Centers for plastic and/or cosmetic surgery offer a variety of reconstructive surgical procedures. The spectrum ranges from procedures performed, for example, following cancer or accidents, to the aesthetic restoration of patients’ individual appearance and youthful vitality, to correction and enhancement through body-contouring procedures.
These include, for example, modern facelifts, blepharoplasty, wrinkle reduction, and classic breast augmentation. The goal of aesthetic treatment should be a natural, non-surgical-looking appearance that combines function and aesthetics.
They say beauty is relative. Deviations from the norm—whether due to the whims of nature, aging, or the aftermath of an accident or serious illness—are more readily noticed by those around us and can, in some cases, limit the social lives of those affected. To help these people—whether for medical reasons or simply out of a desire for improvement—there are specialists in plastic and aesthetic surgery.
Areas of Focus in Plastic Surgery
- Covering minor defects using local flap procedures,
- Coverage of larger defects using free, microsurgical flaps
- Correction of scar tissue,
- hand surgery,
- Treatment of wound healing defects,
- Reconstruction of facial structures and soft tissue defects following accidents, burns, or cancer,
- Reconstruction of the female breast following mastectomy (removal of breast tissue),
- Surgery for gynecomastia (breast enlargement in men)
Range of Aesthetic Surgery Procedures
- Breast augmentation/breast reduction/breast lift,
- Body contouring, e.g., tummy tuck, upper arm lift, or buttock lift
- Genital surgery,
- Facial Aesthetic Surgery (Face-Neck Lift with SMAS, Forehead Lift, Upper and Lower Eyelid Corrections, Lip Augmentation, Rhinoplasty, etc.)
- Wrinkle treatment with Botox, hyaluronic acid, laser, or autologous fat injections,
- Autologous hair transplants
In Germany, approximately 16,000 to 20,000 women undergo breast augmentation each year @ Roman / AdobeStock
Who pays for cosmetic surgery treatments?
Treatments aimed at restoring function or aesthetics following an accident or a serious illness are generally covered by health insurance as “procedures with a medical indication.” The same applies to congenital defects that can severely impair a person’s appearance, such as cleft lip and palate or paralysis of individual facial muscles.
However, the situation is different when it comes to patients’ purely “aesthetic enhancement requests.” These costs are not covered by health insurance companies. This applies in particular to treatments for the “aging” face, wrinkle treatments as part of anti-aging procedures, breast augmentations, liposuction for aesthetic body contouring, penile lengthening, and rhinoplasty.
According to statistics, approximately 306,300 Botox treatments were performed in Germany in 2021 @ Roman /AdobeStock
What Defines a Specialist in Aesthetic Surgery
The German Society for Aesthetic and Plastic Surgery identifies the following three points as essential prerequisites for specialists in aesthetic surgery to ensure high-quality patient care:
- Specialists in plastic and aesthetic surgery hold the title of board-certified specialist in plastic, aesthetic, and reconstructive surgery. This requires six years of specialized training.
- Specialists must have been practicing independently in the field of aesthetic surgery for at least two years in their own practice or clinic.
- Every specialist in aesthetic surgery regularly participates in professional continuing education, attends relevant conferences and workshops, and keeps their knowledge up to date.
As a patient, it is best to research the clinic and the medical staff in the field of aesthetic surgery in advance to ensure they meet the criteria listed above.
In addition to their continuing education in the specialty, specialists in aesthetic surgery should also have sufficient practical experience in the field. Therefore, be sure to ask specifically about the volume of procedures they perform each year. A specialized clinic for plastic and aesthetic surgery should be able to devote the majority of its time to procedures within its specialty and maintain high success rates. It’s best to have this demonstrated through treatment results or, ideally, through direct conversation with patients who have already undergone treatment there.
About the medical author
Dr. Christian Schrank
Medical Author
Dr. med. Christian Schrank – author: Explore expert medical articles in the Leading Medicine Guide.
Sources
- Deutsche Gesellschaft für Ästhetisch-Plastische Chirurgie (DGAEPC): https://www.dgaepc.de/

