Breast Augmentation

PD Dr. Richard Fakin / Gender Reaffirming Surgery (GRS) / Breast Augmentation

Breast reconstruction for trans-women

Madrid | Zurich

Breast augmentation or reconstruction in trans-women, is much more than just increasing the breast size, given the fundamental importance of this intervention in the body feminisation process. By reaching outstanding aesthetic results, we are able to contribute to enhancing our patients’ life quality and feeling of happiness.

There are major differences when considering a breast augmentation surgery on trans-women and on cis women. Such as the distance between the nipple and the inframammary fold, a prominent décolleté, a short distance between both breasts and a more centric positioned nipple. All of these differences can be addressed by a thorough selection of surgery technique, implant type and size, along a crystal-clear understanding of our patient’s wishes.

The global aesthetic results of this procedure can be further optimised by combining it with complementary interventions such as fat grafting. Moreover, breast augmentation and gender affirming  surgeries can be performed simultaneously, thus avoiding unnecessary anaesthesia and hospitalisation processes.

Our expertise, professional commitment and skilful use of cutting-edge technology, successfully merge both aesthetic and reconstructive surgery procedures. Making us proud of contributing to our patients’ live quality.


60 minutes


same day

Fit to go back to work

4 – 6 days

Fit for everyday activities

3-5 days



Recovery time

6 weeks


JOY is an all-in-one program that provides women with a premium breast augmentation experience. It includes the latest Motiva® implant technology through Ergonomix2® a minimal-incision procedure delivered by JOY partners, and support for their journey through our interactive digital tools. It’s an honor for Dr.Fakin to be part of this proyect.

What brand of breast implant is the best for each patient?

Our patient’s personal preferences, anatomical size and shape are the key factors when selecting the best breast implant brand. Every single one of the brands we work with, offers unique features, are fully approved and designed with next-gen quality materials warrantied for life.

Motiva: next generation breast implants, ergonomic and smooth. Presenting very low long-term capsular fibrosis rates.

B-lite: A very light implant, with a 30% less weight compared to other brands with the same implant size. Best suited for very big volume implants.

Polytech: Anatomical or round implant, with an excellent value for money.

To learn more about our breast augmentation Surgery for trans-women, see our Instagram posts

Available implant shapes

  • Round: Its spherical shape provides an excellent upper and lower volume balance
  • Anatomical: teardrop-shaped implant for a natural looking breast
  • Ergonomic: this is a one-of-a-kind implant designed to follow a patient’s movements. When lying down it will hold a round shape and a teardrop shape when standing. Thus, behaving like a natural breast

Thera are several degrees of projection available for each shape. To achieve an ideal and stable breast shape, it is important to consider the silhouette, its location, amount of glandular tissue and skin flexibility.It is essential to fully understand each patient’s wishes to achieve a natural looking, attractive décolleté.

To learn more about our breast augmentation surgery for trans-women, see our Facebook posts.

How and where are implants placed and which are the additional procedures for Breast Augmentation?

There are three different planes for the implant placement relative to the pectoralis major muscle.

  • Subglandular plane: the implant is positioned on top of the muscle and beneath the gland
  • Submuscular plane: the implant is placed beneath the muscle
  • Dual plane: the implant’s upper pole is located beneath pectoralis muscle, while the lower pole sits directly behind the breast tissue

There are three ways for the implant insertion:

  • Inframammary fold: a very small scar is located in the lower breast fold
  • Periareolar: incision is performed between the pigmented areola and the surrounding skin
  • Transaxillary: incision performed in the armpit area.

The breast augmentation procedure can be combined with other interventions performed simultaneously such as: breast lift and breast fat grafting to extend the implant coverage using the patient’s own tissue.

To learn more about our breast augmentation Surgery for trans-women, see our Instagram posts.

Is it necessary to replace my implants?

If there are no major changes, the patient does not suffer any type of disorder, pain nor discomfort and is pleased with their appearance, there is no need to replace the implants. The old idea that implants needed replacement after ten years is no longer true, since current implants are designed with materials that last for life and significantly reduce the long-term rate of complications (capsular contracture). At our clinics, we use the best brands with the highest quality standards.

To learn more about our breast augmentation surgery for trans-women, see our Facebook posts.

Before and after, real cases

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