There are various methods to enlarge the breast. CenterPlast recommends the use of autologous fat if it suits the patient's wishes and conditions.
In an -own-fat breast augmentation, the surgeon first gently aspirates the fat cells using microcannulas. The cells are then cleaned, filtered and then carefully injected. A gentle surgical method ensures that the transplanted autologous fat grows and the contour of the breast is improved. The transplanted autologous fat cells also serve to increase volume. In consultation, the surgeon takes the autologous fat from the following body regions:
- Inner or outer thighs,
- Buttock region or
- The inner side of the knees.
A minimally invasive and modern method, as well as proper aftercare, ensure that the transplanted fat cells heal. The body nevertheless breaks down a certain percentage of the cells naturally. Treatment with autologous fat can achieve an increase in volume of up to 30 to 50 percent. If you are seeking breast augmentation with autologous fat by two cup sizes, you should expect to make two appointments. To achieve the desired result, the treatment can be repeated after three months. Even after breast augmentation with implants, more than one surgery is usually necessary. The limited lifespan of implants and the changes in breast tissue, make it necessary to have another procedure as you age.
- No visible scars remain.
- The breast feels more natural and softer.
- With autologous fat treatment, the breast retains a natural shape both lying down and standing up.
- Patients after autologous fat treatment recover faster than after breast augmentation with implants. At the same time, the patient benefits from liposuction in certain "problem areas".
- Any patient who chooses to have breast augmentation with implants should be aware that further surgery will be required later in life. If you want a moderate augmentation, one appointment is all that is needed for breast augmentation with autologous fat.
- With autologous fat treatment, you are spared the risks of implants: implant rupture, implant displacement, capsular contracture, more difficult breast cancer screening, breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
- After breast augmentation with implants, the U. S. Food and Drug Administration (FDA) recommends an MRI exam three years and every two years thereafter. Changes in breast tissue after breast augmentation with autologous fat can usually be easily distinguished from other diseases by experienced radiologists through ultrasound examination and/or mammography.
According to the World Health Organization, adults are underweight when their body mass index (BMI) is below 18.5 kg/m2. Many believe that breast augmentation with autologous fat is not possible because of the relatively low body fat percentage. Numerous slim women with small breasts are underweight, and many deal with the issue of breast augmentation when thinking about their own bodies. Back in 2014, a study was published by Chiu proving that breast augmentation can be performed safely on underweight women with good results. Fat cells can be taken from the abdomen, waist, hips, thighs or calves. On average, over two hundred milliliters were injected per breast. Thus, an increase in breast circumference of almost four centimeters was achieved. Almost ninety percent of the patients were satisfied or very satisfied with the result. This is also in line with our experience.
Before each procedure, the surgeon and the anesthesiologist meticulously check all parameters several times according to the checklist. In this way, all involved ensure that it takes place under the best possible circumstances. The greatest possible safety of our patients has absolute priority. Only then can the procedure begin.
Before starting the procedure, the surgeon marks the breasts and the regions of liposuction in a standing position. You will be given medication to relieve anxiety and reduce the sensation of pain. If you are not already deeply asleep, you will at most feel that something is going on at the surface of your body.
The surgeon injects the marked areas to remove the fat tissue cells ("tumescent technique"). This allows for gentle surgery and prevents the formation of bruises and irregularities in the contour. Fine microcannulas are used to inject the tissue and suction out the fat. The skin incisions of two to three millimeters are hidden in skin folds. After the tissue has been infiltrated and loosened, the surgeon removes the excess autologous fat tissue under vacuum using an aspiration cannula. The fine cannulas are inserted through several openings and guided in a fan shape to achieve an even aspiration pattern. The aspirated fat tissue cells are cleaned and filtered. The surgeon then inserts the fat tissue cells into the breast. The patient enjoys a larger breast. In addition, asymmetries or irregularities are evened out by using the body's own material. In the case of a previously sagging breast, a positive push-up effect can also be expected as a result of this method of aesthetic plastic surgery. Before the breast augmentation is completed and while you are still asleep, you will be placed in a sitting position. The surgeon will check if the shape of the breast in sitting as well as in lying position meets the highest requirements. Finally, a bandage and a special support bra are applied.
The duration of the surgery is approximately 90 minutes. The autologous fat method is performed on an outpatient basis and is also possible without general anesthesia, in twilight sleep or under local anesthesia. Immediately after the procedure, you will be continuously monitored in a so-called recovery room. After you have fully awakened, you can drink something and, if you tolerate it well, you can also eat something. Before you leave the practice, control appointments will be made and the behavioral measures will be discussed with you in detail. You will be given a comprehensive written report and a telephone number. Under this number, the surgeon can be reached 24 hours a day.
Before, after and during the procedure, you can watch movies or your favorite series with virtual reality glasses. Not only is this entertaining, the distraction has also been shown to reduce pain sensitivity.
- Your well-being and the result of the procedure will be checked regularly.
- Make sure that your upper body is elevated by 30 degrees for the first five days, even when sleeping. This ensures better decongestion and wound healing.
- You should sleep on your back for the first six weeks. This reduces the risk of the implants slipping or twisting.
- You must refrain from showering for the first few days. From the third postoperative day, you can shower before the wound check at CenterPlast Saarbrücken.
- Wear the previously fitted support bras continuously for six weeks.
- Massage the scar several times a day for a few minutes from the third postoperative week. Use an oily cream, such as Bepanthen® ointment or Linola® fat. Pay attention to circular, as well as longitudinal and transverse movements to the scar. These measures help to keep the scar inconspicuous.
- Avoid bending over, lifting heavy loads, swimming, saunas, sexual intercourse and sports activities (even with a sports bra or compression bra) for four weeks. If swelling persists, prolonged physical rest may be advisable.
Breast augmentation with autologous fat is the ideal procedure for patients who want moderate breast augmentation and a natural result. To obtain the fat tissue cells, 300 to 400 milliliters of fat tissue are needed. This corresponds to an increase of one cup size. Smaller fat pads on the abdomen, inner or outer thighs, buttocks region or the inner side of the knees are sufficient for this.
Surgery is of course always associated with certain risks. Liposuction and fat grafting can cause irregularities in the contours. However, the risk associated with this plastic-aesthetic procedure is lower than with classic liposuction, for example to remove fat deposits on the hips. The grafted fat tissue may die if the supply of nutrients and oxygen to the breast is too low. General risks (inflammation, thrombosis) and the risk of fat tissue cells not healing are increased in smokers. Fatty tissue that has not healed can liquefy and accumulate in cavities (oil cysts). In rare cases, this fluid must be removed by puncture with a hollow needle. In the case of larger oil cysts, calcium salt deposits may occur. Early detection of breast cancer is not affected by autologous fat treatment. There is no fact-based evidence that autologous fat treatment promotes the development of breast cancer. Bloodstream obstruction by the injected fat tissue is theoretically possible (fat embolism). However, there are currently no reports of fat embolisms in the context of breast augmentation with autologous fat in the world literature.
During the consultation, we will first discuss your change requests. Among other things, the surgeon would like to know what bra size you would like. It is also important for us to find out how satisfied you are with your breast shape and cleavage.
In order to identify any risks in time and to better prevent them, you will be asked questions about preventive examinations, pregnancy, family planning, previous illnesses and allergies, occupation, medication and general risks of the treatment.
It is important to let us know if you smoke or take any dietary supplements, as these can have a major impact on your breast surgery.
Next, your breast will be measured accurately. Even slight differences in the sides of the breast will be noted. Other characteristics that are important for planning, such as skin elasticity, any spinal curvature or chest deformities will be examined. In order to obtain sufficient fat cells, smaller fat pads on the entire body are examined.
Photographs are taken of all patients for accurate treatment planning. Based on this thorough examination and further information through a personal consultation regarding your goals, you will be shown various alternatives and all associated risks and limitations. During the in-depth consultation, the plastic surgery specialist will answer all your questions and provide you with all the information you need to decide which treatment is right for you. It is very important to discuss your expectations openly with your surgeon. A good information of the patient and an optimal exchange with the surgeon will lead to a satisfactory final result.
The surgeon will discuss all details of the procedure with you, including the type of anesthesia used (general anesthesia, twilight sleep, etc.), the facility where the breast augmentation will take place, follow-up insurance, preparation measures for the breast augmentation, and behavioral measures after the breast augmentation. It will be explained to you in a transparent and comprehensible way how the costs of the aesthetic plastic surgery are composed.
If you are unsure or do not feel fully informed, do not hesitate to ask your doctor any questions. At the end of the consultation, we are also happy to offer you a second consultation. It is not uncommon for patients to still have questions afterward. It is very important to us that all your questions have been answered before the day of surgery.
The following remuneration components must be considered for breast augmentation with autologous fat:
- Value added tax of 19%
- Remuneration for the plastic surgery operation
- Nursing services required in the course of the treatment
- Medical anesthesia services
- Consumables required during the above-mentioned procedure, including those for filtering and cleaning the autologous fat
- Compression clothes including a change of clothes
- Follow-up insurance
- The operation-related dressing changes on the occasion of the wound checks
- The operation-related long-term control examinations
- Constant availability of the surgeon during the 2 weeks after the operation
- Medication to treat nausea or pain in the first 2 weeks after surgery
- Postoperative low molecular weight heparin for prevention of thromboembolic disease
- Medical thrombosis prophylaxis stockings
Many patients compare different offers before surgery. For a direct comparison, all expenses, including postoperative care, must be considered. A physician's training, experience, skills, and science competencies are more difficult for a layperson to compare than cost. Inquire about the qualifications of the doctor you are trusting. The terms "cosmetic surgeon", "aesthetic surgeon" or "cosmetic surgeon" are not protected. This is different for the professional title "plastic and aesthetic surgeon", these doctors have all completed a corresponding six-year training. This is similar for ear, nose and throat specialists and oral and maxillofacial surgeons, these specialists can acquire the additional qualification "plastic surgery" after two years of further training and are thus qualified for interventions in the area of the head. Medical activity also includes research, for example in the context of a medical doctorate or habilitation. The ability to incorporate scientific findings into rational treatment decisions is strengthened by independent scientific activity. Professional experience in a managerial role strengthens the sense of responsibility and the competence to solve complex and difficult challenges. Treatment costs are relevant to decision-making, but trust in the physician should ultimately be decisive.
Unfortunately, it is not possible to give an exact price without an examination, since, among other things, the scope of treatment and any previous illnesses and/or pre-treatments cannot be taken into account. We can therefore only tell you the exact costs after an examination as part of the consultation. We will also be happy to advise you on financing options without obligation. For a price framework, you can consult our cost page in advance.
According to Section 1 (1) No. 2 of the Therapeutic Products Advertising Act, the comparative pictorial representation of the success of treatment by before/after photographs may not be published on the Internet. Nevertheless, before/after pictures can be used in patient education. We will be happy to show you before/after pictures as part of a personal educational discussion to show you the possibilities and limitations of cosmetic surgery. Of course, we adhere to all legal regulations regarding data protection. For more information, please visit our before and after pictures page.
Brazil has been a pioneer in aesthetic surgery for decades and is considered the cradle of cosmetic surgery.
The techniques of breast surgery were significantly influenced by Brazilian plastic surgeons such as:
Ivo Pitanguy, Liacyr Ribeiro, João Carlos Sampaio Góes.
Dr. Santos Stahl has independently performed many hundreds of breast augmentations during her residency training in Brazil with top surgeons. Later, Dr. Santos Stahl obtained the German as well as the European specialist qualification. Dr. Santos Stahl has also expanded her spectrum and knowledge with the most influential plastic surgeons in Dallas, Oakland and Salt Lake City - thanks to a scholarship from the largest professional society of plastic surgeons in Germany (VDÄPC).
Privatdozent Dr. Stahl became a senior consultant and permanent representative of the medical director at the University Hospital of Tübingen in 2015. From 2016 to 2018, he moved to Lüdenscheid as clinic director. Over the years, the experienced specialist PD Dr. Stahl has continued to refine his microsurgical techniques, so that today he enjoys a reputation among experts as a particularly gentle and precise surgeon. Various fellowships have led him to outstanding plastic surgeons in Brazil, New York, Atlanta and Salt Lake City.
Medical decisions and recommendations must be based on proven effectiveness. In order to assess the validity of scientific evidence, a physician's scientific skills are important. For this purpose, an additional qualification as an investigator and experience in the conduct of clinical trials is an advantage. These requirements apply to Dr. Santos Stahl and PD Dr. Stahl.
We systematically examine and compare the appearance, well-being and satisfaction of our patients after a procedure. This includes not only uniform photo documentation, but also surveying patient satisfaction with breast shape and size. Nevertheless, we also systematically check a possible influence of the surgery on the perceived self-confidence and attractiveness. We encourage our patients to rate us on Jameda and Google. Many patients are willing to share their experience with other patients to help them make the right decision. We are happy to put you in touch with these patients during your consultation. You can find more information on our testimonials page.