast implant-associated anaplastic large cell lymphoma). However, these complications only occur very rarely.Rotation or lowering of the implants
If the pocket for the implant is significantly larger than necessary, rotation of the implant is a not uncommon risk. Of course, this can only have negative effects with anatomical implants (not with round implants). Furthermore, such rotation occurs almost exclusively with textured implants. Subsidence can occur in particular with very heavy implants. In this case, the implant sinks below the planned underbust fold and can lead to double contouring (double bubble) of the breast. This practically only occurs with smooth and textured implants. We have never observed any rotation or sagging in implants with a polyurethane coating after breast augmentation.Capsular fibrosis
Every foreign body in our body forms a delicate sheath, a capsule made of the body’s own connective tissue – including around a breast implant. If this shell becomes thicker than normal due to increased connective tissue formation, this is known as capsular fibrosis or capsular contracture. In this phenomenon, the connective tissue hardens in a spherical shape and deforms the implant palpably and visibly – up to and including a painful deformity. The risk of developing capsular fibrosis depends, among other things, on the choice of implants. The risk is highest in the first year after the procedure. There does not appear to be a clear cause for the formation of capsular fibrosis – it is rather assumed that there are various factors that promote or prevent the formation. For example, breast implants with a rough surface and the implant position under the pectoral muscle are considered to be factors that make capsular fibrosis formation more difficult. A pectoral muscle with a good blood supply could also contribute to a lower capsular contracture rate due to the protection against bacteria and the constant movement of the muscle. Capsular fibrosis is divided into different degrees of severity:- Grade I – size and shape are natural and soft
- Grade II – size and shape are natural and a little firm
- Grade III – Size and shape are abnormal and firm
- Grade IV – size and shape are abnormal, hard and painful to the touch
Breast Implant Illness/BREAST IMPLANT ILLNESS (BII)
The term “breast implant illness” or “BREAST IMPLANT ILLNESS” (BII) is appearing more and more frequently in the media and social networks and is causing uncertainty among many patients who are interested in breast augmentation at our clinic in Böblingen near Stuttgart, particularly due to its viral spread. What is BREAST IMPLANT ILLNESS anyway? First of all, breast implant illness is not recognized as a formal medical diagnosis. Rather, the term BII is used to describe a variety of physical symptoms complained of by patients following augmentation with breast implants. According to the US Food and Drug Administration (FDA), reported symptoms include fatigue, memory impairment, joint and muscle pain, hair loss and weight changes. Other symptoms are being monitored and investigated by the FDA. The symptoms always occurred immediately to several years after breast augmentation. A connection between the filling, shape or surface quality of the breast implants and the occurrence of symptoms has not yet been established. The FDA reports that some women report relief of symptoms after removal of their implants, noting that the cause of the symptoms and the extent to which they may be related to the breast implants is currently unclear. There are also as yet no specific tests and recognized criteria for BREAST IMPLANT ILLNESS. Therefore, research is continuing to better understand possible associations of the symptoms described above with breast implants. Personal information from our team in Böblingen near Stuttgart: If you are considering breast augmentation, you should know that there are patients who complain of the above-mentioned symptoms afterwards without a cause being found. At our clinic, this proportion is in the per mille range with three patients.The breast augmentation procedure at our clinic in Böblingen near Stuttgart
We perform breast augmentation at our clinic in Böblingen near Stuttgart. Professional aftercare is just as much a part of the medical standard here as our gentle surgical approach. Before the breast operation, we will discuss the entire procedure again and clarify any remaining questions. The breast augmentation is performed under general anesthesia and takes about 60 minutes. Further aftercare will then take place in your room. You generally have the choice of leaving us on the day of your breast augmentation or staying with us overnight under the supervision of a registered nurse. Thanks to the gentle breast augmentation with the Rapid Recovery technique, the majority of our patients already feel so fit on the day of the operation that they do not stay overnight with us in Böblingen near Stuttgart.Enlarge breasts without drains
Thanks to our gentle and low-bleeding surgical technique(rapid recovery technique), we have been performing our breast augmentations without drains (suction drains/wound tubes for draining fluids) for years. This also eliminates the painful removal of drains. Our dressings are also small and waterproof. This means you can shower the same day after your procedure. With PU-coated implants, you also do not have to wear a compression belt (“Stuttgart belt”). You also do not need a support bra. However, you will receive a so-called bandeau top from us before you are discharged. This is only used to cover protruding nipples and does not need to be worn. The picture below was taken one day after the operation. The breast appears flattened due to the pressure of the pectoral muscle and the tension of the skin. It is not yet developed! It needs about 4 to 8 weeks to fully develop.
Frequently chosen: outpatient surgery
Because our patients usually have little pain, feel fit and breast augmentation is drainage-free, we also perform the operation under outpatient conditions at our clinic in Böblingen near Stuttgart. As 50 to 70 percent of our patients go home on the same day as their operation, outpatient treatment is almost standard for us. If you would prefer to spend the night at home after your breast augmentation, the TRAUMKLINIK team will endeavor to operate on you as the first or second patient in the morning so that you can leave us in the afternoon or evening after the procedure. Requirements for an outpatient breast augmentation in our clinic near Stuttgart:- You will be collected after the operation.
- The way home is not too long.
- You are not alone overnight.