Breast Augmentation with Implants

Breast augmentation at Estela uses Mentor silicone implants — a Johnson & Johnson brand approved in the EU — in either round or anatomical (teardrop) shapes, or autologous fat transfer for patients seeking a more modest, all-natural enhancement. Surgery is performed under general anaesthesia at St. Anna Faculty Hospital, Brno, with a minimum one-night hospital stay included in the price. MUDr. Jevhenij Polovko specialises in breast surgery and guides patients through implant selection (size, shape, profile, and pocket placement) at a pre-operative consultation. The procedure takes one to one and a half hours. Patients return to work after two weeks and achieve their final shape at two to three months.

Breast augmentation with silicone implants is one of the most frequently requested procedures at Estela, combining high patient satisfaction with well-established safety data. The clinic uses Mentor implants exclusively — a brand developed by Johnson & Johnson — available in both round and anatomical (teardrop) profiles. Round implants provide a fuller upper pole and are popular with patients seeking a more pronounced décolletage; anatomical implants mirror the natural slope of the breast, with less volume at the top and a fuller lower pole, producing a shape closer to a natural breast with increased projection. MUDr. Polovko conducts a detailed pre-operative consultation to establish the correct implant size, projection, and pocket placement for each patient's anatomy. Implants are most commonly placed in the dual-plane position (partially beneath the pectoralis major muscle), which provides additional tissue coverage over the implant, reduces visible rippling, and positions the implant for a natural drop and shape over time. Inframammary (under the breast fold) or periareolar (around the nipple) incisions are selected based on anatomy and patient preference, each offering advantages for scar concealment. For patients who prefer a natural result without implants, fat transfer augmentation (CZK 52,000) is available. Donor fat is harvested via liposuction from an area of excess — often the flanks or thighs — purified, and injected into the breast tissue in multiple micro-aliquots. The gain in volume is typically one to one and a half cup sizes; the procedure is not suitable for patients seeking significant enlargement, but delivers permanently integrated volume with zero risk of implant-related complications. Surgery takes one to one and a half hours under general anaesthesia at St. Anna Faculty Hospital, where patients stay for a minimum of one night. The price covers all pre-operative medical examinations required for general anaesthesia, the Mentor implants themselves, the hospital night, and post-operative care visits. A supportive bra without underwire is worn for four to six weeks. Patients avoid sleeping on their stomach for six weeks and strenuous activity for six weeks. Swelling and bruising resolve in approximately two weeks, and the implants gradually settle into their final position over two to three months. Breast augmentation is suitable for women aged 18 and over (when breast development is complete). Implants do not prevent future pregnancies or breastfeeding. Aspirin should be stopped two weeks before surgery.