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Breast Augmentation
  • Breast surgery
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  • Breast Augmentation

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

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Alejandro Martí, specialist in Plastic and Aesthetic Surgery, BONITAS

Google reviews: Breast augmentation at BONITAS

5,059 Google reviews

Total: 59 reviews from our Google Business Profile. As of: 31.08.2026.

Anja Bauer13.05.2026

I can wholeheartedly recommend Dr. Marti! I had a breast augmentation with my own fat as well as a belly button correction done with him. In addition, an umbilical hernia was corrected by another surgeon, together in one operation. I am so happy with the result! It looks really natural and I am simply infinitely grateful! From the very beginning I always felt comfortable, taken seriously and in the best hands. I would especially like to point out that Dr. Marti was the first doctor to recognize my umbilical hernia and immediately recommended a further examination, which I found very attentive and extremely competent. Whenever I had questions or uncertainties I was always helped right away, which I appreciated a lot. I would also like to give very special praise to Jasmin: so friendly, empathetic and dedicated. She made the whole process even more pleasant and took a lot off my shoulders ❤️ Thank you so much for everything!

Translated from German

Jessica F.28.01.2026

While looking for a breast augmentation, I came across BONITAS through my online research. The website immediately gave me a good feeling. Reputable, modern, simply trustworthy. This positive feeling was confirmed from the very first moment. Dr. Marti is an exceptionally empathetic doctor who takes a lot of time, listens and responds to all wishes and questions with calm and great professionalism. The explanation was thorough, understandable and took away all of my fear. From the beginning I felt taken seriously and very well cared for. The practice is beautiful and very invitingly designed. You immediately feel comfortable and welcome. The operation itself went absolutely smoothly, and the result far exceeded my expectations. I am overjoyed and could not have imagined a nicer result. A very special thank you also goes to his assistant: incredibly warm, loving and at the same time highly professional. I am infinitely grateful that I chose BONITAS, and would recommend this clinic as well as Dr. Marti at any time and from the bottom of my heart. Muchísimas gracias 🙂 <3

Translated from German

Melanie05.11.2025

For several years I had the strong wish for a breast augmentation or rather a breast correction, I went again and again to one or another plastic surgeon for a consultation appointment. I always came away with little hope and great doubts.. since my starting situation was not really easy, none of the previous surgeons was really keen to operate on me. Until I came across Dr.Marti in 06/2025 over the internet, and at the first appointment I was more than surprised, and so for the first time I had a good gut feeling after an appointment like that, he did not put dreams in front of my eyes, but rather what you can simply expect in this case or rather what is possible. He fulfilled my big wish for a natural result 100%. Mr. Marti's assistant also accompanied me lovingly along this path. 4 weeks later the operation took place, which went smoothly. The aftercare appointments were all very relaxed and pleasantly arranged too. The stay at the clinic was unique as well. I can recommend Dr. Marti from the deepest of my heart, he has given me back my self confidence and did not promise too much. I would let him operate on me again at any time.

Translated from German

Reviews from Google, reproduced unchanged. We do not carry out our own verification of authenticity. See our reviews · Google profile

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.

At a glance: Breast augmentation shapes the breast with implants or with your own fat according to your individual wishes, naturally and harmoniously.

  • Duration of surgery: 1–2 hours under general anaesthesia
  • Methods: implants (silicone) or autologous fat transfer
  • Clinic stay: outpatient or 1 day as an inpatient
  • Recovery: 1–2 weeks, sport after 4–6 weeks
  • Final result: visible after 3–6 months
  • Prices: in our price overview

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:

  • Larger volume increase possible
  • Various shapes and sizes to choose from
  • Long-lasting results

Types of implants:

  • Silicone implants: Natural feel and high shape stability
  • Saline implants: Less common because the shape is less stable

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:

  • Very natural result
  • No foreign bodies in the body
  • Simultaneous body shaping through liposuction

Please note:

  • Only suitable for moderate volume increase
  • Part of the fat can be broken down again by the body

Positioning of the implants

  • Subglandular (in front of the pectoral muscle): Ideal with sufficient breast tissue
  • Subfascial (under the muscle sheath): Combination of natural result and low risk
  • Submuscular (under the pectoral muscle): Recommended for slim women or if a very natural effect is desired

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

  • Dissatisfaction with breast size
  • Change after pregnancy or weight loss
  • Desire for a more harmonious silhouette
  • Increase in self-esteem and well-being

The course of the operation

Before the procedure

  • Personal consultation
  • Analysis of expectations
  • Selection of the appropriate method

On the day of the operation

  • General anesthesia or sedation
  • Duration: approx. 1-2 hours
  • Short monitoring in the recovery room

After the operation

  • Rest during the first few days
  • Compression bra is worn
  • Check-up appointments to monitor healing
  • Return to work usually possible after 1–2 weeks

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.

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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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Scientific References

  1. Knoedler S et al. „Quality of life and satisfaction after breast augmentation: A systematic review.” Journal of Plastic, Reconstructive & Aesthetic Surgery. 2024. PubMed PMID 38945110
  2. Tebbetts JB, Adams WP. „Five critical decisions in breast augmentation using five measurements in 5 minutes.” Plastic and Reconstructive Surgery. 2005. PubMed PMID 16327616
  3. Adams WP Jr, Mallucci P. „Breast augmentation.” Plastic and Reconstructive Surgery. 2012. PubMed PMID 23018721
  4. Pelc Z et al. „Current Challenges in Breast Implantation.” Cancers (Basel). 2021. PubMed PMID 34833432
  5. Alabdulkarim A et al. „Comprehensive Systematic Review of Breast Implant Illness: Symptoms, Management, and Outcomes.” Aesthetic Plastic Surgery. 2025. PubMed PMID 38992251
  6. Jewell ML, Adams WP Jr. „Betadine and Breast Implants.” Aesthetic Surgery Journal. 2018. PubMed PMID 29452341
  7. Wurzer P et al. „Lessons Learned From Breast Implant Registries: A Systematic Review.” Plastic and Reconstructive Surgery. 2019. PubMed PMID 31389826

Medically reviewed and written by
Specialist in Plastic and Aesthetic Surgery 🇩🇪 🇪🇸 · Belegarzt (admitting privileges)
With more than 1,000 plastic and aesthetic procedures performed. Comes from a family with a long tradition in Plastic and Aesthetic Surgery.
Last reviewed: August 2026