Frequently Asked Questions about
Endoscopic Breast Augmentation

No, the pain experienced during the first few days is essentially caused by the stretching of the muscle and the skin, depending on the size of the implant positioned beneath it and the implant’s location. The patient usually perceives the stretching pain of the muscle and skin, not the wound pain of the incision, so the incision technique has no influence on the level of pain.

After a breast augmentation, you should only sleep on your back for the first 4 weeks, as the implants could otherwise change their position. The special compression bra, which must be worn for up to 6 weeks after the surgery, also provides support and prevents the possible shifting of the implants. During the first 5-7 days after surgery, it is recommended to elevate the upper body while sleeping. This allows swelling and any bruising to migrate downwards due to gravity, minimizing them. After the first 4 weeks, the patient may also adopt a slightly side sleeping position.

Exercise after a breast augmentation with silicone implants is permitted no sooner than 6 weeks after the operation. It is important here to slowly resume sporting activities. If the 6-week rest period for sports is not adhered to, the implants could shift, making a new surgery necessary to reposition them.

You should wait at least 3 months after the operation before starting targeted chest muscle training or activities like tennis. Only then are the implants firmly seated, and the body has formed a capsule to protect the implants.

The ability to breastfeed remains preserved even after an endoscopic breast augmentation via the armpit—regardless of whether the implant is placed above or below the chest muscle. The milk ducts leading to the nipple are therefore not affected by this surgical method. This differs from the periareolar access via the nipple, which may possibly reduce the ability to breastfeed.

The surgery for breast augmentation with silicone implants should naturally not be underestimated. Especially in the first few weeks, feelings of tension and pain can still occur. However, patients are often happy to endure this for the long-awaited wish for breast augmentation. Ultimately, a fuller, natural breast according to the patient’s wishes can lead to a completely new sense of self-worth and thus to an increased quality of life. Often, the inserted implants are barely palpable, depending on the composition and gel cohesiveness of the implants. The endoscopic-axillary method also offers a scar-free breast and makes the operation barely, if at all, recognizable.

After an endoscopic breast augmentation surgery, pain relievers and anti-inflammatory medications are usually administered, as tension pain in the breast can occur, especially in the first few days and weeks due to the insertion of the implants. We recommend the parallel intake of the pain-inhibiting Novalgin and Ibuprofen 600 mg, which also has a decongestant effect. Supplementation with homeopathic Arnica Globuli for faster wound healing is possible.

After an endoscopic breast augmentation with silicone implants, they may change their position and shape over time. It is only possible to evaluate the result after six months, as the breast is very swollen in the first weeks and months and the implants are thus positioned relatively high. A slight settling of the implants after complete reduction of swelling is therefore completely normal and ensures a more natural shape of the breast.

It is not uncommon for a patient to wish for another surgery to be combined with her endoscopic breast augmentation in a single procedure. For example, as part of an extensive Mommy Makeover after pregnancy(ies), the endoscopic breast augmentation is often performed together with a tummy tuck, liposuction, and possibly also a treatment in the intimate area. In principle, almost any combination is possible, provided it is reasonable for the patient. Dr. Klöppel decides this together with the patient during a detailed specialist consultation.