Is breast augmentation right for me? Decision support and facts

31. July 2025

von Dr. med. Aron Babajew in Breast surgery

The desire for fuller and more harmonious breasts is understandable for many women – whether due to genetic predisposition, pregnancy and breastfeeding or asymmetries. But when does breast augmentation really make sense? What options are there and what should you look out for before making a decision?

This article will give you an overview of the various methods, important requirements and help you make a decision.

Common reasons for breast augmentation

The reasons for breast augmentation surgery are individual, but often similar:

  • Naturally small breast volume

  • Loss of fullness after pregnancy, breastfeeding or weight changes

  • Inequalities in size or shape (asymmetries)

  • Desire for a better proportion to the rest of the body

  • Reconstruction or correction after medical procedures

In most cases, the focus is on the desire for an improved body image and more self-confidence.

Breast augmentation options

There are several proven methods available that can be used depending on the initial physical situation and desired goal:

1. breast implants (silicone)

  • The classic method

  • Different sizes, shapes and materials available

  • Long-lasting result

  • Particularly suitable for a clearly visible increase in volume

2. breast augmentation with autologous fat

  • Uses the body’s own fatty tissue (e.g. from the abdomen or thigh)

  • Particularly natural result

  • No foreign body sensation

  • Suitable for moderate magnification

3. combination of implant and autologous fat (hybrid procedure)

  • Combines the dimensional stability of an implant with the soft transition and volume build-up of autologous fat

  • Suitable if a natural feel is desired in addition to volume

Which method is suitable depends on the individual initial findings, physical conditions and personal wishes.

Treatment procedure

1. consultation & planning
A detailed preliminary examination and personal consultation form the basis of every breast augmentation. This will clarify which method is suitable and which results are realistically achievable.

2. surgery
The procedure is usually performed under general anesthesia and takes about 1-2 hours, depending on the method. With the autologous fat method, liposuction is also performed.

3. aftercare
A recovery period is required after the operation. Special support bras should be worn for a few weeks and physical activity is only possible to a limited extent. Most patients are fit for everyday life again after a short time.

Which method suits me?

The choice depends, among other things, on:

  • The desired change (moderate vs. significant volume)

  • The amount of endogenous fat present

  • The question of whether foreign material (implant) is accepted

  • The importance of naturalness in form and feeling

  • Any previous medical findings or previous operations

A personal consultation is essential in order to find the right method for you and to achieve the desired result in the best possible way.

Conclusion: Well informed for the right decision

Breast augmentation is a very individual step and should be carefully considered and medically planned. Modern plastic and aesthetic surgery offers various options for this – from implants and autologous fat to a combination of both techniques.

It is important that you receive advice in a trusting environment and that your personal wishes are taken seriously. This is the only way to achieve an aesthetically and emotionally satisfying result.

Dr. med. Aron Babayev

Specialist in plastic and aesthetic surgery

Memberships

  • German Society of Plastic Reconstructive and Aesthetic Surgeons (DGPRÄC)
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Dr. med. Aron Babajew

About
20 YEARS
EXPERIENCE

About
20 YEARS
EXPERIENCE
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