What is breast augmentation?
In breast augmentation, the surgeon places implants behind the breast tissue or behind the chest muscle. It is used to add volume, to correct an asymmetry or to restore volume lost after pregnancy, breastfeeding or weight loss. Alternatively, augmentation with autologous fat transfer is an option. Where the skin is slack, augmentation is often combined with a Breast lift .
The reasons are individual. What matters is that the wish comes from you yourself and that you agree realistic expectations with your doctor.
Planning and preliminary consultation
In the consultation you discuss your wishes, your body proportions and the tissue of your breast with the specialist in plastic surgery. Together you decide on:
- Implant: size (volume), shape (round or anatomical), surface and filling. More on this under breast implants. For the newer minimally invasive techniques, see Mia Femtech and Preservé.
- Incision: in the inframammary fold (most common), around the areola or in the armpit.
- Position: under the chest muscle, over the muscle or under the muscle sheath (subfascial).
- Possible additional procedures: a lift, nipple correction or support from a mesh ("internal bra"), see Internal bra.
Before the operation, a breast examination by your gynaecologist is advisable, and, if there is a family history, an ultrasound or mammogram as well. We will send you information on the requirements for an operation under general anaesthesia with your documents.
What size is realistic?
As a rough guide, implants of about 270 to 300 ml correspond to one cup size more. Standard sizes between about 180 and 400 ml are usually in stock at the clinics, anatomical implants in a smaller selection. Which size suits your body depends on breast width, skin envelope, shoulder width and build. A change of more than two cup sizes in the first operation is usually not recommended for anatomical reasons. If you have a particular desired result in mind, please send us meaningful details in good time and we will pass them on to the clinic.
Process of the operation and aftercare
The operation usually takes one to two hours and is performed under general anaesthesia. Afterwards you stay in the clinic for one to two days. You wear a dressing and then a support bra. A feeling of tightness, swelling and bruising in the first few days are normal. The stitches dissolve on their own, and a check-up by your GP about 10 to 12 days after the operation is planned.
After the operation you should not drive home yourself. Arrange for someone to accompany you on the journey home. Scars usually fade after about six months, and scar treatment can support the process. You can wear an underwired bra again only after about three months.
Possible risks
Every operation involves risks. These include secondary bleeding, wound infections, swelling, wound healing disorders, scar problems and changes in nipple sensation. The following can occur specifically with implants:
- Capsular contracture: The body forms a capsule of connective tissue around the implant. It can harden and change the breast. A correction is possible.
- Implant rupture or change in position: Implants do not last a lifetime. After some years, a replacement may become necessary.
- Asymmetry and contour irregularities (e.g. rippling, visible implant edge with little natural tissue).
- Rare conditions: In isolated cases, a lymphoma of the capsule (BIA-ALCL) has been described, mainly in connection with heavily textured implants. Ask your doctor about the surface of the implant.
The information on risks is not exhaustive. It is discussed with the doctor in the informed consent consultation and confirmed in writing.
Long term: check-ups, weight, pregnancy
Implants should be checked regularly. This also applies to cancer screening. A mammogram is possible with an implant, but requires additional images. Always tell the staff about your implants. Major weight changes or a pregnancy can alter the result. The ability to breastfeed is generally preserved with the usual technique.
Costs and health insurance
Breast augmentation for aesthetic reasons is not covered by health insurance. The costs depend on the clinic, the implant and the extent of the operation. You will find current prices in the Price list. Some banks offer instalment loans. You will receive a binding offer after your enquiry, with a proposed date and price confirmation.
Frequently asked questions
How long does a breast implant last?
Implants do not last indefinitely. How long varies from person to person. Depending on the product, manufacturers recommend having implants checked regularly and replaced if anything unusual is found. In the view of many specialists, replacement after a fixed number of years is not necessary if there are no complaints and check-ups take place regularly.
Can I breastfeed after breast augmentation?
As a rule, yes. With an incision around the areola, the ability to breastfeed is more likely to be affected. Discuss this with your doctor before the operation.
When can I return to work and exercise?
Office work is usually possible again after about two weeks, sport after about four weeks. You should avoid sun and sunbeds for about three months, after which sun protection applies to the scars.
Can I fly after the operation?
You discuss this with the doctor on site. Someone to accompany you on the journey home is recommended, and you should not drive yourself.
Is a mammogram possible with breast implants?
Yes. It is possible with additional images (Eklund technique), but is somewhat more involved. Inform the mammography centre about your implants.
Do I need to be at an ideal weight before the operation?
Ideally, you are at a stable weight you are happy with. Major weight fluctuations after the operation can change the result.
Keywords and downloads
Breast augmentation Czech RepublicimplantsCup sizeInframammary foldSubfascialGeneral anaesthesiaSupport bra
Breast augmentation information sheet (PDF) Submit photos View prices
General information. It does not replace medical consultation or a personal advisory conversation. As of: October 2026. The results of an operation are individual and cannot be predicted; success cannot be guaranteed.