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FAQThe questions listed below have been put together by our medical director, Dr. MichaelKremer, MD, from online as well as from personal consultations. The questions are being updated constantly and are included here to provide you with additional information. Should you have any questions yourself, please feel free to contact us!

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FAQ-Aesthetic Breast Surgery

Dr. Kremer, I have been considering breast augmentation surgery for quite a while and have a question: do you ever do the armpit insertion, if a patient is suitable. I wish to preserve as much nipple sensation as possible and dislike scars around the nipple. I am 42. Is this too old? Thank You!

Answer from Dr. Kremer:

Breast augmentation in a 42-year-old is not an uncommon procedure. As patient's age, their breasts become more ptotic (droopy) and sometimes an additional breast lift needs to be done. I personally prefer the armpit approach due to my good personal experience with this method while working in the US as this leaves only an almost invisible scar behind.

I almost always use saline-filled prostheses that are being placed underneath the pectoralis muscle. Permanent sensation changes of the nipple hardly ever occur with this method.

What method do you use for reduction mammaplasty? If you use more than one technique, what would determine which technique would be best for the patient?

Answer from Dr. Kremer:

The approach used for breast reduction varies and is based mostly on the size of the patient's breasts, the amount desired to be removed as well as the patient's tissue quality. I use several different technique and personally favour periareolar and vertical mammaplasty approaches, designed to decrease the amount of scarring, to maximize blood supply to the nipple and minimize the risk of damaging sensation to the nipple. However, if a large reduction of breast tissue is necessary, an inverted T-scar will remain, that fortunately for most cases hides nicely below the breast fold and is generally accepted by patients for the trade-off.

For your own safety, I require each patient to undergo a mammography before surgery and the removed breast tissue is being sent to pathology to rule out any forms of so far undetected breast cancer.

I am in Germany with the military and wonder if my insurance, Tricare, will cover the costs for breast reduction?

Answer from Dr. Kremer:

As a registered 'Tricare provider' myself, I have treated many Tricare patients in the past that got approved for breast reduction. If you suffer from associated health problems like chronic shoulder/neck pain, posture problems, skin irritation (intertrigo) you may have good chances to get approved. Please, contact your Tricare office first and arrange for an initial consultation with your military base M.D.. Next, you need to come in for a personal consultation with me. I will examine you, take pictures and will send Tricare my evaluation and treatment plan. Approvement usually will take only a few days. If you have any further questions in regard of the required process, please don't hesitate to call my office. My employees will be happy to explain all the necessary details to you. 

The information on this web site is only intended as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your personal options is to schedule a personal consultation with Dr. Kremer. He will be able to answer specific questions related to your situation.
Aesthetic Plastic Surgery Munich
Dr. Michael A. Kremer, MD

Mauerkircherstr. 40 - D-81679 Munich
Phone: +49 (0) 89 - 55 27 450