Breast augmentation surgery is a good method to change the volume and shape of a breast that is too small or sagging.
In this procedure, a silicone prosthesis is placed in a cavity under the mammary gland or pectoral muscle. This is done during a one-night hospitalization. The surgery takes place under general anesthesia. You should allow about six weeks for recovery after the procedure.
Rated with a 9,8 out of 10
Rated with a 9,8 out of 10
If the breasts are too small in relation to the rest of the body, breast augmentation may be a solution. This may be the case with underdevelopment of the breasts that has existed since adolescence, possibly combined with asymmetry between the two breasts.
A slight difference in size between the two breasts, by the way, is perfectly normal. Drooping breasts can also occur after pregnancy or weight loss.
By implanting prostheses, the volume as well as the shape of the breast can be changed to a shape and proportion more suited to the body or your personal desires.
Kliniek het Bolwerk works with Mentorimplants, a global leader in the production, research and testing of breast implants.
The Mentor product line is leading the world. For more than 30 years, Mentor has maintained the highest safety standards in manufacturing, testing and clinical trials of their saline and silicone-filled breast implants.
Mentor is the only company in the world whose breast implants are manufactured entirely in the United States and in Europe. Mentor products are widely recognized by physicians for their exceptional integrity.
Not only are you choosing the security of breast implants with a history of high quality, but you’re also choosing a company whose goal is to help women make informed decisions about their own breast augmentations.
Mentor offers clear facts, comprehensive information and personal assistance with questions you may want to ask about breast augmentation.
The FDA is the highest body worldwide that controls the quality and safety of medical products. This involves lengthy independent scientific research. Even after approval, companies must still have years of scientific research done on long-term effects.
The so-called cohesive silicone MemoryGel used by Mentor has FDA approval* in addition to CE certification. US FDA approval has been granted to only 3 brands of silicone breast implants.
Because not all breast prostheses used in the Netherlands are FDA approved, it is sometimes incorrectly suggested by other parties that implants, which are FDA approved, are sold primarily in America and that the FDA is therefore a purely American concern for products.
At Kliniek het Bolwerk, your safety comes first. This is why we register all breast prostheses placed or removed at our clinic. This conclusive registration system was developed in cooperation with the Dutch Society for Plastic Surgery (NVPC) and ensures that implants can be detected quickly and easily in the event of any problems.
For years, the NVPC has advocated an internationally comprehensive registration system to ensure the safety of breast prostheses. By participating in the breast prostheses registry, we contribute to a transparent and reliable healthcare system.
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The NVPC considers breast augmentation with silicone breast implants a responsible and safe medical procedure. Silicone breast implants have been used since the 1960s because of their biocompatibility, which means that the body shows no unwanted reactions. Numerous scientific studies and reviews over the past 30 to 40 years confirm the safety of silicone implants.
At Kliniek het Bolwerk, we work with Mentor brand breast prostheses, which are known for their high quality and reliability. The FDA, the highest global body for the control of medical products, has approved Mentor breast prostheses. This approval is based on:
For more information on breast implant safety and registration, read the NVPC’s Breast Implant Registry (DBIR) Patient Leaflet. This leaflet provides comprehensive details and helps you make an informed decision about breast augmentation.
During the first visit to the plastic surgeon, there will be an orientation discussion about your current complaints and wishes regarding the shape of your breasts after surgery.
You discuss what you don’t like about the shape and size of your breasts and what you expect from the surgery. The plastic surgeon will inform you about the real possibilities, the surgery, the possible scars and the placement of the prosthesis (on or under the pectoral muscle). The pros and cons and complications will also be discussed.
A proposal is made for the shape and volume of the breast prosthesis that is most suitable for you. At Kliniek het Bolwerk, you build a relationship of trust with the plastic surgeon who performs both the surgery and the checkups.
Breast augmentation surgery takes place under general anesthesia. Before admission, you’ll have an appointment with the anesthesiologist to discuss anesthesia and any additional tests such as blood draws, ECG or X-rays.
Pictures of your breasts will be taken and stored in your medical record. On the day of surgery, you will come to the clinic sober. The plastic surgeon will approve the surgery and answer any final questions you may have.
The surgery is performed under general anesthesia by experienced anesthesiologists and anesthesia assistants. The prosthesis is usually inserted through an incision under the breast fold, making a cavity under the mammary gland or pectoral muscle.
The choice of method is made in consultation with the plastic surgeon. After insertion of the prosthesis, a wound drain is left to prevent fluid accumulation and the wound is closed with soluble suture material.
After the procedure, you will go to the recovery room, where you will be monitored until the anesthesia wears off. Here you will be given pain relief and any medication for nausea.
Then you will be taken back to your room, where you will be checked regularly by qualified nurses. At the end of the day, the plastic surgeon will visit you to discuss the procedure. Your scars will be taped with wound strips and you will wear a post-operative bra as soon as possible.
The day after surgery, any wound drains will be removed and you can leave the clinic. You must wear a well-supporting postoperative bra day and night for six weeks, which is available at Kliniek het Bolwerk.
Any pain is treated with paracetamol and naproxine; if necessary, the doctor may prescribe another medication.
After surgery, heavy lifting, bending and sports are not recommended for six weeks, as the breast prostheses may otherwise shift. Also, avoid bathing in a tub, pool or sauna until the wounds have healed properly (usually after six weeks).
After six weeks, you may resume all activities. Check-up appointments with the plastic surgeon are scheduled for the first and sixth weeks after discharge.
In case of fever, illness, redness of the wound area, sudden swelling or other problems, contact Kliniek het Bolwerk immediately by mail or phone as indicated in the postoperative instructions.
For a nicer, faster and less painful healing process, wearing the right compression bra for six weeks after breast surgery is essential. Kliniek het Bolwerk recommends the AVA compression bra by Carefix, which is available at the clinic.
David Jairath has 15+ years of experience in aesthetic procedures for breast augmentation.
Each treatment is tailored to your situation and needs through a personal consultation.
We meet the highest standards of sterilization, hygiene through a safety.
Our team will carefully guide you through the recovery process and answer all your questions, even after the procedure.
If there is a risk of impaired wound healing, such as with diabetes or medication, or if you are obviously overweight, it may be wise in some cases to forgo surgery. The plastic surgeon will advise you about this.
One reason to forgo breast surgery is if your expectations do not match the plastic surgeon’s options. This is discussed in detail during the exploratory consultation.
Breast augmentation surgery can also have drawbacks. The scar is usually on the underside of the breast and is kept as small as possible. Usually the scar is about 5 cm long. How a scar will develop over time cannot be predicted in advance. It can range from a barely visible line to a red itchy scar.
After the procedure, there may also be decreased sensation in the nipples or sensation in the nipples may disappear completely. In principle, it is possible to breastfeed normally after breast augmentation.
We would also like to point out that there may be a slight left-right difference between the two breasts after surgery. This is usually the case before surgery. A small left/right difference before surgery can give a larger difference after breast augmentation.
We cannot guarantee a particular bra cup size after surgery because it varies quite a bit from one bra manufacturer to another. Cup sizes do not always fall the same between different manufacturers.
Undesirable effects of breast surgery include post-operative bleeding and disruptions in wound healing, which can cause infections. We make every effort to minimize the risk of unwanted effects.
In the longer term, problems can arise from so-called capsular contracture. The formation of a capsule around the prosthesis is a natural process. Unfortunately, in some people this capsule develops into a hard capsule after years, which can cause pain and a change in the shape of the breast. Then a new procedure is needed in which this capsule is loosened and often a new implant is placed.
I am Drs. David Jairath, plastic surgeon. After studying medicine and specializing as a plastic surgeon, I further specialized in the aesthetic-cosmetic field.
During my career, I have worked in both academic and private clinics, with my expertise encompassing both reconstructive and cosmetic procedures. In recent years, I have focused on non-invasive and minimal procedures that contribute to my clients’ body image and well-being.
I now use my broad knowledge and experience at Kliniek het Bolwerk, where, as a plastic surgeon with over 15 years of experience, I carefully perform all procedures. I always take into account the individual situations and wishes of my clients, with the aim of providing optimal results and the best aftercare.
My mission is to support clients in their well-being through my medical expertise. Together with the client, I consider what options best fit their needs and desires. The client is at the center of every procedure.
All reviews were collected via Zorgkaart Nederland, Trustpilot, Google and email.
All reviews were collected via Zorgkaart Nederland, Trustpilot, Google and email.
Rated with a 9,8 out of 10
Eyelid surgery
I am extremely satisfied with my eyelid surgery by David Jairath. Because I had already had eyelid surgery in the past, I had a good idea of what to expect. That is exactly why this experience stood out as so positive.
David Jairath is a very skilled and professional surgeon, but what really sets him apart for me is how approachable and involved he is. He takes plenty of time to explain everything clearly, listens carefully to your questions and is also easy to reach after the procedure. That gave me a lot of confidence and a sense of safety throughout the whole process.
The aftercare is also excellent. You notice that you as a patient really come first and that there is genuine attention to a good recovery. Questions are answered quickly and kindly, which is very reassuring.
I can therefore wholeheartedly recommend David Jairath to anyone considering eyelid surgery. A skilled surgeon with a pleasant, personal approach and excellent aftercare. I am very happy with my choice and the lovely result.
16 July 2026
General
I am so happy with the result of my treatment with Dr Jairath. I came for a lip correction because of scar tissue, and from the first consultation I immediately had a very pleasant and trusting feeling.
Dr Jairath is a true craftsman through and through. His eye for detail, precision and professionalism immediately give you the confidence that you are in the best hands. He takes all the time you need, listens carefully to your wishes and explains everything clearly and calmly. His assistant also deserves a big compliment. She is extremely friendly, involved and caring and puts you completely at ease from the very first moment.
The procedure was carried out very skilfully and the result already looks better than I had dared to hope. The aftercare is also excellent. Everything is explained clearly and you can tell in every way that the work is done with genuine attention and love for the profession. I am enormously grateful for the professional and personal guidance. I can therefore wholeheartedly recommend Dr Jairath and his wonderful assistant to anyone looking for quality, craftsmanship, trust and personal attention.
Thank you so much for the wonderful care. I could not have wished for a better team!
1 July 2026
General
Dr Jairath is a very skilled, but also kind and empathetic doctor.
He is always honest and clear about the treatment.
I would definitely recommend Dr Jairath to others, because with him you can count on good and expert care, and it is a pleasant place to be too!
2 June 2026
Eyelid surgery
I went to Mr Jairath for eyelid surgery and I am extremely satisfied with the whole process.
From the first consultation through to the operation and the aftercare, everything felt professional, clear and trustworthy. Mr Jairath is a very skilled doctor with a great deal of knowledge and experience. He knows exactly what he is talking about, puts you at ease and gives honest, good advice.
As far as I am concerned, the procedure and guidance were absolutely worth 5 stars. I am very happy with the result of the correction, my complaints have gone and I feel a lot better for it.
My compliments and thanks to Mr Jairath.
30 May 2026
Eyelid surgery
During the intake consultation with Mr David Jairath I already had a good feeling about it. He explained clearly what the procedure involved. After the intake I also received additional information by email. The procedure itself was very relaxed. He explained everything step by step during the procedure. Everything is done under local anaesthetic. We had a really nice conversation during the procedure and before you knew it the treatment was over. I received clear information on what to do after the procedure. After a week the stitches were removed. I am very satisfied with the final result.
23 May 2026
Eyelid surgery
I received a clear explanation from Mr David Jairath during my intake consultation about eyelid surgery. A clear explanation of what will happen during the procedure and of the aftercare afterwards. I am satisfied.
3 March 2026
Rated with a 9,8 out of 10
Breast augmentation surgery is currently not reimbursed by Dutch health insurance companies. If there is a disposition disorder or a difference in size, of at least one cup size between the left and right breast, an application for reimbursement can be made by the attending plastic surgeon.
Despite this application, the insurer retains the right to reject reimbursement for this procedure. In all other cases, the procedure is considered cosmetic and you must pay for it yourself.
The price of a breast augmentation depends on your wishes and on what we discuss during the consultation. To always give you the right information, we keep all rates up to date in one central place. That way you can be sure you are seeing the most recent prices, including the first consultation.
On our rates page you will find the complete and current overview of all treatments.
We recommend wearing a good supportive post-operative bra after the procedure, without underwire at the bottom. A sports top may also be a good solution. We can help you find a good bra.
The bra is put on as soon as possible after surgery. Sometimes already in the operating room, sometimes in the recovery room. Also read the answer to the first question, “What kind of bra can I wear after surgery?”.
Breast augmentation is a real operation lasting 60 to 90 minutes. For your safety and comfort, the surgery is performed under general anesthesia. Because something unexpected can always happen after the procedure, it is wise to stay in the hospital so that pain relief is well taken care of. Our staff will do their best to make you as comfortable as possible.
Kliniek het Bolwerk wants to work as safely as possible and not risk your health. In addition, the treatment should be as comfortable as possible for you. A modern anesthesia, as performed in cooperation with our anesthesiologists, is many times safer and more comfortable than a procedure under local anesthesia with a sedative. A procedure in which you have to lie still on an operating table for 90 minutes for the best result is hardly tenable.
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