Breast Augmentation

Breast augmentation with implants or autologous fat: Which method is the right one?

Table of contents
Alejandro Martí, specialist in Plastic and Aesthetic Surgery, BONITAS

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Total: 58 reviews from our Google Business Profile. As of: 22.08.2026.

Isabella Zylka21.05.2026

Eine absolut tolle Praxis! Vom ersten Moment an habe ich mich bestens aufgehoben gefühlt. Der Arzt war nicht nur sehr kompetent, sondern auch unglaublich freundlich, aufmerksam und empathisch. Er hat sich Zeit genommen, alles verständlich erklärt und ist auf meine Anliegen mit viel Verständnis eingegangen. Ein großes Lob auch an die Arzthelferin ! So eine herzliche, liebe und hilfsbereite Person trifft man selten. Ihre freundliche Art hat einem sofort die Nervosität genommen und dafür gesorgt, dass man sich willkommen fühlt. Man merkt einfach, dass hier Menschlichkeit und Patientenwohl an erster Stelle stehen. Vielen Dank für die hervorragende Betreuung ! Ich bin rundum zufrieden und kann die Praxis von Herzen weiterempfehlen!
Vanessa McKasi15.05.2026

Hatte in der Klinik 2 Liposuktionen an den Ober-/Unterschenkeln wegen Lipödem Stadium II/III, bin mit dem Ergebnis mehr als zufrieden und würde es wieder tun. Man hat bei dem Team gemerkt, dass ihnen ein optimales Ergebnis genauso am Herzen liegt wie mir als Patientin und ich habe mich sehr gut aufgehoben gefühlt. Alejandro Marti ist wirklich super lieb und hat sich beide Male selbst übertroffen. Wenn ich mich nochmal operieren müsste, würde ich definitiv wieder zu ihm gehen. 🙂
Gloria Weber12.04.2026

Ich kann diese Praxis jedem wirklich nur ans Herz legen! Man fühlt sich hier von Beginn an einfach wohl und gut aufgehoben. Herr Marti ist sehr kompetent und nimmt sich sehr viel Zeit für seine Patienten. Man kann jederzeit bei Fragen oder Unsicherheiten bei der Praxis anrufen oder auch per WhatsApp schreiben. Sehr hervorzuheben ist auch die liebe Jasmin, sie ist sehr einfühlsam und hilft einem auch jederzeit bei Fragen weiter. Die beiden sind einfach ein eingespieltes Team und ich kann die Praxis wirklich nur von Herzen weiterempfehlen. Ein riesengroßes Dankeschön nochmal!

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Breast augmentation is one of the most popular procedures in plastic and aesthetic surgery. Women decide to change the shape or size of their breasts for various personal or aesthetic reasons. There are two main methods: silicone implants or autologous fat (lipofilling). Both techniques have their advantages – the choice depends on the individual body type and the patient’s expectations.

Methods for breast augmentation

1. Breast augmentation with implants

Breast profile after surgical breast augmentation in Nuremberg

Silicone implants are the most commonly used option today. They consist of cohesive silicone gel that feels natural and retains its shape.

Advantages:

Types of implants:

2. Breast augmentation with autologous fat (lipofilling)

This technique involves removing fat tissue from other areas of the body (e.g. abdomen or thighs), processing it and injecting it into the breasts.

Advantages:

Please note:

Positioning of the implants

Decision support: Implant or autologous fat?

Feature Implants Autologous fat
Volume increase Clearly possible Limited increase
Naturalness High (depending on position) Very high
Scars Small, inconspicuous incisions Minimal, through liposuction
Procedure duration 1–2 hours 2–3 hours
Risks Capsule formation, implant replacement Partial fat resorption possible
Suitable for Significant enlargement desired Moderate enlargement, fat reserves available

Reasons for breast augmentation

The course of the operation

Before the procedure

On the day of the operation

After the operation

Risks and side effects

As with any surgical procedure, certain risks and side effects can occur with breast augmentation. In general, temporary swelling, bruising and a feeling of tension in the chest area are possible after the operation.

When using implants, there is a low risk of complications such as capsular contracture or asymmetries. With lipofilling, part of the transplanted fat can be broken down again by the body, which can lead to an uneven result and may require follow-up treatment. The scars are usually inconspicuous and depend heavily on the incision and individual wound healing.

Youtube video

Frequently Asked Questions (FAQ) about Breast Augmentation

What Options are there for Breast Augmentation?

Two proven methods are available for breast augmentation: implant surgery and fat transfer. High-quality silicone implants are most commonly used, with their shape (round or anatomical) and size being individually customized. Alternatively, if the requirements are met, augmentation with autologous fat is also possible, where the body’s own fatty tissue is transplanted. Both procedures have specific advantages and disadvantages. The ideal method depends on the initial findings, skin quality, and your desired outcome – this will be clarified during a personal consultation.

When is the Worst Day after Breast Surgery?

The second to third day after breast augmentation is generally considered the most uncomfortable. During this phase, swelling, pressure, and muscle-ache-like pain can occur, especially if the implant is placed under the pectoral muscle. Tailored pain therapy usually ensures good control. After that, the discomfort typically decreases significantly. Every healing process is unique – meticulous aftercare is essential.

How much Does a Good Breast Augmentation Cost?

High-quality breast augmentation comes at a price – depending on the chosen technique, the type of implant (e.g., premium implants with a long warranty), the surgical method, and the surgeon’s experience. Budget providers often cut corners in crucial areas: consultation, safety, or implant quality. At BONITAS, we rely on the highest standards in medicine and materials. The exact costs will be determined individually after a personal examination and consultation.

When is the Best Time for Breast Surgery?

The best times for breast augmentation are autumn and winter. In the cooler months, the risk of sweating, sun exposure, and circulatory strain is lower – which supports healing. Wearing a compression bra is also usually easier during this time. Theoretically, however, the operation is possible year-round, provided there are no health contraindications. Effective planning is key – we would be happy to advise you personally on this at BONITAS.

Where are the Best Breast Augmentations Done?

The quality of breast augmentation depends significantly on surgical expertise, consultation, and aftercare. At BONITAS, we offer a holistic concept: individual planning, modern surgical techniques, high-quality implants, and personal care. This is the only way to ensure that breast augmentation results in an aesthetically and medically safe outcome. Let us provide you with comprehensive advice – a successful breast surgery begins with a good consultation.

Alejandro Martí, specialist in Plastic and Aesthetic Surgery, BONITAS
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