When treatment may be suitable
You would like both an increase in volume and the removal of excess skin
What else matters
- A stable weight and suitable health for surgery
- Acceptance of visible scars and an adequate recovery period
Breast surgery in Berlin · Augmentation mastopexy
Breast augmentation with a lift Shape and volume in balance
After pregnancy, weight changes or over the years, both fullness and skin firmness can diminish. If you would like more volume and a different breast shape, I assess both wishes together. A combined procedure is possible, but requires particularly careful planning.
Two goalsVolume and skin envelopeTailored to youa single-stage or staged approachPersonal carePlanning and aftercare
Costsfrom €8,000Breast augmentation with a lift, depending on the extent of treatmentCosts in detailPersonal consultationYour examination findings and the extent of treatment determine your individual treatment journey.
Treatment at a glance
The treatment
at a glance
Key information about breast augmentation with a lift. These details put duration, recovery and costs into context for your personal planning.
- Procedure
- Augmentation mastopexy
Details
Volume enhancement and the surgical lift are planned in conjunction with one another.
- Volume
- Implant or a carefully selected fat transfer approach
Details
The right option depends on your tissue and wishes.
- Duration
- Depends on the extent of surgery
Details
Combined procedures require their own timing plan.
- Anaesthesia
- Usually general anaesthesia
Details
Your health and suitability are assessed beforehand.
- Scars
- Depend on the amount of excess skin
Details
Around the areola, vertically downwards and, if necessary, along the crease beneath the breast.
- Support bra
- Often around 4–6 weeks
Details
Wearing time and fit follow your personal plan.
- Physical activity
- Gradual increase
Details
Lifting, work and exercise are adjusted to your healing progress.
- Price / pricing basis
- from €8,000
Details
Breast augmentation with a lift, depending on the extent of treatment. The agreed scope of services is recorded in your personal cost plan.
Timings are a guide. A personal examination will establish what applies to you.
Understanding what changes
More volume and less skin
carefully balanced together
Augmentation adds volume; mastopexy reshapes the skin envelope and repositions the nipple. Both steps affect the same tissue. Choosing the right implant size and ensuring a good blood supply are therefore central to planning.
How the treatment works
- Assessment
Distinguishing shape from fullness
Assess the skin envelope, nipple position and desired volume.
- Planning
Coordinating the steps
Decide together on the implant or fat transfer approach and the extent of the lift.
- Healing
Managing tension and protecting blood supply
Adapt activity levels, the support bra and wound checks to the procedure.
How I plan your treatment
I assess breast width, skin quality, your own tissue and nipple position. A lift alone can reshape the existing breast; if you would like additional fullness, we discuss implants or a suitable fat transfer approach. Not every breast needs both procedures.
The incision pattern is determined by the amount of excess skin. Depending on the findings, it runs around the areola and vertically downwards; with greater excess, an additional incision along the crease beneath the breast may be needed. In more challenging cases, it may be more appropriate to divide augmentation and lifting between two operations.
A breast shape we plan together The aim is a shape that suits your proportions and wishes. Scars, individual asymmetries and further changes through ageing or weight remain part of the reality. A specific cup size cannot reliably be promised as a surgical outcome.
01 / A closer lookOne operation or two?
A single operation can be practical, but is not always the most appropriate solution. Large changes in volume, weak tissue or risks to blood supply may justify a staged approach. I explain the advantages and disadvantages in relation to your breasts.
02 / A closer lookConsidering pregnancy and breastfeeding
A later pregnancy can change the shape of your breasts again. Breast surgery can impair sensation and the ability to breastfeed. Any plans to have children and the time since you stopped breastfeeding therefore form part of our discussion.
Is this right for me?
Who the treatment
may be suitable for
Your wishes are the starting point. I assess whether the examination findings, your health and the expected benefit are compatible.
What needs to be clarified beforehand
Significant risks relating to wound healing or blood supply
What else matters
- Unrealistic size expectations where the tissue has limited capacity to withstand strain
- Weight changes or plans to have children soon may influence planning
Different causes need different solutions. Sometimes choosing not to have surgery is also the right decision.
Compare alternativesBreast lift
When the existing fullness is generally sufficient.
Explore the optionsBreast augmentation
When more volume is desired without significant excess skin.
Explore the optionsBreast augmentation with fat transfer
For suitable cases where a more moderate increase in volume is desired.
Explore the optionsMommy Makeover
Pregnancy does not in itself create a need for treatment. Treating just one area or choosing not to have surgery may also be appropriate.
Understand the concern in more detailYour treatment journey
Treatment and aftercare
with personal support
01PreparationPlanning your proportions together
We discuss your desired fullness, scar placement, any plans to have children and whether one or two operations would be appropriate.
- Assess your own tissue and skin quality
- Explain the differences between implants and fat transfer
02TreatmentAdjusting shape and volume
The procedure follows the agreed plan, with particular attention to tissue tension and blood supply.
- Coordinate the lift and volume enhancement
- Organise your stay and care
03AftercareClosely supporting your healing
Wound checks, a support bra and rest are agreed individually.
- Arrange help with heavy lifting
- Discuss scar care and later follow-up appointments
Before you are discharged, we agree on a direct contact route for your aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Recovery and aftercare
with personal support
First few daysChecking the wounds
Early checks assess blood supply and healing. Swelling, tightness and bruising may occur initially.
First few weeksReducing strain on the breasts
Wear your support bra and avoid activities for which you have not been given clearance. Returning to office work and physical work requires different planning.
Following monthsShape and scars continue to develop
Swelling subsides, tissue settles and scars mature. A final assessment takes time.
These timeframes are a guide, not a firm promise. Your individual recovery may differ.
Speaking openly about risks
Risks and limitations
considered together
Surgery changes tissue and carries risks. I discuss your individual circumstances, possible complications and aftercare before you make your decision.
Typical effects and reactions
- Swelling, a feeling of pressure, bruising and pain
Possible complications
- Postoperative bleeding, infection, fluid accumulation and impaired wound healing
- Noticeable scars, asymmetry and temporary or permanent changes in sensation
- Thrombosis, embolism and anaesthetic risks; a further operation may be necessary
- Impaired blood supply to the skin or nipple and reduced ability to breastfeed
- With implants, additional risks include capsular contracture, displacement, material damage and rare implant-associated conditions
These warning signs need immediate attention
If you experience rapidly increasing swelling on one side, severe pain, fever or unusual wound discharge, contact the agreed aftercare contact immediately. Breathlessness, chest pain or circulatory problems are an emergency: 112.
Understand the costs and take your time to decide
Treatment costs
your individual plan
The extent of the lift, the method used to add volume and any staged approach determine the total cost. After an examination and discussion, you will receive a personal cost plan.
Breast augmentation with a liftDiscuss costs in person
Price range
from €8,000–9,000
Breast augmentation with a lift, depending on the extent of treatment
The agreed scope of services is recorded in your personal cost plan.
The price reflects your treatment plan
What influences the cost
Lift
The amount of excess skin and the incision pattern required.
Volume enhancement
Implants or harvesting and preparing your own fat.
Time and care
One or more operations, anaesthesia, your stay and aftercare.
Services covered by your cost planWe clarify these points beforehand
- Consultation, examination and individual surgical planning
- The agreed procedure and any additional planned services
- Anaesthesia, clinical care and your planned stay
- Check-ups, wound care and agreed aftercare
Your individual quotation sets out which services are included in the total amount.
Additional costs & possible reimbursementConsider follow-up appointments too
Additional procedures, medical aids, further stays or later corrections may incur separate costs. Your personal quotation states which services are included. Insurance reimbursement is not automatic; you should clarify any potential cover and follow-up costs before surgery.
An examination and shared planning help you understand the costs. You will receive your personal cost plan before deciding whether to proceed with treatment.
Your specialist, personally responsible for your care
Dottore Andrea Caletti
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
Frequently asked questions:
Breast augmentation with a lift
A website can offer guidance. We discuss your personal situation during your medical consultation.
Ask your question01Can both be done in one operation?
Yes, when the conditions are suitable. However, tissue quality, the desired change in volume and blood supply may make it advisable to divide the steps between two operations.
02Do I always need an implant?
No. Depending on your own tissue, a lift alone may be sufficient, or fat transfer may be an option. We first establish how much additional fullness you actually want.
03What scars will remain?
This depends on the amount of excess skin. Scars may run around the areola, vertically downwards and additionally along the crease beneath the breast. They mature over time, but do not disappear.
04Will I still be able to breastfeed afterwards?
Breast surgery can affect your ability to breastfeed and breast sensation. No firm assurance can be given; any plans to have children will be discussed beforehand.
05When can I lift things or exercise again?
Clearance depends on wound healing and the extent of surgery. Arrange help at home and distinguish between gentle movement and heavy lifting or chest exercises.
06How much does breast augmentation with a lift cost in Berlin?
The extent of the lift, the method used to add volume and any staged approach determine the total cost. After an examination and discussion, you will receive a personal cost plan. Pricing basis: combined surgical plan. The scope of treatment and any possible additional costs will be set out in writing before you decide.
Sources & clinical background
Further specialist information on the procedures described, their limitations and risks.
- DGPRÄC: Breast lift
Mastopexy options, incision patterns and risks; adding volume is a separate treatment decision.
- DGPRÄC: Breast augmentation
Implant choice, placement and surgical planning, and the distinction between augmentation alone and an additional breast lift.
- FDA: Risks and complications of breast implants (in English)
Capsular contracture, implant damage, possible further operations and rare implant-associated conditions. Information from the US health authority.
Contact & directions
Any questions
before your visit?
My team will be happy to help with questions about your appointment and how to get here.
Let's begin with a conversation
Personal consultation
about your wishes
Tell me what matters to you.
I will take time for your questions.