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Breast augmentation, also known as mamma augmentation, is a cosmetic surgical procedure aimed at increasing breast size or improving breast shape. It is one of the most popular aesthetic surgeries worldwide.
The goal is to harmoniously adapt the breasts to the individual's body proportions and highlight the patient’s personal sense of beauty. It doesn't matter what body type one has—whether petite, curvy, or athletic: the focus is always on achieving an aesthetic, natural-looking result that complements the figure.
At our practice, we offer both breast implants and gentle breast augmentation using the patient’s own fat. The choice of method depends on the patient’s personal preferences, anatomical conditions, and the desired outcome.

Breast Augmentation Facts
Common reasons for breast augmentation/mammary augmentation
The desire for a breast augmentation often results from the need to to feel good again in your own body. Many women perceive their breasts as undersized, too limp or asymmetrical and make up your mind aesthetic or reconstructive reasons for a change.
Typical reasons why women opt for breast augmentation:
- Perception of the chest as undersized or not in relation to the rest of the body
- asymmetries between right and left chest
- loss of volume after pregnancy, breast-feeding, or severe weight loss
- Changes due to the natural aging process
- Sunken or sagging breast shape (often after multiple pregnancies)
- Wish for a strengthened self-esteem and increased body awareness
- Reconstructive request after previous operations (e.g. tumour removal)
Breast augmentation procedure
Each breast augmentation starts with a detailed personal consultation in our practice. In doing so, Dr. Julia Berkei or an experienced specialist from their team will have plenty of time to discuss your wishes, expectations and physical requirements in detail.
The focus is not only on medical aspects, but also on your individual body perception and aesthetic perception. If necessary, further appointments will follow for Chest measurement, for Adjustment of suitable implant shapes and sizes as well as to joint planning of the operation. The discussion with the anesthetic team is also part of this structured preparation.
Cutting techniques for breast augmentation
Depending on the initial findings and the desired outcome, there are different access routes available:






Overview of implant positions
The operation
Die breast augmentation Is carried out under general anesthesia and usually takes about 60 minutes. In most cases, this will Implant through a small incision in the underbreast fold inserted and positioned under the pectoral muscle. This technology offers a particularly natural shape, a good Implant cover and reduced visibility and palpability of the implant.
After the procedure, our patients usually stay One night stationary in the clinic, where they receive all-round care. Depending on your health condition, the next day is Dismissal accompanied possible. Even in the aftercare phase We are always at your side to optimally accompany the healing process and ensure the best possible result.
Benefits of breast enlargement
Breast augmentation not only changes the body — it can also Self-image, attitude to life and inner balance Strengthen sustainably. Many patients see the procedure as a step towards greater self-acceptance and inner satisfaction.
What breast augmentation can have on an emotional level:
- More self-confidence in everyday life, at work and in a social environment
- Well-being in your own body — the feeling of “arriving”
- Experience new femininity and consciously accept your own body
- Feeling beautiful and desirable again — for yourself, not for others
- Strengthening body awareness after stressful phases (e.g. pregnancy, illness, weight loss)
- Reducing uncertainties in situations such as changing rooms, beaches, or intimacy
- New ease in dealing with fashion — Clothing is no longer concealed but emphasized
- Positive charisma through greater inner satisfaction
- Regaining a bit of control — about your own body and well-being
Breast augmentation with autologous fat
Die Breast augmentation with autologous fat is a particularly natural way to gently increase breast volume — completely without implants. The body's own fat tissue is removed, processed and inserted specifically into the breast.
This technique is particularly suitable for patients who have a moderate magnification (e.g. by a cup size) and at the same time from a body contouring want to benefit from liposuction.
Benefits at a glance:
- 100% endogenous material — no foreign objects
- No defensive response of the body
- Natural tactile feel and harmonious form
- Simultaneous body contouring through liposuction
- Barely visible scars through fine cannulas
- Lasting result with stable body weight
For treatment with autologous fat, adequate fat reserves be present. The method is not suitable if you are very slim or if you want significantly more volume.
Breast Augmentation with Implant
Breast Augmentation with Implant is a proven and versatile way to to specifically optimize breast shape and volume. Thanks to a wide selection of Implant shapes, sizes, and textures The chest can be individually adjusted to your body proportions and aesthetic wishes.
In Dr. Julia Berkei's practice, we only use high quality silicone implants — with a lifetime warranty, certified quality and optimum safety. The implant is precisely tailored to your anatomy in order to harmonious, natural cleavage to achieve that fits perfectly into your body both visually and haptically.
The decision on implant shape, position and incision technique is made within the framework of a intensive consultation — always with the aim of achieving the best possible result for you.
Benefits at a glance:
- Diverse size and shape options
- Significant volume growth possible
- Long-term stability and dimensional stability
- Individually adaptable to your body proportions
- Natural-looking results with defined cleavage
- High-quality silicone implants with a lifetime warranty
There are various ways to insert the implant Pruning techniques available:
- inframammary (underbreast fold) — the most frequently chosen method
- periareolar — around the areola
- Transaxillary — over the armpit
The preferred technique in our practice is inframammary access. About an approximately 4 cm long cut discreetly placed in the underbust fold The implant can be placed precisely — with an optimal field of vision and controlled positioning. The fine scar is later concealed in the crease and is usually barely visible.
Hybrid breast augmentation
Die hybrid breast augmentation — also known as Composite breast augmentation — combines the best of two processes: silicone implants for definable volume and Autologous fat for natural transitions and soft contours.
In this technique, individually selected implants are carried out with gently prepared autologous fat tissue added. The fat is injected specifically around the edges of the implant to to conceal visible transitions And one in particular natural appearance — ideal for very slim patients or with less soft tissue.
The hybrid method combines Volume, shape and naturalness in an operating room — and creates results that both aesthetically harmonious as well as long-lasting are.
Benefits at a glance:
- Natural appearance through a combination of autologous fat and implant
- Lamination of the edges of the implant — ideal for slim breasts
- Smooth, smooth transitions in the décolleté
- Diverse size and shape options thanks to implants
- Reduced risk of capsular fibrosis
- Long-term tissue integration through your own fat
- Lasting results, as the fat persists when the weight is stable
Die hybrid breast augmentation Is particularly suitable for women who have a natural breast shape with clearly definable volume wish — without compromises between feel, aesthetics and stability. This method provides a customized solution, in which the result is not only visible but also noticeably “real”.
Cost of breast augmentation
Breast Augmentation Costs cannot be named in general terms, as they always depend on various individual factors. These include, among others, the chosen method (e.g. with an implant or autologous fat), the medical expenses, the Patient anatomy as well as the scope of the desired change.
In unserer Praxis für plastische Chirurgie in Frankfurt Does she stand Tailored planning of every breast augmentation at the center. As part of a personal consultation, we will work with you to determine the most suitable technology and then create a detailed, transparent cost plan.
Breast reduction / breast lift
Breast reduction (mammary reduction) or breast lift (mastopexy) is a plastic-aesthetic procedure that removes excess skin, fat and glandular tissue and reshapes the breast.
The aim is to restore the breast to an aesthetically appealing shape by reducing its size, reducing weight and tightening sagging skin.
Breast reduction surgery focuses in particular on reducing large, heavy breasts, which often lead to health problems such as back pain, posture problems or skin irritation. Removing excess tissue creates a smaller, lighter and more harmonious breast shape.
A breast lift, on the other hand, is particularly suitable for women whose breast shape has lost firmness due to pregnancy, weight loss or the natural aging process and looks visually sagging. This tightens the breast by removing excess skin, lifting the nipple and reshaping the tissue. The result is a more youthful, aesthetically appealing breast shape with improved volume in the décolleté.
Breast reduction and breast lift surgery are often combined to optimally adapt both size and shape to your individual wishes. Dr. med. Berkei will advise you personally and individually.

Facts about breast reduction / breast lift
Common reasons for breast reduction
A beautiful, well-proportioned bust is often associated with femininity, confidence, and quality of life. However, overly large breasts can be physically and emotionally burdensome. They often lead to limitations in daily life—whether during exercise, when choosing clothes, or in overall well-being.
Typical reasons why women choose breast reduction include:
- Chronic back pain
- neck tension and headache (e.g. migraine)
- Bad posture
- Asymmetrical or unevenly sized breasts
- skin irritation and inflammation (e.g. eczema in the underchest fold)
Common reasons for breast lift surgery
A firm, beautifully shaped breast is often associated with femininity, attractiveness, and a positive body image. However, pregnancy, significant weight loss, or aging can cause the breasts to lose their firmness and shape.
Typical reasons why women choose a breast lift include:
Breast reduction/breast lift procedure with Dr. Berkei
For an operative breast reduction or breast lift It is important that certain health requirements are met. These include a stable tissue structure, good general condition and the absence of contraindications such as severe coagulation disorders or uncontrolled diabetes. In a personal consultation cheques Dr. Julia Berkeiwhether the treatment is medically appropriate and aesthetically feasible for you.
If all criteria are met, the procedure usually takes place stationary and under general anesthesia. Die Duration of operation Depending on the size, is approximately 2 to 4 hours.
Possible incision techniques during surgery:

T-cut
A proven method in breast reduction Is the so-called inverse T-shaped technique. It enables a targeted Repositioning and restructuring of sagging breast tissue. In doing so, this will internal tissues modeled in this waythat it is as natural volume replacement serves — completely without an implant.
The result: one visible tightening, one permanent increase in volume in the upper chest area as well as a harmoniously shaped cleavage with stable, aesthetic contours.

I-cut
For patients who value a reduced scarring Put, is the suitable I-shaped technique. This is where the cut is made exclusively vertically from the nipple down, without an additional horizontal incision in the underbust fold — ideal for minor to moderate tissue reductions when the skin is in good condition.
The result: targeted breast tightening and contouring with natural volume retention. The purely vertical cut creates less visible scars — ideal for small to moderate reductions and good skin condition.
After the procedure, you will usually spend one night in our clinic. The first Follow-up It takes place the next day. Structured aftercare included scar care and possibly medical compression underwear is essential for a permanent aesthetic and symmetrical result.
Benefits of breast reduction / breast lift
Breast reduction or breast lift Don't just give women one aesthetic breast shape, but also significantly improves the personal quality of life.
Among the most important benefits of a breast reduction or breast lift include:
- Less back and neck pain
- Improved posture and spinal relief
- More freedom of movement in everyday life and during sport
- Reduction of skin irritation and inflammation
- Aesthetically beautiful, firm breast shape
- Compensation of breast asymmetries
- Positive body awareness and new self-confidence

Costs of a breast lift or breast reduction
Breast lift costs depend on various factors — including individual findings, the suitable surgical method as well as the Extent of surgery and the hospital stay. A flat rate It is therefore impossible to name it.
In a personal consultation Let's discuss Your wishes, check your anatomical requirements and choose together with you the Optimally suitable technology off. You will then receive a detailed cost planthat gives you full transparency, dependability And a individually tailored treatment overview provides.
In certain cases, take over private health insurance The cost of a breast reduction — more rarely also for a breast lift. The prerequisite is that the procedure medically necessary is and is not done purely for aesthetic reasons.
One breast reduction can be recognized by the insurance company if there are demonstrable complaints, such as:
- Chronic back pain or posture problems
- neck tension or pressure pain
- Recurrent skin irritation and eczema under the breast fold
- Restrictions in everyday life or sports
In such cases, it is important that you already medical pretreatments How can physical therapy or pain management be documented. In addition, a specialist medical opinion (e.g. through orthopedics or gynecology) and a photo documentation required.
Breast lift: Only in exceptional cases
Die breast lift Is usually one of the aesthetic procedures and is therefore usually not covered by private health insurance companies. There may be an exception if, for example, severe excess skin after massive weight loss or previous operations leads to functional limitations leads.
What is important to consider?
The decision to cover the costs is always up to you individual health insurance And depends on your tariff as well as one Individual review off. An application for takeover should therefore before the procedure are provided and supported by meaningful documents.
Please note: As private specialist clinic Do we work outside the statutory cash system. However, we are happy to assist you with all necessary medical documents for your application for private health insurance.
Breast implant replacement
A breast implant exchange may be necessary or desired for various reasons. Often, factors such as the body's reaction in the form of capsular contracture or the limited lifespan of the existing implants play a key role.
Over time, implants can lose elasticity, the breast feels increasingly firmer over a longer period of time, and women are bothered by a visible Wrippling or the implant position may change, resulting in a Shifting or slipping that can guide implants. In addition, can reactions such as capsular fibrosis occur, in which a connective tissue capsule increasingly solidifies around the implant, which can lead to hardening and deformation of the breast.
Dr. Berkei and her team are Breast Implant Replacement Experts and perform the procedure safely and precisely. They will provide you with individual advice, taking into account your previous experience.

Facts about implant replacement
Reasons for an implant replacement
A change of breast implants can be carried out both from aesthetic as well medical reasons be useful or necessary. During a personal consultation, we will individually check whether an implant replacement is recommended.
Medical indications for implant replacement
capsular fibrosis
- formation of a connective tissue capsule around the implant (normal body reaction)
- In some cases: hardening or contraction of the fabric
- Symptoms: pain, tightness, visible chest deformation
- Recommendation: Implant replacement to reduce symptoms
Chest disorders
- For example, breast cancer or other pathological changes in breast tissue
- Implant removal or replacement is often necessary as part of therapy
Implant damage
- Leaks, cracks, or structural defects (rare but possible)
- Modern implants are very robust, yet replacement is essential if damage is confirmed
Aesthetic reasons for implant replacement

Implant replacement costs
The costs for an implant replacement vary from person to person and depend on several factors. Decisive are, among others, the medical findings, the Complexity of the procedure, the selected surgical technique as well as the Type of new implants. Additional measures, such as simultaneous breast lift or tissue corrections, can also have an impact on overall costs.
Nipple correction
Nipple correction often goes over aesthetic goals and can for many women a significant improvement of lifestyle mean.
Nipple abnormalities such as slippery or cleft pples can not only impair the appearance, but also lead to symptoms such as inflammation or breastfeeding problems. Corrective surgery harmonizes the chest and alleviates symptoms — often in combination with breast augmentation, reduction or tightening
Dr. Berkei and her team offer customized nipple correction solutions. With many years of experience and cutting-edge techniques, they develop individual treatment plans to safely achieve aesthetic and health goals — with sensitive care for an optimal result.

Nipple Correction Facts
Reasons for nipple correction
A correction of nipple can be useful for both medical and aesthetic reasons. Many patients suffer from big nipples or inverted nipples, which not only disturbs aesthetic feelings, but can also significantly impair self-confidence. In some cases, cause big nipples even physical complaints — such as irritation due to friction on clothing or problems with breastfeeding. Targeted nipple correction can help here and contribute to a more harmonious overall breast appearance.
Also psychological stress, for example due to asymmetrical or particularly large areolas, are considered a serious indication for surgery. The aim is to determine the shape, size and position of nipples to adapt to the individual perception of aesthetics and well-being — taking into account medical feasibility and individual anatomy, of course.
Possible nipple deformities
So-called slippery or hollow warts are inwardly directed nipples — either permanently or in phases. This inverted nipples are often caused by shortened milk ducts and can make breastfeeding difficult and increase the risk of recurring inflammation. Medically, between an open (”Papilla mammae circumvallata aperta“) and a closed form (”Obtecta“) differentiated.
Many women feel bigger nipples or eye-catching big nipples as disruptive. In addition to the aesthetic aspect, they can also have functional limitations, such as tight clothing or sporting activity.
Here are the nipples significantly smaller than average, which can impair the natural overall appearance of the breast.
A rare form of deformation in which the nipple is split in the middle.
One that is too large or unevenly shaped Brustareola Is often used as aesthetic flaw perceived. By surgically reducing or adjusting the areoles, a more harmonious overall picture can be created.
Some patients experience partial loss of skin pigmentation in the area of Warzenhof. In some cases, this whitening may be visually annoying.
Benefits of nipple surgery

Cost of a nipple correction
The costs of nipple surgery vary depending on the type and extent of the procedure and the individual findings of the patient. Factors such as one-sided or two-sided correction, the chosen technique, and possible combinations with other treatments (such as areola reduction) influence pricing. As a rule, this is a self-pay benefit, as aesthetic procedures are not covered by health insurance companies. For medically justified indications — such as painful Parasitic warts or recurring inflammations — can costs be considered on a case-by-case basis. After a personal consultation, we would be happy to prepare a transparent cost plan for you, which is individually tailored to your wishes and medical requirements.
Change starts now
An aesthetically shaped body is not an unattainable ideal — but the result of medical expertise, precision and individual advice. Or Breast reduction, breast lift, breast augmentation, implant replacement, or nipple correction: Dr. med. Julia Berkei focuses on your personal wishes and the natural harmony of your silhouette.
At the practice clinic in Frankfurt, we combine cutting-edge surgical techniques with a holistic treatment concept that is tailored to your anatomy and wishes. Our goal: visible, harmonious results — and a new body feeling that lasts.
If you have any questions, feel free to give us a call at any time!
Tel. no. (DE): +49 (0) 69 920 200 96
Tel. no. (CH): +41 434562707
Arrange your personal consultation now and start your journey to a body in which you feel completely comfortable

FAQ - video
Your answers to the most frequently asked questions are summarized in a video.
Transparent and informative.
FAQ - Frequently asked questions
Frequently asked questions about breast reduction and breast lift
At the breast reduction breast tissue is removed to reduce volume and weight. At the breast lift (mastopexy), excess skin is simply removed and the breast is reshaped — without a significant reduction in size. Both procedures improve the shape and position of the chest.
For patients with physical complaints (e.g. back pain, skin irritation) due to too large breasts or sagging tissue following pregnancy, breastfeeding or weight loss. Aesthetic reasons also often play a role.
The operation is carried out in general anesthesia. Depending on the findings, excess tissue and skin are removed, the breast is reshaped and, if necessary, the nipple is moved. The cut is adjusted individually.
Yes The desired volume and the new shape of the breast are discussed in detail during the consultation. The aim is a harmonious, natural result that suits the figure.
Breastfeeding can usually be easily done after a breast lift. Breast reduction surgery depends on the technique and extent of the procedure — in some cases, the ability to breastfeed may be limited. This is clarified individually during a consultation.
Light everyday activities are possible again after around 1-2 weeks. Depending on the procedure, exercise should be avoided for approximately 6 weeks. A special compression bra supports the healing process.
Yes, scars occur — usually around the nipple, vertically downwards and possibly along the underbreast fold (“T-cut”). The scars fade over time and are usually easy to hide under clothing.
The costs depend on scope, technology and individual initial situation. After a personal consultation, you will receive a transparent treatment and cost plan.
If there is a medical need — such as back pain or chronic skin irritation — the costs can be applied for by health insurance. Breast lift surgery for purely aesthetic reasons is usually not carried out.
Breast Augmentation FAQs
Breast augmentation (augmentationplasty) is a surgical procedure for Breast enlargement and shape optimization with the help of silicone implants or autologous fat. The aim is a natural-looking, well-proportioned cleavage.
For patients with genetically small breasts, volume loss after pregnancy or weight loss, or breast asymmetries. Even as part of a Mommy Makeover, the procedure is often part of the individual treatment concept.
- silicone implants: Different sizes, shapes and positions (subglandular/submuscular)
- Breast augmentation with autologous fat (lipofilling)
- Combination with breast lift if there is excess skin
Usually Yes. If the operation is performed correctly, the mammary gland tissue intact. However, if you wish to become pregnant and breast-feeding, this should be considered individually during the consultation.
After about 1-2 weeks, you are ready to work again. Exercise should be avoided for 6 weeks. Wearing a medical support bra is necessary for 4-6 weeks.
Yes, there are small scars — usually in the underbreast fold or on the nipple. They fade over time and are barely visible later if properly cared for and cut.
Modern silicone implants are highly durable. There is no provision for routine replacement, but regular checks are recommended.
The costs depend on method, implant type and effort. After a personal consultation, you will receive a transparent, individual cost plan.
Health insurance usually does not cover the costs of breast augmentation, as it is an aesthetic operation.
Frequently asked questions for replacing implants
A change is necessary for Complications such as capsular fibrosis, implant defects or Request for change (e.g. size, shape, symmetry). Modern implants do not have to be replaced routinely, but should be checked regularly.
The costs vary depending on the effort, choice of implant and possible additional correction. You will receive an individual cost plan after the medical consultation.
Purely aesthetic procedures are generally not covered by health insurance companies.
Nipple Correction FAQs
Nipple correction is a minor surgical procedure that adjusts the shape, size, or position of the nipple or areola — often for sipples, asymmetrical, or enlarged nipples.
The correction is suitable for men and women who suffer from the appearance of their nipples or experience functional limitations, such as when breastfeeding.
In many cases, the ability to breastfeed is retained, especially when minimally invasive techniques are used. This is discussed individually in advance.
The operation usually takes 30 to 60 minutes and is usually performed on an outpatient basis under local anesthesia or twilight sleep.
The incisions are very fine and are placed in the natural skin structure so that scars are usually barely visible later.
Light physical activities are possible after a few days; sport and heavy exercise should be avoided for about 2 weeks.
The costs vary depending on the effort involved. You will receive an individual cost plan after the medical consultation.
Purely aesthetic nipple corrections are generally not covered by statutory health insurance companies.


















