Breast enlargement in Hamburg
- Breast enlargement with Motiva implants
- Breast enlargement with autologous fat
- Treatment with Mia Femtech
- Personalized advice tailored to your needs.
Breast enlargement at Hanseaticum
Breast enlargement is the most popular plastic surgery procedure worldwide. Every year, around 1.5 million women undergo breast enlargement surgery. The procedure is also one of the most common procedures performed by Dr. Cornelius Grüber and Dr. Sonja Tomschik, plastic and aesthetic surgeons at HANSEATICUM Hamburg. With the highest level of expertise, years of experience, and safe and sophisticated technologies, our surgeons achieve the best results. Many of the procedures performed by our specialists are also reconstructive surgeries following breast cancer to correct and rebuild the breast.
About two-thirds of patients opt for breast implants, while one-third prefer moderate breast augmentation with their own fat - and the trend is rising. If you are planning breast augmentation surgery, you are in the best hands with the doctors at HANSEATICUM. Before the planned procedure, the surgeons will explain the options and methods of breast augmentation to you in a personal consultation, because every woman has her own idea of the ideal size and shape of her breasts.
Exclusively at HANSEATICUM in Hamburg: Even before the operation, you can get an accurate picture of the before and after effect: a 3D simulator creates a three-dimensional image of the female breast with the desired change, providing an important decision-making aid.
Breast enlargement: methods & costs
At HANSEATICUM Hamburg, we offer a variety of breast enlargement methods to meet the individual needs and aesthetic goals of our patients. The techniques available include breast enlargement with state-of-the-art implants such as Motiva® implants and B-Lite. Another method is breast augmentation with autologous fat, popular with patients who want a subtle enlargement without foreign material. For minimal scarring, we use the minimal scar technique for excellent results.
As one of the first clinics in Germany, we have also recently added the innovative and particularly gentle method of breast harmonization with Mia® Femtech implants to our portfolio.
These methods differ not only in terms of surgical technique and aesthetic results, but also in terms of associated costs. For example, breast augmentation with silicone implants costs from €7,450 including VAT according to GOÄ. The cost of breast augmentation with autologous fat is around €6,800 including VAT according to GOÄ.
Health insurance companies only cover the costs of breast enlargement surgery if there is a medical necessity. A corresponding indication for breast augmentation with implants is only given in exceptional cases, e.g., for plastic reconstruction of a breast after surgery for cancer treatment, for breast aplasia (congenital absence of the breast), or for transgender patients (e.g., for male-to-female breast conversion).
Breast enlargement with implants
Breast enlargement with implants at HANSEATICUM Hamburg combines the highest medical standards with the wishes of our patients to achieve natural-looking aesthetic results. Our experienced specialists use only FDA-approved (American Food and Drug Administration) or CE-certified breast implants of the latest generation. These are filled with a high-quality, thick silicone gel and have a double-walled shell that can be either smooth or textured. Thanks to the memory effect, the implants always return to their original shape and offer outstanding durability and safety.
The implants are available in various shapes—round or teardrop—and can be adapted to the individual needs and anatomical conditions of the patient. The choice of implant and its positioning, whether above or below the chest muscle, depends on many factors. These include the patient's body structure, lifestyle, and aesthetic preferences. As a rule, access for implant insertion is gained via an inconspicuous incision in the crease under the breast, which minimizes the risk of visible scarring.
The operation takes about 1 to 1.5 hours and can be performed under general anesthesia. Although the procedure can often be performed on an outpatient basis, we usually recommend an overnight stay for optimal monitoring and aftercare. After the operation, it is necessary to wear a special compression bra to support the new shape of the breasts and promote healing. Sports activities should be paused for about six weeks to ensure the best possible result.
Breast augmentation with Motiva® implants
HANSEATICUM in Hamburg is one of the first clinics in Germany to be authorized to use Motiva® Ergonomix2® breast implants. This generation of implants differs from conventional breast implants in several ways: The filling moves with every movement and allows the implants to look natural whether lying down or standing up. Although they are round in shape, they behave like anatomical implants.
The surface is finely structured instead of classically textured. In current studies, highly textured implants are suspected of promoting certain complications. The smoother surface of Motiva implants is designed to minimize this risk. A patented barrier layer also gives the implants a bluish sheen, making even the smallest damage to the shell visible.
The multi-layered structure also makes the implants extremely flexible. “This makes it possible to insert the implants through incisions of only 2.5 to 3.5 centimeters, which leave correspondingly less noticeable scars,” says Dr. Cornelius Grüber. The minimal scar technique requires special expertise, which our specialists have thanks to their many years of experience.
Motiva implants also offer a comprehensive warranty program and are the first implants to feature a readable microchip for patient safety. You can find out more about technology, safety, and warranty here: Breast augmentation with Motiva® implants.
B-Lite implants: An easier alternative?
Breast enlargements have been number one on the popularity scale for cosmetic surgery for years. In the future, it could be even easier for women to decide to have them: new ultra-light breast implants weigh about a third less than conventional implants.
The B-Lite implants were developed in Israel and are now manufactured by Polytech in Germany. “Logically, there are no long-term studies yet, and the CE-certified B-Lite implants are not yet available for operations covered by health insurance. However, their technical data are convincing, and our experience with products from this manufacturer has been consistently positive,” says Dr. Cornelius Grüber.
While the shell of the new breast implants is made of the same proven material as brand-name implants, the filling consists of a specially prepared silicone gel containing microscopic hollow spheres. Thanks to these microspheres, which are so securely fixed that they cannot migrate, B-Lite implants have the desired volume but weigh much less—a 300-milliliter implant that previously weighed approximately 300 grams now weighs just under 220 grams with the new technology. The technology is based on findings from NASA space research on the production of materials that are lightweight but otherwise have the same properties.
BREAST ENLARGEMENT WITH AUTOLOGOUS FAT
Breast enlargement with autologous fat, also known as lipofilling, offers a natural and gentle alternative to traditional silicone implants. This method is ideal for women who want moderate breast enlargement or to correct minor asymmetries. The body's own fat, usually from areas with excess fat deposits such as the abdomen, hips, or thighs, is removed and injected into the breast. This process does not require large incisions, only small punctures that are placed so that they are barely visible after healing.
The procedure can be performed under twilight sedation or general anesthesia, depending on the patient's preferences and health situation. After removal, the fat is prepared and evenly injected into the breast using special cannulas. The distribution of the fat is carefully planned to ensure a harmonious and natural appearance. Since fat cells are very sensitive, it is important that no pressure is exerted on the breast after the operation and that it is protected from the cold to ensure the survival of the transplanted cells.
Approximately 70 to 80 percent of the transplanted fat cells survive permanently, resulting in a long-lasting enlargement effect. An additional advantage of this method is that the breasts behave naturally after weight gain and can grow along with it. Although the size of breast enlargement with autologous fat is limited to half to one cup size per session, further treatments can be performed to achieve the desired volume.
Breast enlargement with implants or autologous fat?
The majority of women still opt for breast enlargement with implants, but breast enlargement with autologous fat is definitely gaining popularity. “Lipotransfer for breast augmentation is ideal for women who want a subtle, particularly natural-looking result or want to correct asymmetry,” says Dr. Sonja Tomschik, who also successfully uses autologous fat for reconstructive surgery after breast cancer.
The body's own filling material is removed from excess fat deposits on the abdomen, hips, or thighs using liposuction and injected directly into the breast, where it mostly grows in permanently. Since only small punctures are necessary for the cannulas, no scars remain.
Breast harmonization with Mia Femtech
Breast harmonization with Mia Femtech is a revolutionary method in aesthetic surgery that aims to improve the natural shape and symmetry of the breast. Compared to conventional breast surgery, Mia Femtech offers a customized solution based on precise measurements and analyses. The implants are developed taking into account the natural characteristics of the body, resulting in a harmonious and aesthetically pleasing appearance. The use of biocompatible materials also ensures a high degree of safety and tolerability.
The procedure itself is minimally invasive, resulting in faster recovery and lower risks. Patients report a natural feel and improved body image after treatment. Mia Femtech is setting new standards in breast surgery and offering women an innovative and gentle way to enhance their natural beauty.
PLANNING BREAST ENLARGEMENT WITH 3D SIMULATION
Unsure about the difference between 300 ml and 400 ml? Want natural results? Wondering what you might look like after the procedure? Want to look like a particular celebrity? At HANSEATICUM in Hamburg, patients can now get an accurate picture of the possible changes: A 3D simulator creates a three-dimensional image of the patient's upper body from three images. This allows the current condition to be compared with the result after a possible procedure. The potential surgical result is shown from the front and from both sides. In the future, the simulation can help patients decide for or against breast augmentation.
Breast enlargement with minimal scar technique
“Minimal scar” means “minimal scarring.” In plastic surgery, the use of scar reduction techniques has been common for years, for example in breast reductions or mastopexies (breast lifts). With the development of new implants and advanced surgical instruments, it is now possible to perform breast augmentation using the minimal scar technique. This approach allows for an incision in the breast fold that is only 2.5 to 3 cm long, about half the length of traditional breast augmentation methods. In addition to the visual improvements, the HANSEATICUM team focuses particularly on safety aspects:
- The essential structures of the breast connective tissue remain intact and are preserved, which increases stability in the underbust area and prevents the implants from sinking.
- The risk of surgery is significantly reduced.
- Less tissue trauma leads to faster and less painful wound healing.
About HANSEATICUM
HANSEATICUM is your clinic for plastic and aesthetic surgery in the heart of Hamburg. You can find us at two locations: Martinistraße 64 and Jürgen-Töpfer-Straße 46. With the expertise of our experienced specialists in plastic and aesthetic surgery, the modern equipment in our practice, and our central location, HANSEATICUM has positioned itself as a real hotspot for plastic and aesthetic surgery.
At HANSEATICUM, we are proud to have a team of highly qualified surgeons with more than a decade of experience. Our plastic surgeons, Dr. Grüber and Dr. Tomschik, are renowned specialists in plastic and aesthetic surgery, members of numerous professional associations, and have excellent networks in interdisciplinary fields. They are determined to stay up to date and therefore regularly attend conferences and training courses. This ensures that they are always informed about the latest technological developments and safety standards.
At HANSEATICUM, we offer the entire spectrum of aesthetic surgery, including reconstructive surgery after tumors and accidents - and all voluntary aesthetic operations on the face and body. Our specialists also demonstrate a keen sense of proportion when it comes to breast surgery, genital corrections, and gender reassignment surgery for transgender patients.
In the field of minimally invasive procedures, we offer autologous fat injections, eyebrow lifts, chemical peels, and vampire lifts. Treatments with Botox (botulinum toxin) and hyaluronic acid are standard. Our surgeons exclusively offer the BodyTite and Fractora methods, which gently use radio frequency to tighten the face and body.
Patient opinions
"I found the perfect doctor in Dr. Grüber. After pregnancy and breastfeeding, I was left with a small 75A cup size. Dr. Grüber listened to my wishes, ideas, and fears. My dream was to have a full D cup again. The surgery went smoothly and I received excellent care at the clinic. The pain was bearable and subsided quickly. I was completely satisfied with everything. I am very happy to have taken this step, especially with such an experienced and competent doctor. Thank you for giving me a new lease on life."
Luise K., 46Stade – November 2019
Undergoing cosmetic surgery is a big step for anyone. From the very beginning, I was able to confide my fears, concerns, and worries to Dr. Grüber and his team, so I decided to have breast augmentation surgery in January 2022. The question of the right implant was also addressed professionally and in detail. The choice quickly fell on the new Motiva Ergonomix 2 (380) implants. I am overjoyed to have made this choice. The implants not only look great, they feel great too! It was important to me that my breasts look as natural as possible after the surgery. This expectation was exceeded by far! For me, it's a perfect result!!! Now I proudly wear a 80C instead of a 75A. Many thanks to Dr. Grüber and the warm team at Hanseaticum!!!
Maria M., 29 (name changed)Hamburg, 2022
Breast surgery with B-Lite implants 480 cc: Everything was great!
“I felt very comfortable at the clinic. The surgery went smoothly and I had hardly any pain after the operation. I highly recommend B-Lite implants. I opted for 480 cc and am more than satisfied with the result. My breasts feel soft and natural. The team at HANSEATICUM took excellent care of me.”
Regina L., 36Hamburg – April 2019
After pregnancy and breastfeeding, I started researching breast lifts and breast augmentation. I quickly came across Dr. Grüber. After doing some more research on him, I knew that I only wanted him to perform my surgery. Since I was very unsure, it's not a minor procedure, after all, I sought detailed advice from Dr. Grüber. I felt well advised from the very first minute. During a second consultation, he helped me find the right size and shape of implant for my body. The surgery went perfectly and the aftercare couldn't have been better. I am overjoyed with the result. A huge thank you!"
Saskia M., 38Münster, January 2019
Frequently asked questions
When will my breasts settle after breast enlargement surgery?
After breast enlargement with implants, the breasts will feel tight and firm for several weeks. Gradually, their shape and firmness will change and the implants will settle. It can take up to a year for the final result to be visible. However, if you feel that one breast is not relaxing or is curving downward, causing the nipple to point downward, you should contact your plastic and aesthetic surgeon.
WHICH IMPLANT SIZE IS RIGHT FOR ME?
A few years ago, B was the most requested cup size, but now the trend is more towards a C cup. In practice, women's wishes and ideas vary greatly. While one woman feels comfortable with a natural-looking B-C cup, another dreams of significantly more volume. It is important to have a detailed consultation with your specialist to determine the desired and appropriate size and shape. Your lifestyle should also be taken into account in the decision, as well as your individual physical characteristics, including the width of your back (a larger implant is recommended for a broad back), the amount of fatty tissue present, and the elasticity of your connective tissue.
HOW LONG DO BREAST IMPLANTS LAST?
For a long time, there was a rumor that breast implants had to be replaced every 10 years. This is incorrect, as a study by the US Food and Drug Administration (FDA) has shown. Modern implants cannot leak, have no expiration date, and can therefore last a lifetime, depending on the individual's lifestyle. In some cases, increased capsule formation or changes in the shape of the breast may necessitate replacement.
BREAST ENLARGEMENT ABOVE OR BELOW THE MUSCLE?
Breast enlargements with implants under the muscle have a low risk of developing capsular fibrosis. This involves the formation of a hardened connective tissue-like capsule around the implant, which can be painful and deform the breast - and can only be remedied by replacing the implant. Under the muscle, there are no visible wrinkles or ripples that can occur when moving the arms. The breasts also look more natural and feel softer when the implant is placed under the chest muscle. Disadvantage: The fairly strong muscle limits the size of the implant. And movements of the upper body can cause the implant to shift, making it temporarily visible. However, this mainly applies to women who are very active in sports.
If the implants are placed above the chest muscle during breast augmentation, the volume can be significantly larger. Women with weak connective tissue and a lot of soft tissue provide optimal embedding for the implant – and very beautiful results. This position is also often better for athletic women who want to avoid implant deformation due to muscle contraction. Disadvantage: Deformations tend to be more visible from the outside. However, if there is sufficient soft tissue coverage, any change in the shape of the implant can also be adequately concealed. Implants placed above the muscle, especially very large and shaping implants, are slightly more palpable - however, the viscosity of implants has improved so much in recent years that positioning above the muscle is very popular.
IS MAMMOGRAPHY POSSIBLE WITH BREAST IMPLANTS?
Traditional silicone implants can make mammograms difficult, as the breast tissue near the implant often cannot be compressed sufficiently. However, there are now examination methods that are tailored to implants.
In a conventional mammogram, about 4 percent of the breast tissue cannot be visualized well after breast augmentation with implants, which means that more images of the breast have to be taken during a screening exam. Ultrasound or MRI offer a useful alternative here, with more accurate results.
WHAT ARE THE FIRST DAYS AFTER THE OPERATION LIKE?
A feeling of tension, varying in intensity, during the first few days after the procedure is completely normal. Severe pain is less common. The following can help: a good painkiller and measures to reduce swelling. The scar is covered with a waterproof plaster, which means you can shower again after just one day.
HOW LONG DO I NEED TO TAKE IT EASY AFTER BREAST AUGMENTATION?
Depending on your occupation, you should expect to be unable to work for between 7 and 14 days and avoid physical exertion. The healing process varies in duration. The breast is usually only fully resilient again after six to twelve weeks.
WHAT SHOULD I BE AWARE OF AFTER BREAST ENLARGEMENT SURGERY?
Behaving correctly after the operation makes an immensely important contribution to the healing process and thus has a decisive influence on the outcome!
The most important thing: attend all postoperative appointments at HANSEATICUM for checkups and wound care so that any complications that may arise can be detected and treated at an early stage. Pay attention to whether your breast hardens, changes position, or changes in color or temperature. Pain, secondary bleeding, and sensory disturbances are serious signs that occur very rarely but should be reported to your specialist immediately.
If possible, refrain from smoking and drinking alcohol for two weeks after breast augmentation so as not to interfere with the wound healing process.
Be sure to leave the removal of the bandage and drains to your specialist!
In the first few days, a support bandage prevents the implants from slipping. After that, a special bra is recommended: day and night for 6 weeks, then another 6 weeks at night and during exercise. It is essential that you leave the bra in place. Do not change the individual fit that your doctor has adjusted.
Arm movements are uncomfortable at first. For the first six weeks, do not support your arms, do not make any quick upward stretching movements, do not lift anything heavy - only moderate movements. Scar care with special oil products or silicone plasters is recommended. The surgical scars should be protected from direct sunlight for approximately 6 months.
WHEN CAN I START PLAYING SPORTS AGAIN AFTER THE OPERATION?
This varies greatly from person to person and also depends on the type of sport and the type of breast augmentation. As a rule, it takes at least 6 to 10 weeks, as the healing process is different for every woman. Be sure to talk to your specialist before you start jogging or going to the gym again.
CAN YOU STILL BREASTFEED AFTER BREAST AUGMENTATION?
Our cutting technique does not sever any ducts, so there will be no problems with breastfeeding later on.