FAQ Cosmetic Surgery Berlin | Metropolitan Aesthetics

Question 1

Where can I find Metropolitan Aesthetics in Berlin?

Accepted Answer

The private clinic is located in Berlin Mitte, at Charlottenstraße 62 (10117 Berlin), just a few steps from Gendarmenmarkt. The practice is on the 6th floor and the operating room on the 4th floor of the building; both floors are easily accessible by elevator. We are open Monday to Thursday from 8 AM to 5 PM, and Friday until 4 PM.

Question 2

How do I get to you by public transport?

Accepted Answer

The easiest way is by subway. The nearest station is Stadtmitte (U2 and U6), from there it's just a few minutes' walk to the private clinic. The station has an elevator, which is particularly convenient after a procedure. Alternatively, you can reach us via Hausvogteiplatz (U2) or Unter den Linden (U5 and U6). If you come by S-Bahn or regional train, get off at Friedrichstraße station and walk for about ten minutes or take the U6 one stop further.

Question 3

Where can I park nearby?

Accepted Answer

On-street parking around Gendarmenmarkt is scarce and subject to fees. Parking garages in the neighborhood are more relaxed. The Hilton Berlin parking garage has its entrance on Charlottenstraße, corner Kronenstrasse, is open 24/7, and offers about 400 parking spaces (entrance height 2.00 m). Another option is the underground garage of the Friedrichstadt-Passagen with entrances via Taubenstraße and Jägerstraße. One more note for operation days: After anesthesia or twilight sleep, you are not allowed to drive yourself. Please arrange to be picked up or take a taxi.

Question 4

How does the initial consultation work?

Accepted Answer

In the initial consultation, you will meet the doctor who will later perform the procedure. Together, you will discuss your wishes, your medical history, and which method is appropriate for your anatomy (and which is not). You should bring any previous findings, a list of your medications, and feel free to bring your questions written down. The consultation ends with a recommendation, not an obligation.

Question 5

I don't live in Berlin. Is treatment still possible?

Accepted Answer

Yes. An initial getting-to-know-you meeting is generally possible via video consultation (depending on the initial situation and concern), then you will come to Berlin in person for the examination and procedure. Depending on the procedure performed, you should stay locally for a few days after an operation so that the first follow-up appointment can take place.

Question 6

How much does cosmetic surgery cost in Berlin?

Accepted Answer

That depends on the procedure and, even within the same procedure, on your initial situation. The price includes the duration of the operation, the type of anesthesia, materials used such as implants or fillers, and follow-up appointments. After the consultation, you will receive a written cost estimate detailing all items individually.

Question 7

Does health insurance cover the costs?

Accepted Answer

Not for purely aesthetic procedures. Statutory and private health insurance only pay if there is a medical necessity. However, such necessity does exist in some cases: for example, for breast reduction with chronic back and neck pain, for upper eyelids that restrict the field of vision, or for lipedema. It is important to submit the application before the procedure. The insurance company generally does not reimburse costs retroactively.

Question 8

Can I pay for the treatment in installments?

Accepted Answer

We would be happy to discuss whether and in what form financing is possible during the consultation.

Question 9

How do I recognize a qualified cosmetic surgeon?

Accepted Answer

By their specialist title, not by the term "cosmetic surgeon." This term is not legally protected. The term "Specialist in Plastic and Aesthetic Surgery" is meaningful:

This involves six years of further training after medical school, examined by the Medical Association. Dr. med. Volker Rippmann has been a specialist since 2005 and EBOPRAS certified since 2006. Christian Roessing, M.D., completed his training at Charité Berlin and Northwestern University in Chicago and has been a specialist since 2007.

Question 10

Why don't you show before-and-after pictures online?

Accepted Answer

Because the law does not allow it. The Medical Devices Advertising Act prohibits advertising with before-and-after comparisons for medically unnecessary plastic-surgical procedures. Since a ruling by the Federal Court of Justice on 31.07.2025, this explicitly applies also to injections with hyaluronic acid. What you can realistically expect will therefore be discussed in a personal consultation, based on your own initial situation. In a personal consultation, we will of course show you before-and-after pictures so that you can get an impression.

Question 11

At what age are aesthetic procedures possible?

Accepted Answer

We only perform purely aesthetic procedures on adult patients. It may be different in cases of medical indication, such as setting back prominent ears.

Question 12

How much time do I have to think before an operation?

Accepted Answer

As much as you need. Legally, medical clarification must be provided in good time so that you can make your decision calmly and thoughtfully. The law does not prescribe a fixed deadline. With us, the consultation and the procedure take place on separate days.

Question 13

Is it an outpatient surgery or do I stay overnight?

Accepted Answer

Many procedures, such as eyelid lift or a Bullhorn Lip Lift, are performed on an outpatient basis under local anesthesia or twilight sleep. For larger operations like a tummy tuck, general anesthesia and an overnight stay are planned. Which type of anesthesia is suitable for you will be clarified in advance with the treating surgeon and anesthesiologist.

Question 14

When can I return to work after the procedure?

Accepted Answer

Depends on the procedure and what your job requires of you. After a wrinkle injection, most people go straight back to their desk (minor redness or a bruise at the injection site are possible). After an eyelid lift, you should plan about 7-14 days, after breast augmentation or liposuction 2-3 weeks. Sports and heavy lifting usually require more time.

Question 15

How does aftercare work?

Accepted Answer

After every operation, fixed follow-up appointments are scheduled, the first usually within a few days. For questions after the procedure, you will receive a phone number where you can reach someone even outside of office hours. Compression garments, plasters, medication: We will discuss what you need at home before the appointment.

Question 16

Wrinkle injection with hyaluronic acid or muscle relaxant: What's the difference?

Accepted Answer

These are two different principles of action. Hyaluronic acid is a filler. It restores volume, for example, in nasolabial folds, on the lips, or in sunken cheeks, and is gradually broken down by the body. A muscle relaxant targets facial expressions: It specifically relaxes the muscles that cause wrinkles like the frown line between the eyebrows. How long the effect lasts varies individually. For hyaluronic acid, depending on the product and region, it usually lasts several months to over a year, for muscle relaxants about three to six months.

Question 17

How long do breast implants last?

Accepted Answer

Not a lifetime, even though today's implants are significantly more durable than earlier generations. There is no fixed time for replacement. Regular check-ups are crucial, during which the position and condition of the implants are checked by ultrasound. A change becomes necessary if something changes, for example, due to capsular fibrosis. The manufacturer and model are documented in your implant ID card, which you receive after the operation.

Question 18

Can you lose weight with liposuction?

Accepted Answer

No. Liposuction shapes, it does not replace weight loss. It is suitable for isolated fat deposits that remain despite exercise and a balanced diet, for example, on the hips, abdomen, thighs, or under the chin. In the case of lipedema, the situation is different: this is a disease, and liposuction can be covered by health insurance under certain conditions.

Question 19

What is a Bullhorn Lip Lift?

Accepted Answer

A small surgical procedure in which a narrow strip of skin is removed directly under the nose. Its shape resembles the horns of a bull, hence the name. The distance between the nose and the upper lip is shortened, which can make the upper lip appear fuller, without any fillers. The scar is located at the transition to the nasal base and is often inconspicuous after healing.

Question 20

What does RF microneedling with Morpheus8 do?

Accepted Answer

Fine needles deliver radiofrequency energy into deeper skin layers, stimulating the formation of new collagen there. The treatment is used for uneven skin texture, acne scars, and loss of elasticity on the face, neck, or body. Several sessions are usually beneficial. Expect redness and slight swelling for about one to three days.

Question 21

How long does an eyelash or eyebrow lift last?

Accepted Answer

New in our Berlin cosmetics: With lifting, your own eyelashes or brows are shaped, completely without artificial extensions. The result lasts about six to eight weeks, depending on natural hair growth. You can book appointments for our cosmetics directly via Doctolib.

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