When diet and exercise don't help, we remove persistent local fat. Our tumescent technique means minimal trauma and 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.
The procedure is right for people with a normal weight and active lifestyle whose certain areas still store fat. Key fact: removed fat cells do not return to treated areas, so with a steady routine the result is long-lasting.

Guarantee under an official contract

10 years of liposuction experience

Free consultation before surgery
Several zones can be corrected in one operation — a saving in recovery time and budget
Abdomen and flanks
The most popular area for both women and men, often combined with a tummy tuck
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
A saline-based special solution with lidocaine, adrenaline and several other agents is first injected into the treatment zone. By loosening the fat tissue and constricting vessels, it minimises blood loss and allows gentle removal. The fat emulsion is then vacuumed out through a thin cannula.
Almost no swelling or bruising follows the surgery, and recovery is much lighter than after a conventional procedure.

VASER liposuction (ultrasound)
With this method, ultrasound breaks down fat cells prior to vacuum removal. It is ideal for body contouring and for defining pronounced muscle relief — athletic abs.
It also suits delicate areas.

Surgeon consultation
The doctor hears your wishes, examines and assesses the fat deposits and rules out contraindications. At City Medical Centre a hormonal screening is also ordered, which helps predict the long-term result.

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

Preparation
Medicines that affect blood clotting — stop them 2 weeks before. Alcohol and smoking — stop a week before so you heal faster. The last meal — 8 hours before.

Surgery day
On the day you meet the surgeon, the areas are marked and compression garments fitted. Anesthesia — local or general, depending on the scope.
Length of surgery: from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
One day of hospital observation with general anesthesia; with local anesthesia you leave 3–4 hours after surgery.

Recovery
Wear compression garments for 30–45 days. You see first results in 3–4 weeks when swelling subsides, and the final result at 3 months, when the skin has fully tightened.

Surgeon consultation
The doctor hears your wishes, examines and assesses the fat deposits and rules out contraindications. At City Medical Centre a hormonal screening is also ordered, which helps predict the long-term result.

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

Preparation
Medicines that affect blood clotting — stop them 2 weeks before. Alcohol and smoking — stop a week before so you heal faster. The last meal — 8 hours before.

Surgery day
On the day you meet the surgeon, the areas are marked and compression garments fitted. Anesthesia — local or general, depending on the scope.
Length of surgery: from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
One day of hospital observation with general anesthesia; with local anesthesia you leave 3–4 hours after surgery.

Recovery
Wear compression garments for 30–45 days. You see first results in 3–4 weeks when swelling subsides, and the final result at 3 months, when the skin has fully tightened.
Post-op check-ups
Until the end of the year, see the surgeon for a post-op follow-up, review your results and get more information at the clinic's expense
With chronic diseases, please get advice from a clinic doctor!
Indications

Local fat deposits that resist diet and exercise

Uneven distribution of subcutaneous fat

Disrupted body proportions and contours

After childbirth or sudden weight loss — restoring the silhouette

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: acute infections, inflamed skin in the treatment area, menstruation, use of anticoagulant drugs
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 doctors and plastic surgeons who take care of patients' beauty and health
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
An endocrinologist rules out hormonal causes of obesity before surgery — the hormonal approach that improves long-term results

Modern equipment
Our methods are tumescent and VASER, with closed fat-harvesting systems that control volume precisely

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

Combined surgeries
Several areas in one session, or liposuction combined with other procedures

Support until the result
No hidden extras: the price is fixed in the contract, and the surgeon stays in touch throughout recovery
Individual calculation of the final price after an examination; 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, it's routine. Only rarely is one area treated on its own — more often several problem zones are combined, e.g. abdomen and flanks, or inner and outer thighs. At the consultation our surgeons will help set the optimal scope of surgery based on your health and the result you are after.
Is liposuction a way to lose weight?
No. Liposuction is not a weight-loss method; it targets local fat deposits that resist diet and exercise and reshapes the body's contours. First see a nutritionist or endocrinologist if your weight is unstable.
Will there be scars after surgery?
Only 3–7 mm punctures are made, usually without stitches. After healing you can barely see the marks, and they fade completely with proper care during recovery.
How will the skin behave — won't it sag?
Skin tone, elasticity and turgor are always evaluated by the surgeon before surgery. Skin in good shape tightens itself, following the new contours. Where tone is reduced or stretch marks exist, our specialists recommend preparatory treatments to get the skin ready in advance.
Is the surgery painful?
No — anesthesia is used (local or general, depending on the scope). Mild discomfort after surgery is possible; the doctor prescribes painkillers to relieve it.
What should be avoided after liposuction?
First 7 days — no physical effort or heavy lifting. For 4–6 weeks — compression garments and no bathhouse, sauna, pool or active sport. At least one month without alcohol and tanning beds. After surgery, your surgeon will give all individual recommendations.
What is the minimum age for liposuction, and is there an upper age limit?
We operate on 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. The skin structure that causes cellulite is not changed by liposuction, which removes fat tissue. Yet the improved contours visibly reduce its appearance.
How long does recovery take?
Usual routine and work: for most patients, in 7–10 days. Swelling and bruising: resolved by weeks 4–5. Final result: formed in 3–6 months, once the tissues fully adapt.
Do I need a diet after surgery, and what if I gain weight?
You won't need a strict diet, but nutrition is important for keeping your result. The removed fat cells do not come back; the remaining ones, though, can grow if weight increases. We recommend balanced eating and regular physical activity for a lasting result.
Do I need to prepare for surgery?
Yes. For 7–10 days before liposuction, no smoking, no alcohol and no medications that affect blood clotting (aspirin, etc.). Pre-operative tests are required too — blood tests, ECG, ultrasound, GP and anesthesiologist consultations. You receive all instructions after the 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.
Which zones can be treated? The abdomen and flanks are the most requested, for women and men alike. Thighs (outer and inner), back and lower back, arms and shoulders, chin and neck, knees and the male chest are also corrected. Several areas can be done in one operation, saving recovery time and budget, which is why patients from Essen rarely limit themselves to a single zone.
Recovery after tumescent liposuction is much shorter than after a conventional procedure. Most patients return to work within 3–7 days. Mild swelling and a raised temperature in the first week are a normal response. Compression garments are worn for 30–45 days to fix the new contours. For those in Essen, lymphatic drainage massage and pressotherapy are recommended to speed things up.
One operation can cover several problem zones, and the price reflects that: from $1,200 for a single area, calculated individually for combinations. The contract fixes the sum with no hidden extras, and instalments carry no interest. For patients from Essen, a free surgeon consultation is the place to plan scope and cost together. Leave a request to book yours.
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