Removal of stubborn localised fat that diet and exercise leave behind — tumescent technique, minimal trauma, maximum result

Guarantee under an official contract

400+ successful surgeries

10 years of liposuction experience

Free consultation
before surgery
Liposuction before and after photos

Liposuction

Age 48

6 months

Abdominal liposuction

Liposuction

Age 52

8 months

Liposuction

Liposuction

Age 37

7 months

Abdominal liposuction

Liposuction

Age 30

9 months

Arm liposuction

Liposuction

Age 49

10 months

Abdominal liposuction

Liposuction

32 years

6 months

Liposuction

Liposuction

Age 51

6 months

Arm liposuction

Liposuction

Age 30

8 months

Thigh liposuction

Liposuction

Age 38

7 months

Back liposuction

Liposuction

Age 35

6 months

Knee liposuction

Liposuction

Age 48

6 months

Abdominal liposuction

Liposuction

Age 52

8 months

Liposuction

Liposuction

Age 37

7 months

Abdominal liposuction

Liposuction

Age 30

9 months

Arm liposuction

Liposuction

Age 49

10 months

Abdominal liposuction

Liposuction

32 years

6 months

Liposuction

Liposuction

Age 51

6 months

Arm liposuction

Liposuction

Age 30

8 months

Thigh liposuction

Liposuction

Age 38

7 months

Back liposuction

Liposuction

Age 35

6 months

Knee liposuction
Liposuction is a surgical method of removing excess subcutaneous fat from problem areas. It is not a way to lose weight or a substitute for diet and exercise. Its goal is targeted contouring: removing saddlebags on the thighs, a sagging belly, and fat deposits on the back, flanks, arms or chin.
Good candidates have a normal weight and an active lifestyle, yet certain zones keep their fat. The essential point is that fat cells removed from treated areas never grow back — keep your lifestyle steady and the result lasts long.

Guarantee under an official contract

10 years of liposuction experience

Free consultation before surgery
Treating several zones in one operation saves recovery time and money
Abdomen and flanks
Often combined with a tummy tuck, this is the most requested area for women and men
Thighs
(outer and inner)
Fat “traps” that resist exercise
Back and lower back
Back rolls that spoil the silhouette
Arms and shoulders
A cosmetic concern that shows in warm weather
Chin
and neck
Small volume, quick visible result
Knees
A delicate area that needs precise work
Chest
(for men)
Gynecomastia, pseudogynecomastia — the fat component

Tumescent (classic) liposuction
First, a special solution based on saline with lidocaine, adrenaline and several other agents is injected into the treatment area. It loosens the fat tissue and constricts the vessels, minimizing blood loss and allowing gentle removal. The fat emulsion is then removed by vacuum through a thin cannula.
After surgery there is almost no swelling or bruising, and recovery is much easier than after a conventional procedure.

VASER liposuction (ultrasound)
Here fat cells are broken down with ultrasound before vacuum removal — an ideal method for defining pronounced muscle relief (athletic abs) and body contouring.
It also suits delicate areas.

Surgeon consultation
We listen to your wishes: the doctor examines you, assesses the fat deposits and rules out contraindications. At City Medical Centre there is also a hormonal screening that helps predict the long-term result.

Pre-operative tests
ECG, chest X-ray, blood tests (complete count, coagulation panel, biochemistry, HIV, hepatitis and syphilis) and, where needed, a GP consultation.
All tests can be done at the clinic with no waiting.

Preparation
Stop medications that affect blood clotting 2 weeks before. Quit alcohol and smoking a week before for faster healing. Eat your last meal 8 hours before.

Surgery day
The surgeon meets you, marks the areas and fits the compression garments. Local or general anesthesia is used depending on the scope.
Allow from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
If anesthesia is general, you stay in hospital for one day under observation. If it is local, you are discharged 3–4 hours after surgery.

Recovery
Plan on 30–45 days of compression garments. Initial results show at 3–4 weeks as swelling subsides; at 3 months the skin has fully tightened and the final result is assessed.

Surgeon consultation
We listen to your wishes: the doctor examines you, assesses the fat deposits and rules out contraindications. At City Medical Centre there is also a hormonal screening that helps predict the long-term result.

Pre-operative tests
ECG, chest X-ray, blood tests (complete count, coagulation panel, biochemistry, HIV, hepatitis and syphilis) and, where needed, a GP consultation.
All tests can be done at the clinic with no waiting.

Preparation
Stop medications that affect blood clotting 2 weeks before. Quit alcohol and smoking a week before for faster healing. Eat your last meal 8 hours before.

Surgery day
The surgeon meets you, marks the areas and fits the compression garments. Local or general anesthesia is used depending on the scope.
Allow from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
If anesthesia is general, you stay in hospital for one day under observation. If it is local, you are discharged 3–4 hours after surgery.

Recovery
Plan on 30–45 days of compression garments. Initial results show at 3–4 weeks as swelling subsides; at 3 months the skin has fully tightened and the final result is assessed.
Post-op check-ups
Before the year ends, the clinic covers a post-op follow-up consultation with the surgeon to review your results and get more information
Chronic illness? Please talk to a doctor at the clinic first!
Indications

Local fat deposits that resist diet and exercise

Uneven distribution of subcutaneous fat

Disrupted body proportions and contours

Silhouette restoration after childbirth or rapid weight loss

Gynecomastia (fat component) in men
Contraindications

Age under 18

Endocrine obesity

Severe chronic and mental illness

Decompensated diabetes

Blood clotting disorders

Cancer

Pregnancy and breastfeeding

Serious heart, kidney or liver disease

Temporary contraindications: taking anticoagulants, acute infections, menstruation, inflammatory skin conditions in the treatment area
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Tumescent liposuction means a much shorter recovery than a conventional procedure. Within 3–7 days most patients are working again. In week one there may be mild swelling and a raised temperature, which is a normal reaction to surgery. Compression garments are needed for 30–45 days: they fix the new contours and help tissues recover faster. Bathhouse, sauna, pool and intense sport are not allowed for the first month. Lymphatic drainage massage, pressotherapy and a gradual return to activity are recommended for the best result and faster recovery. First changes show in 3–4 weeks, the final result at 3 months.
Experienced plastic surgeons and doctors who care about the beauty and health of their patients
Dr. Goncharova
Dermatologist, trichologist, surgeon
11+ years of experience
14,000+ successful surgeries
Dr. Goncharova
Dermatologist, trichologist, surgeon
11+ years of experience
14,000+ successful surgeries
We take a hormonal approach: an endocrinologist rules out hormonal causes of obesity before surgery, for a better long-term result

Modern equipment
We use tumescent and VASER techniques and closed fat-harvesting systems with precise volume control

Minimally invasive approach
Micro-incisions from 3–5 mm keep blood loss minimal and post-op marks barely visible

Combined surgeries
Several areas can be treated at once, or liposuction combined with other procedures

Support until the result
During recovery the surgeon stays in touch. The price in the contract is fixed, with no hidden extras
The final cost is worked out individually after an examination, with interest-free instalments available
Service
Discounted price
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Book a consultation
Call or message us —
our coordinator will contact you shortly
and book your consultation
Can liposuction be done on several areas in one operation?
Yes — combining is standard practice. Single-area treatment is rare; patients usually combine several problem zones, e.g. the abdomen and flanks or the inner and outer thighs. Our surgeons will work out the optimal scope of surgery with you at the consultation, based on your health and goals.
Is liposuction a way to lose weight?
No. Liposuction is not about weight loss. It removes stubborn local fat deposits that diet and exercise can't shift and reshapes body contours. If your weight is unstable, consult a nutritionist or endocrinologist first.
Will there be scars after surgery?
The surgery is done through punctures only 3–7 mm across — they usually need no stitches. Once healed, the marks are barely visible. With proper care during recovery they fade completely.
How will the skin behave — won't it sag?
Before surgery the surgeon always evaluates the skin's tone, elasticity and turgor. Good-quality skin tightens by itself to match the new contours. If tone is reduced or you have stretch marks, our specialists will advise preparatory treatments to improve the skin ahead of time.
Is the surgery painful?
No. Anesthesia — local or general depending on the scope — is used for the procedure. After surgery you might feel mild discomfort, which is relieved with painkillers prescribed by your doctor.
What should be avoided after liposuction?
No exertion or heavy lifting during the first 7 days. Compression garments for 4–6 weeks, with the bathhouse, sauna, pool and active sport off the table. For at least a month, alcohol and tanning beds are off-limits. Individual recommendations are given by your surgeon after surgery.
What is the minimum age for liposuction, and is there an upper age limit?
We perform the surgery for patients aged 18+ with no contraindications. There is no upper age limit — the decision is made individually after an examination and health assessment.
Does liposuction help with cellulite?
Not directly. It removes fat tissue without changing the skin structure that causes cellulite. Still, improved contours make cellulite visibly less noticeable.
How long does recovery take?
Most patients are back to work and daily life in 7–10 days. By weeks 4–5 the swelling and bruising are gone. After 3–6 months, when the tissues fully adapt, the final result is formed.
Do I need a diet after surgery, and what if I gain weight?
A strict diet is not required; still, nutrition matters if you want to keep the result. Removed fat cells never return, but remaining ones can expand when you gain weight. A balanced diet and regular physical activity are our recommendation for lasting results.
Do I need to prepare for surgery?
Yes. Stop smoking, alcohol and medications affecting blood clotting (aspirin, etc.) 7–10 days before liposuction. Pre-operative tests are also needed: blood tests, ECG, ultrasound and consultations with a GP and anesthesiologist. All instructions are given after your first consultation.
When will the result be visible?
2 weeks after surgery the main swelling subsides and first changes show. The interim result is assessed at 1.5–2 months, and the final contours take shape in 3–6 months.
It is worth being clear about what the surgery does not do. Liposuction does not treat obesity and is not a way to lose kilos; if your weight is unstable, a nutritionist or endocrinologist comes first. Nor does it change the skin structure behind cellulite, although smoother contours make it less visible. What it does for people in Cologne is remove local fat and reshape the silhouette.
Is it painful? No: the procedure is done under anaesthesia, local or general depending on scope. Afterwards mild discomfort is possible and is relieved with painkillers prescribed by the doctor. Most patients return to their usual routine in 7–10 days, while swelling and bruising resolve by weeks 4–5. That is the typical course for people in Cologne after liposuction.
Liposuction in Cologne costs from $1,200. The exact amount depends on which areas you want to correct — abdomen, flanks, thighs, back, arms, chin or knees — and on whether they are combined in one operation. The surgeon calculates it individually after the examination. The first consultation is free, and a coordinator will book it once you leave a request.
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