Breast augmentation with implants

Loss of firmness and sagging of breast tissue are common consequences of breastfeeding, weight fluctuations, and aging. When the breasts lose upper fullness and the skin becomes lax, adding implants alone or simply removing excess skin often fails to deliver the desired shape. A combined procedure, mastopexy with silicone implant insertion, addresses both issues in a single operation: it lifts the tissue and nipples to a higher position and restores volume to the upper pole of the breasts.

It is important to understand that a combined procedure is more complex than either surgery performed individually and generally carries a slightly higher risk of requiring additional revision surgery. You can view actual outcome examples on our Before and After page.

Mentor implants

At Poliklinika Beograd, we use Mentor silicone implants, manufactured by Mentor Worldwide, a company operating under the Johnson & Johnson family. Mentor is one of the world's leading manufacturers of breast implants, supported by decades of clinical experience and approvals from international regulatory agencies.

The implants are filled with cohesive silicone gel, which maintains its shape while remaining soft to the touch. The shell features a multi-layer design to minimize the risk of rupture, though it does not eliminate it entirely. They are available in a wide range of shapes and sizes, allowing the surgeon to select an implant tailored precisely to your anatomy.

Regarding the warranty. Mentor offers a lifetime replacement policy in the event of shell rupture, subject to manufacturer terms and conditions. Coverage for other complications, such as capsular contracture, is valid for a limited number of years under specific conditions. Please note that breast implants are not lifetime devices and additional surgeries may become necessary over time. Your surgeon will explain the exact warranty terms in detail during your consultation.

Round vs. anatomical implants

Implant shape directly influences the final breast profile. During your consultation, two primary options will be evaluated:

• Round implants: Provide overall fullness, creating a more pronounced upper pole and an enhanced cleavage.
• Anatomical (teardrop) implants: Mimic the natural contour of the breast, with maximum volume at the base and a gradual taper toward the top, yielding a subtle, natural profile.

Implants are manufactured with either smooth or textured surfaces. Textured implants have been associated with a rare medical condition known as BIA-ALCL, making surface selection an important topic of discussion during your consultation.

How implant size is selected

Selecting implant size is not a matter of finding a single "ideal" volume. The surgeon evaluates chest wall width, natural tissue thickness and quality, skin elasticity, and your aesthetic goals. Larger implants carry more weight and place greater strain on supporting tissue, which can accelerate recurrent sagging. Therefore, for combined procedures, size is chosen cautiously and often conservatively. The final decision is made collaboratively with your surgeon, based on precise anatomical measurements and clinical evaluation.

How the procedure is performed

The surgery is conducted under general anesthesia and lasts several hours, depending on the complexity of the correction. The surgeon creates a precise pocket for the implant, removes redundant skin, and reshapes the glandular tissue. Incisions are made around the areola, vertically downward from the areola, and, when necessary, within the inframammary fold beneath the breast.

Depending on your physical structure, the implant is placed in one of two planes:

1. Under the chest muscle (submuscular): Frequently recommended for patients with thinner natural tissue, as the muscle covers the upper portion of the implant and creates a smoother transition.

2. Under the mammary gland (subglandular): Used when adequate natural tissue is present to cover the implant. Recovery is typically milder, with no stress placed on the pectoral muscle.

Preoperative preparation

All preoperative preparations, including lab work, ECG, and internal medicine evaluations, are conducted on-site at our clinic according to the schedule provided at booking. Procedures are performed by highly experienced plastic and reconstructive surgeons, including university professors. Your operating surgeon will be specified upon scheduling.

Recovery and postoperative care

Following surgery, patients remain overnight under continuous medical supervision. The following day, you will be discharged to continue your recovery at home with comprehensive instructions and prescribed medications.

• Compression bra: Must be worn as directed by your surgeon, typically for the first several weeks, to support the implants and facilitate swelling reduction.
• Resuming daily routines: Light office work and gentle walking can usually be resumed after 7 to 14 days.
• Physical activity: Heavy lifting and workouts should be postponed for 6 to 8 weeks, pending clearance during your follow-up appointment.
• Final results: The permanent shape and position of the breasts settle over a period of 6 to 12 months.

Risks and long-term monitoring

In addition to general surgical risks (bleeding, infection, asymmetry, changes in nipple sensation, and scarring), implants carry specific risks: capsular contracture (hardening of scar tissue around the implant), rupture or displacement, and the potential need for replacement surgery in the future. Regular follow-ups and routine imaging (ultrasound or MRI, as recommended by your doctor) are advised. Implants do not prevent routine breast health screenings, but radiologists should be informed of their presence prior to examination.

This procedure is ideally planned after a woman has completed childbearing and breastfeeding. Smoking and certain underlying medical conditions increase the risk of surgical complications.

Procedure cost and inclusions

The price for breast lifting with implants covers the surgical procedure, anesthesia, Mentor implants, preoperative laboratory tests, and a one-night stay with continuous nursing care. The exact scope of services and any potential additional expenses will be fully clarified during your consultation. Complete pricing details for all procedures can be reviewed on our Price List page. 

Why Choose Us?

Breast lifting with implants at Poliklinika Beograd is performed by experienced plastic surgeons using a personalized approach and surgical planning tailored to each patient's body structure and goals. The combination of expertise, carefully selected techniques, and attention to every detail helps achieve shapely breasts with the desired volume and a lifted appearance.

Here is why our patients trust us:

• Experienced plastic surgeons: Our team consists of specialists with over 15 years of experience in aesthetic surgery and thousands of successfully performed operations.
• Personalized surgical plan: Breast position, skin quality, existing volume, and desired implant size are all evaluated when planning the procedure.
• Modern surgical techniques: The lifting and implantation technique is chosen based on the patient's unique anatomy and the surgeon's clinical evaluation, aiming for balanced proportions.
• Continuous medical support: From the initial consultation through postoperative check-ups, our team provides expert guidance and closely monitors your recovery.
• Affordable pricing and dedicated care: At Poliklinika Beograd, you have the opportunity to discuss the optimal solution, expected outcomes, and all essential surgical details directly with your surgeon.

Schedule your consultation

The initial step is an open dialogue with our plastic surgeons. During your exam, your tissue structure will be evaluated, implant options reviewed, and the optimal surgical technique defined for your goals. Call us or submit an inquiry through our website to reserve your appointment.