Question 1

What must be considered before the procedure?

Accepted Answer

It is important that you come to our practice 14 days before your procedure to have an ECG and a laboratory examination performed. In advance, we need an ultrasound finding of your breast. Please note that you should refrain from blood-thinning medications such as aspirin about 4 weeks before the planned surgery date. Alcohol and nicotine consumption should also be reduced during this time to support your health. Don't forget to obtain the prescribed medications in advance.

Question 2

How does the anesthesia work?

Accepted Answer

The procedure is performed under general anesthesia to ensure that you are completely relaxed and pain-free during the entire procedure. This allows the surgeon to achieve the best results while you are in a comfortable state.

Question 3

Duration of the procedure?

Accepted Answer

The duration of the procedure varies depending on the surgical technique used, usually 2-3 hours.

Question 4

Stay in the Plastic & Aesthetic Surgery Clinic?

Accepted Answer

Afterwards, you will spend one night in our Plastic & Aesthetic Surgery Clinic, where you will be excellently cared for by our expert team.

Question 5

Aftercare?

Accepted Answer

After a breast lift or breast reduction, it is very important to wear the compression bra for 6 weeks. This supports the healing process and ensures the best possible shape of your breasts. During this time, you should take it easy physically to ensure optimal recovery. The suture material used will be removed 14 days after the procedure, which is another step in your healing process.

Question 6

When can I see first results?

Accepted Answer

The first results of a breast reduction or breast lift are visible immediately after the procedure. Once the swelling and any bruising have subsided, the final result usually shows after about 3-6 months.

Question 7

When am I socially acceptable again?

Accepted Answer

After a breast reduction or breast lift, patients are usually immediately socially acceptable, but should consistently take it easy in the first 14 days.

Question 8

What scars can I expect after breast reduction or breast lift?

Accepted Answer

Breast reduction scars and breast lift scars depend on the technique used. Common patterns include a scar around the areola (periareolar), an additional vertical scar, or a T-shaped scar for larger reductions. Dr. Caspari places great emphasis on aesthetic incision planning. With proper scar care, the scars fade significantly over time.

Question 9

Does health insurance cover breast reduction surgery?

Accepted Answer

In Germany, breast reduction has been removed from the hospital catalog – even for large reductions. The previously common 500-gram-per-side rule no longer applies today. Complaints such as back pain, neck tension, or spinal problems are generally not recognized by statutory health insurers as sufficient indication for cost coverage. The application process often extends over many months to years and in the vast majority of cases ends in rejection. We will advise you transparently on breast reduction costs during your personal initial consultation.

Question 10

Can a breast lift be combined with implants?

Accepted Answer

Yes, a breast lift with implants is a frequently chosen option when volume restoration is desired in addition to the lift. This combination is particularly suitable for women after pregnancy and breastfeeding who wish to achieve both a breast lift and volume gain. Whether a breast lift without implants or with implants is right for you will be individually decided during your personal consultation.

Question 11

Can I still breastfeed after breast reduction?

Accepted Answer

Breastfeeding after breast reduction is generally fully possible with the techniques we use. Dr. Caspari is internationally renowned for his tissue-preserving surgical techniques and has presented his methods and results at medical conferences worldwide. We deliberately avoid techniques that could compromise breastfeeding ability. For patients planning to have children, we recommend ideally scheduling the breast reduction after completing family planning, as the breast can still change due to hormonal shifts during pregnancy.

Question 12

When can I exercise again after breast reduction?

Accepted Answer

After complete healing, physical activity is fully possible again without restrictions. The normal healing phase lasts approximately 6 to 12 weeks. From about 6 weeks after surgery, most patients can begin light exercise. Sports with strong vertical movements such as jogging or horseback riding can stress the breast shape and should be supported with a well-fitting sports bra to maintain optimal long-term results.

Question 13

How is the ideal breast size determined after reduction?

Accepted Answer

The desired target size is discussed together with you during your personal consultation. Using example images, we can give you a realistic impression of the achievable result. We deliberately do not use computer simulations, as these often create unrealistic expectations and tend to unsettle patients rather than support them. What matters are your individual wishes, anatomical conditions, and realistic goal-setting, which Dr. Caspari can optimally assess with his many years of experience.

Question 14

How long do breast reduction results last?

Accepted Answer

With stable body weight, the results of a breast reduction are very long-lasting. While natural skin aging continues, the surgical result remains permanent. Significant weight fluctuations or pregnancy can alter the breast shape. We therefore recommend not planning a pregnancy within the first 12 months after a breast lift, in order not to overly stress the skin. Should a correction be desired at a later date, a repeat procedure is generally possible.

Breast Reduction