HD endoscopic transaxillary breast augmentation
Breast enlargement
without any visible scars

The implants are inserted through a small incision in the armpit to avoid any visible scars directly on the breasts.

Why patients choose BREASTetics

BREASTetics stands for the highest level of competence, premium quality, high-tech methods and the best service around your endoscopic axillary breast augmentation. Our main goal is to create beautiful breasts while avoiding any visible and disturbing scars directly on the breasts. That is what our numerous satisfied patients appreciate.

20

years of experience

1.500+

endoscopic breast augmentations

3.000+

implants

365

 days a year available

Thanks to BREASTetics women feel comfortable in their own skin again

The breast augmentation belongs to the most frequently performed cosmetic surgery procedures. Many women are not satisfied with their breast – for example after pregnancy and breastfeeding period, weight loss or because of an absence of breast development. They wish for more femininity but many of them are also concerned about scarring and therefore, look for a method that leaves no visible scars. Come to BREASTetics, we give you a new body awareness.

Most important facts

HD endoscopic transaxillary breast augmentation 3.0
by Klöppel

75 min.

general anesthesia

one night

self-dissolving
(10 or 13 days)
sports bra
(approx. 6 weeks)

after 1 to 3 days

after 3 days

after 4 weeks

after 4 to 6 weeks

after 4 to 6 weeks

Endoscopic breast augmentation

Learn all there is about the
high-tech method

  • Consultation &
    preparation
  • Surgical procedure
  • Implant exchange & removal
  • Aftercare
  • Risks
  • Advantages
  • Implants

What is the initial consultation process?

A detailed individual consultation and examination in our practice clinic is always the first step on your way to your desired breast without any visible scars. During this conversation, you will get to know your surgeon and get the opportunity to address all outstanding questions. You will be advised in detail about the different breast implant forms and sizes as well as...
Beratung

What is the breast augmentation procedure?

The breast augmentation procedure can be subdivided into the following 6 phases:
  1. consultation
  2. anaesthesia
  3. incision
  4. preparation of the implant pocket
  5. insertion of the implant
  6. suture closure
Beratung

Is an implant exchange or removal in the armpit possible?

It is often said that an implant exchange or removal via the armpit is not possible. This statement is simply false. For many years now, Dr. Klöppel performs implant exchanges or removals via the armpit by unsing the endoscopic transaxillary...
Beratung

What is there to know after the breast augmentation surgery?

After breast augmentation surgery, you will return regularly to our practice clinic for follow-up examinations. These are also possible at patient's option at any time. Care should be taken to ensure a correct intake of analgesic and anti-inflammatory and a regular cooling of the breast after the surgery. After 2 weeks …
Beratung

What are the possible risks?

Risks rarely occur, but can not be completely excluded. Our aim is to keep the risks as low as possible to ensure our patients an optimal result: an enlarged and well-proportioned breast with no obvious scars and signs that surgery was done. Studies of our patients who have received a breast augmentation with this method over the last 10 years show …
Beratung

Advantages

Dr. Klöppel has provided countless women with virtually scarless breast augmentation results because of his specialization in minimal scar techniques. The enlargement of the female breast via the visible inframammary fold incision (IMF) is now history. Benefit from our numerous years of professional expertise in the method of endoscopic transaxillary breast augmentation. Important milestones during this improvement process are the implementation of the modern, digital 3-chip camera with excellent pictures of the implant pocket and the precise display of muscular tissue, nerves and vessels…
Beratung

Implants

Depending on medical findings and individual desires, there are different implant forms and sizes in order to create a new breast. Round implants are suitable for a female, well-proportioned breast and a beautiful slightly rounded décolleté, teardrop-shaped (anatomical) implants for a particularly natural look with an upright décolleté and a fuller lower chest pole. The Mentor MemoryGel® XTRA implants promise …
Beratung
  • Consultation &
    preparation
  • Surgical procedure
  • Implant exchange & removal
  • Aftercare
  • Risks
  • Advantages
  • Implants

What is the initial consultation process?

A detailed individual consultation and examination in our practice clinic is always the first step on your way to your desired breast without any visible scars. During this conversation, you will get to know your surgeon and get the opportunity to address all outstanding questions. You will be advised in detail about the different breast implant forms and sizes as well as...
Beratung

What is the breast augmentation procedure?

The breast augmentation procedure can be subdivided into the following 6 phases:
  1. consultation
  2. anaesthesia
  3. incision
  4. preparation of the implant pocket
  5. insertion of the implant
  6. suture closure
Beratung

Is an implant exchange or removal via the armpit possible?

It is often said that an implant exchange or removal via the armpit is not possible. This statement is simply false. For many years now, Dr. Klöppel performs implant exchanges or removals via the armpit by unsing the endoscopic transaxillary...
Beratung

What is there to know after the breast augmentation surgery?

After breast augmentation surgery, you will return regularly to our practice clinic for follow-up examinations. These are also possible at patient's option at any time. Care should be taken to ensure a correct intake of analgesic and anti-inflammatory and a regular cooling of the breast after the surgery. After 2 weeks …
Beratung

What are the possible risks?

Risks rarely occur, but can not be completely excluded. Our aim is to keep the risks as low as possible to ensure our patients an optimal result: an enlarged and well-proportioned breast with no obvious scars and signs that surgery was done. Studies of our patients who have received a breast augmentation with this method over the last 10 years show …
Beratung

Advantages

Dr. Klöppel has provided countless women with virtually scarless breast augmentation results because of his specialization in minimal scar techniques. The enlargement of the female breast via the visible inframammary fold incision (IMF) is now history. Benefit from our numerous years of professional expertise in the method of endoscopic transaxillary breast augmentation. Important milestones during this improvement process are the implementation of the modern, digital 3-chip camera with excellent pictures of the implant pocket and the precise display of muscular tissue, nerves and vessels …
Beratung

Implants

Depending on medical findings and individual desires, there are different implant forms and sizes in order to create a new breast. Round implants are suitable for a female, well-proportioned breast and a beautiful slightly rounded décolleté, teardrop-shaped (anatomical) implants for a particularly natural look with an upright décolleté and a fuller lower chest pole. The Mentor MemoryGel® XTRA implants promise …
Beratung

Dr. Markus Klöppel –
leading Plastic and Aesthetic Surgeon

As an internationally well respected board certified Plastic and Aesthetic Surgeon and head of BREASTetics, Dr. Markus Klöppel is your expert when it comes to HD endoscopic axillary breast augmentation. He has been practicing this special method of breast augmentation with silicone implants for over 20 years. Over time, he has perfected this unique method into his own advanced technique 3.0 by Klöppel which is now being offered exclusively at BREASTetics, the first center for endoscopic breast augmentation in Europe.

Dr. Klöppel is a well recognized lecturer for numerous national and international Plastic and Aesthetic Surgery meetings and societies.

More than 20 years of experience

Testimonials

What our patients say

The relationship of trust to Dr. Klöppel was there from the beginning and I immediately felt comfortable. Due to the fact that the implants were inserted in the armpit, an incision on the breast did not have to be made. An important point for me was that the result will look natural. I am completely happy with my new breast.
Alina, 19
In many conversations, Dr. Klöppel tried to find out how I am as a person. Since I have my new breasts, I feel like a new woman. I have a totally different self-esteem and I behave quite different. On the whole, it was the ultimate thing for me to do. I am really satisfied with the result.

Mandy, 38
I always had very small breasts and additionally I exercise a lot, bodybuilding. That's why I toyed for a very long time with the idea of enhancing my breasts. It was important to me, that the result will be as natural as it could be and that no scars could be seen. It was a success, to 100 percent.

Tanja, 24

Why to make an endoscopic breast augmentation
with silicone implants?

Many women wish for an improvement of their breast appearance after the completion of the breast growth. In most cases, the reason for this desire is a small underdeveloped breast, an aesthetic not perfect breast or asymmetrical breasts.

Even women, who were at first satisfied with breast form and size, desire in the course of the aging process or after pregnancies and breastfeeding periods a breast augmentation with silicone implants.

The modern plastic and aesthetic surgery offers excellent corrective possibilities, of which countless women worldwide can benefit and increase their self-esteem.

BREASTetics is the first aesthetic breast surgery center in Europe that is specialized in breast augmentation with silicone implants using the HD endoscopic method via the transaxillary approach.

The special advantage of this technique is that the enlarged breast does not only look very natural and well-proportioned, but also shows no obvious scars. The reason is that the small incision is positioned high up in one of the natural creases of the armpit and not directly on or under the breast. Due to the very thin skin localized in the armpit and the naturally occurring folds, the scar heals better than average and is barely visible after about 6-8 months.

These questions should be answered before the breast enlargement:

You decide whether the breast augmentation is made with the inframammary fold incision, where the two scars are visible underneath the breast, or if the new, beautifully shaped breast will remain scar-free due to the incision in the armpit. Along with the incision underneath the breast or the endoscopic breast augmentation in the armpit, there is a third possibility, the incision along the lower half of the areola (nipple).

The periareolar approach is, at least in Germany and Western Europe, the least common and favored method. The reason for this is that the sensitiveness of the breast is reduced by the crescent-shaped incision on the edge of the areola and therefore, the nipple can remain rough for a long time.

There is the possibility to place the implant in front of the breast muscle (subglandular) directly behind the breast tissue, or behind the muscle. In cases of the so-called submuscular placement, the implant will be placed deeper and therefore it will be covered by the pectoral muscle.

In regard to size and form of the breast implants, there are many different variants. Which silicone implant is the most suitable for your desired result, will be discussed with the surgeon in an individual consultation, with implant samples.

Interesting questions to the endoscopic breast augmentation

Sports after a breast augmentation with silicone implants is allowed 6 weeks after the surgery, at the least. It is particularly important that you will start slowly with your physical activity. If you don’t stick to the sporty break of six weeks, a shifting of the implants is possible, which requires a new surgery for a replacement of the implants.

You should wait with a specific muscular training or activities such as tennis at least three months. Only then, the implants are fix and the body has build a capsule to protect the implants.

After a breast augmentation, you should sleep for the first four weeks on your back, so that the implants cannot change their position. The special bra, that has to be worn up to 6 weeks after the surgery, supports the breast and prevents a possible shifting of the implants. In the first 5 – 7 days after the surgery, it is recommended to prop up your upper body when sleeping. Therefore, swellings and hematomas can sink lower and will be thus reduced. After the first four weeks, the patient is allowed to sleep on her side.

After an endoscopic breast augmentation via the armpit, breastfeeding is still possible – regardless of the implant placement over or under the pectoral muscle. The mammary ducts, which lead to the nipple, will not be affected by this method. That is different from the periareolar incision along the areola, which could reduce the breastfeeding ability.

No, the experience of pain after surgery is mainly due to the stretching of the muscle and skin, depending on the size of the implant positioned underneath. As a general rule, one does not perceive the pain of the wound but mainly the stretching pain of the muscle and skin, so that the incision has usually no influence on the postoperative pain sensation.

A breast augmentation with silicone implants should not be underestimated. Especially in the first weeks, feelings of tension and pain can occur. But patients accept them gladly to fulfil their wish of a breast enlargement. In the end, a fuller, natural breast according to the wishes of the patient can lead to a totally new self-esteem and therefore to an increased quality of life. The inserted implants are often hardly palpable, depending on quality and gel cohesiveness of the implants. Additionally, the transaxillary endoscopic method offers a scar-free breast and so the surgery will not be seen.

Normally, after an endoscopic breast augmentation painkillers and anti-inflammatory medication are prescribed, because in the first days and weeks tension pain in the breast can occur through the implant insertion. We recommend the concurrent intake of the painkillers Novalgin and Ibuprofen 600mg, which also has a decongestant effect. As a supplement, the homeopathic substance Arnica Globuli can be taken in order to accelerate wound healing.

It is possible that silicone implants will change their position, and therefore the breast shape after the surgery. Only after six months it is possible to assess the result, because the breast is swollen in the first weeks and months and therefore the implants are in a higher position. A slight sinking of the implants after the swelling has subsided is completely normal and ensures a more natural breast shape.

It is not uncommon that a patient wants to have an additional surgery along with the endoscopic breast augmentation. The endoscopic breast augmentation is often combined, for example in the course of an extensive mommy makeover after pregnancies, with a liposuction and possibly with a treatment in the genital area. In general, every combination is possible, as long as it is reasonable for the patient. The decision will be made together with Dr. Klöppel during a detailed, specialist consultation.