Hanseaticum - Department of Cosmetic and Aesthetic Surgery

Martinistraße 64 - 20251 Hamburg
In the Spectrum at the UKE

General office hours

Monday to Thursday: 8:00 - 12:00 & 15:00 - 18:00
Friday: 8:00 - 14:00 - and by arrangement

Hanseaticum West - Department of Orthopaedics and Trauma Surgery, Hand, Cosmetic and Aesthetic Surgery

Jürgen-Töpfer-Straße 46 - 22763 Hamburg

General office hours

Monday to Thursday: 8:00 - 18:00
Friday: 8:00 - 12:00 - and by arrangement

Work and school accidents Monday to Friday 8:00 - 18:00

Plastische Chirurgie: Operative Gesichtsbehandlungen

Breast entlargement

  • Breast enlargement in Hamburg.
  • Breast enlargement with silicone.
  • Breast enlargement with autologous fat.
  • Treatment with Los Deline.
  • Individual advice according to your needs.


Tradition meets Innovation

60 years of surgical expertise in the second generation

  • Treatment duration1 - 2,5 hours
  • AftercareSpecial bra 
  • AnesthesiaGeneral anesthesia / twilight sleep 
  • Downtime1-2 weeks
  • Hospitalization1 day - also outpatient
  •  Costsfrom 5398 Euro incl. VAT after GOÄ

Breast enlargement at Hanseaticum

Breast enlargement is the most sought-after plastic surgery operation in the world. Every year, around 1.5 million women have their breasts enlarged. The procedure is also one of the most common operations performed by Dr. Cornelius Grüber and Dr. Sonja Tomschik at the HANSEATICUM. With the highest level of expertise, years of experience, safe and sophisticated technologies, the plastic aesthetic surgeons achieve the best results. Many surgeries performed by the specialists are also reconstructive surgeries after breast cancer for correction and for new breast reconstruction. 

About two-thirds of patients opt for breast implants, while one-third prefer moderate breast enlargement with autologous fat - and the trend is rising. Patients planning a breast enlargement in Hamburg are in the best hands with the attending physicians at the HANSEATICUM. Before the planned procedure, the plastic surgeons inform their patients in a personal consultation about the possibilities and methods of breast enlargement. Because every woman has her own idea of the ideal size and shape of the breast.

Even before the operation, they can get an exact picture of the before-and-after effect in the HANSEATICUM: A 3D simulator creates a three-dimensional image of the female breast with the desired change, providing an important aid to decision-making.

Breast enlargement with implant

At the HANSEATICUM, the experienced specialists use only high-quality breast implants that have been approved by the American FDA (Food and Drug Administration) or are CE certified and whose safety has been proven with studies. The new generation implants, with which most breast enlargements are performed, contain thick silicone gel in a double-walled silicone shell, smooth or roughened on the outside. They are characterized by a memory effect and always return to their original shape. There are round and teardrop-shaped (anatomical) models, smooth or textured surfaces. The material is safe, feels real and also looks very natural. Because the implants cannot leak, one of the most common reasons for implant replacement is eliminated. Depending on their preferences, patients can opt for different viscosities - some appreciate a particularly soft material, while others prefer the implant to feel a little firmer.

The insertion of the implants: Step by step

Breast surgery performed under general anesthesia usually takes 1 to 1.5 hours. It can be performed on an outpatient basis, but in most cases the attending physicians recommend an overnight stay in the clinic after the breast surgery in Hamburg.

  • The plastic surgeon usually makes the incision, which is about 4 centimeters long, in the crease under the breast because the risk of infection is lowest at this site and complications occur only very rarely here.  In individual cases, access is made via the armpit or the areola.
  • Then the surgeon forms a kind of cavity in the breast and inserts the implant. Most often it is placed under the pectoral muscle.
  • The incisions are finely sutured and covered with a sterile plaster.
  • After breast surgery, a special compression bra must be worn for at least 6 weeks, and sports activities are canceled for about 6 weeks.

Breast enlargement with silicone implants costs from 5000 Euro incl. VAT after GOÄ. Health insurance companies cover the costs of breast surgery only if there is a medical necessity. A corresponding indication for breast enlargements with implants is only given in exceptional cases, e.g. in the case of plastic reconstruction of a breast after an operation for cancer treatment, in the case of breast aplasia (congenital absence of the breast) or transgender patients (e.g. in the case of male-female breast transformation).

Breast enlargement with autologous fat

An increasingly popular alternative to silicone implants is natural breast enlargement with autologous fat, so-called lipofilling: the method is also ideally suited for women who want a moderate enlargement of the breast or to compensate for asymmetry. No incisions are necessary for treatment with autologous fat, only punctures that are not visible later. The filler material is taken from excess fat deposits on the abdomen, hips or thighs with liposuction.

The procedure can be performed in twilight sleep or under general anesthesia.

The extracted fat is immediately injected via special cannulas into firmly defined, flat areas of the breast. Postoperatively, the breast must not be exposed to pressure or cold, as the fat cells react very sensitively to pressure and cold and could die off more as a result.  

Since the fat harvesting procedure has become much more refined in recent years, about 70 to 80 percent of the fat cells grow in - the enlargement effect is therefore permanent. The new breasts behave very naturally; for example, they grow with weight gain. However, while with silicone implants theoretically any breast size can be realized, with autologous fat the breast can only be enlarged by half to one cup size in one session. If desired, the procedure can of course be repeated to achieve greater volume. Advantage of breast enlargement with autologous fat: liposuction can be performed on desired problem areas or as a combination procedure. The cost of breast enlargement with autologous fat is about 4500 Euro incl. VAT after GOÄ.

The breast enlargement without silicone with Los Deline™.

While breast enlargement with fillers has not proven successful, the doctors at HANSEATICUM achieve beautiful, durable results with the certified Los DelineTM filler technology. The gel-like substance is approximately 98 percent water and two to three percent a 3D polyamide. Natural polyamides are peptides and proteins such as those found in hair. The innovative gel is injected under the skin with a blunt needle or special cannula under local anesthesia; if desired, the treatment can also be performed under twilight sleep. Minimally invasive treatment with Los DelineTM can be performed on an outpatient basis and involves no tissue trauma at all: there are no incisions, no scars, no scar tissue - just an injection site that is no longer visible after just a few days. The final result is seen as soon as possible swelling has completely subsided and lasts up to 5 years. In the weeks following treatment, the body forms a natural envelope around the gel implant - making slippage impossible. Los DelineTM treatment is suitable for increasing breast volume and correcting asymmetries of soft breast tissue. The breast surgery costs for this procedure start at about 3500 Euro incl. VAT after GOÄ.


The risks

The surgical risks of breast enlargement with implants are low, but they do exist - as with any surgical procedure. For example, there may be wound infections or side effects from an antibiotic or the anesthetic. There is always a risk of post-operative bleeding, swelling and pain. Vascular and nerve injuries and thrombosis can also never be completely ruled out. In addition to these general surgical risks, every breast enlargement has specific risks. These include:

  • Capsular fibrosis
  • Lymphoma development
  • Creases in the implant
  • Slipping or rotation of the implant
  • Tissue sinking
  • Disturbance of sensation in the nipple
  • Impairment of the ability to breastfeed
  • Impairment of screening (impeded mammography)

Breast enlargement planning in 3D simulation

  • Implant or autologous fat?

  • Which size suits me?
  • Which implant shape leads to the desired effect?

At the 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. Click here for the 3D simulation.

This makes it possible to compare the actual condition and the result after a possible operation. The potential surgical result is shown from the front as well as from both sides. In the future, the simulation can help patients decide for or against breast enlargement. 

Would you like more information?

You will find detailed information about aesthetic breast surgery in our patient brochure


Breast enlargements have ranked #1 on the popularity scale of cosmetic surgery for years. In the future, women may find it a little easier to opt for it: New ultra-light breast implants weigh about a third less than conventional brand-name implants. 

Developed in Israel, the B-Lite implants are now manufactured by the Polytech company in Germany. "Logically, there are no long-term studies yet, and the CE-certified B-Lite implants are not yet available for cash operations. However, their technical data are convincing and our experience with products from this manufacturer has been consistently positive," says Dr. Cornelius Grüber. 

While the same proven material used in brand-name implants is used for the shell of the new breast implants, the filling consists of a specially prepared silicone gel containing microscopically small hollow spheres. Thanks to these microspheres, which are so reliably fixed that they cannot migrate, the B-Lite implants have the desired volume while weighing much less - a 300-milliliter implant, which previously weighed about 300 grams, now weighs just under 220 grams with the new technology. The technology is based on findings from NASA space research into obtaining materials that are lightweight but otherwise have the same properties.

Frequently asked questions

Which implant size suits me?

A few years ago, B was the most demanded cup size, but now the trend is more towards a C cup. In practice, women's wishes and ideas are very different. 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 in which the desired and appropriate size and shape can be found out together with your specialist. Life circumstances should also be included in the decision, as well as individual physical conditions - including how wide the back is (a wider back is more likely to recommend a larger implant), how much fatty tissue is present and how elastic the connective tissue is.

Breast enlargement better over or under muscle?

Breast enlargements with implants under the muscle have a low risk of developing capsular fibrosis. This is when a hardened connective tissue-like capsule forms around the implant, which can be painful and deforms the breast - and can only be repaired by replacing the implant. No wrinkles or furrows ("rippling") are visible under the muscle, which can occur when the arm is moved. The bust also looks more natural and feels softer when the implant is under the pectoral muscle. Disadvantage: The rather strong muscle limits the size of the implant. And when the upper body moves, the implant may temporarily shift visibly. However, this applies mainly to women who are very active in sports.

If the implants in breast enlargements are above the pectoral muscle, the volume can be significantly larger. Women with weak connective tissue and a lot of soft tissue offer an optimal embedding for the implant - and very beautiful results. This position is also often better for athletic women who want to avoid implant deformations caused by muscle contraction. Disadvantage: deformations tend to be more easily visible from the outside. However, with adequate soft tissue encasement, implant deformity can also be adequately concealed. Implants positioned over the muscle, especially very large and shaping ones, are somewhat more palpable - however, the viscosity of implants has improved so much within the past few years that positioning over the muscle is very popular.

For cancer screening: conventional mammography can poorly visualize about 4 percent of breast tissue after breast enlargement with implants - with the consequence that more images of the breast must be taken during a screening examination. Ultrasound examination or an MRI offer a useful alternative here, with more accurate results.

What are the first days after surgery like?

A more or less strong feeling of tension in the first days after the procedure is completely normal. Severe pain occurs less frequently. A good painkiller and decongestant measures help against this. The scar is covered with a waterproof plaster - therefore you can shower again after just one day.

How long do I have to take care of myself after a breast enlargement?

Depending on the activity, you should be prepared to be unable to work for between 7 and 14 days and avoid physical stress. The healing process varies in duration. As a rule, the breast is only fully resilient again after six to twelve weeks.

What can I do myself to achieve an optimal result?

The correct behavior after the operation makes an immensely important contribution to the healing process and thus has a decisive influence on the result!

The most important thing: Use all postoperative appointments at the HANSEATICUM for check-ups and wound care, so that any complications can be detected and treated early. Pay attention to whether your breast hardens, changes position, changes color or temperature. Pain, post-operative bleeding and loss of sensation are serious signals that occur very rarely, but should be reported to the specialist immediately.

If possible, refrain from cigarettes and the consumption of alcohol for two weeks after a breast enlargement in order not to disturb the wound healing process.

Be sure to leave the removal of the dressing and drains to your specialist!

During the first days, a support bandage prevents the implants from slipping. Afterwards, a special bra is recommended: for 6 weeks day and night, then another 6 weeks during the night and during sports. Be sure to leave the applied bra in place. Do not change anything about the individual fit that your doctor has set.

Arm movements are uncomfortable at first. The following applies for the first six weeks: no supporting movements of the arms, no fast stretching movements upwards, no heavy lifting - only moderate movements. Scar care with special oil products or silicone patches is recommended. The surgical scars should be protected from direct sunlight for about 6 months.

When can I do sports again after the operation?

This varies greatly from individual to individual and also depends on the type of sport and breast augmentation. Usually after 6 to 10 weeks at the earliest, because the healing process is different for every woman. In any case, talk to your specialist before you start jogging again or want to go to the gym.

Does the ability to breastfeed remain after a breast enlargement?

With our incision technique, no glandular ducts are cut, so there are no problems with breastfeeding later.

Why do breast surgery costs vary so much?

Especially for breast enlargement there are strong price differences in Germany and also in comparison to other countries. Doctors are bound by the scale of fees (GoÄ) and must charge accordingly. A not insignificant cost factor in breast enlargement should be the implant. Implants with approval from the U.S. Food and Drug Administration (FDA) are significantly more expensive. A responsible doctor who vouches for the surgery with his name will not offer you a cheap implant. Medicine must be safe and safety has its price. Cheap offers should be checked for seriousness.

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 wrong, as a study by the U.S. Food and Drug Administration (FDA) also showed. Modern implants cannot leak, have no expiration date and can therefore last a lifetime - also depending on the individual lifestyle. In some cases, more severe capsule formation or changes in the shape of the breast may make replacement necessary.

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