Tumescent technique for stubborn local fat that diet and exercise can't touch — 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 means surgical removal of excess subcutaneous fat from specific problem areas. It is not for losing weight and cannot stand in for diet and exercise. It is about targeted body contouring: saddlebags on the thighs, a sagging abdomen, fat deposits on the back, flanks, arms or chin.
Liposuction suits people whose specific areas hold on to fat despite a normal weight and an active lifestyle. The key point: fat cells removed from treated areas do not grow back, so with a steady lifestyle the result lasts for a long time.

Guarantee under an official contract

10 years of liposuction experience

Free consultation before surgery
One operation can cover several areas — you save on recovery time and on budget
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
A special solution based on saline, with lidocaine, adrenaline and some other agents, is injected into the area first. It softens the fat tissue and constricts vessels, minimising blood loss and making removal gentle. After that, a thin cannula removes the fat emulsion by vacuum.
Swelling and bruising are close to none after the operation, and recovery is considerably 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
Your wishes are heard, then the doctor examines you, assesses fat deposits and rules out contraindications. At City Medical Centre a hormonal screening is ordered too, helping to predict the long-term result.

Pre-operative tests
Blood work — complete count, coagulation panel, biochemistry, infection tests for HIV, hepatitis and syphilis — plus ECG, chest X-ray and a GP consultation if required.
All tests can be done at the clinic with no waiting.

Preparation
2 weeks before surgery, drop medicines that affect clotting. One week before, stop drinking and smoking for faster healing. 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.
Duration ranges from 1 hour for small areas to 3–4 hours for a combined procedure.

Waking up and monitoring
With local anesthesia you are discharged 3–4 hours after surgery; with general anesthesia you stay one day in hospital under observation.

Recovery
Compression garments are needed for 30–45 days. In 3–4 weeks the swelling subsides and first results appear; the final result is assessed at 3 months with the skin fully tightened.

Surgeon consultation
Your wishes are heard, then the doctor examines you, assesses fat deposits and rules out contraindications. At City Medical Centre a hormonal screening is ordered too, helping to predict the long-term result.

Pre-operative tests
Blood work — complete count, coagulation panel, biochemistry, infection tests for HIV, hepatitis and syphilis — plus ECG, chest X-ray and a GP consultation if required.
All tests can be done at the clinic with no waiting.

Preparation
2 weeks before surgery, drop medicines that affect clotting. One week before, stop drinking and smoking for faster healing. 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.
Duration ranges from 1 hour for small areas to 3–4 hours for a combined procedure.

Waking up and monitoring
With local anesthesia you are discharged 3–4 hours after surgery; with general anesthesia you stay one day in hospital under observation.

Recovery
Compression garments are needed for 30–45 days. In 3–4 weeks the swelling subsides and first results appear; the final result is assessed at 3 months with the skin fully tightened.
Post-op check-ups
Until the end of the year, your post-op follow-up with the surgeon — to go over the results and get more information — is free of charge
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

Bringing back the silhouette after pregnancy or sudden 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: acute infections, inflammatory skin conditions in the treatment area, menstruation, taking anticoagulants
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
After tumescent liposuction, recovery is much shorter than after a conventional procedure. Most patients return to work within 3–7 days. In the first week, mild swelling and a raised temperature are possible — a normal response to surgery. Compression garments are worn for 30–45 days: they fix the new contours and speed up tissue recovery. In the first month, bathhouse, sauna, pool and intense sport are off-limits. For the best result and faster recovery we recommend lymphatic drainage massage, pressotherapy and a gradual return to activity. First visible changes appear in 3–4 weeks, the final result at 3 months.
Experienced plastic surgeons and doctors who value patients' health and beauty
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
Hormonal approach: before surgery an endocrinologist rules out hormonal causes of obesity, improving the long-term result

Modern equipment
We apply tumescent and VASER methods and closed systems for fat harvesting with precise volume control

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

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

Support until the result
Your surgeon is available during the whole recovery, and the price is set in the contract — no hidden extras
The final price is calculated individually 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 standard practice. Treating a single area alone is rare — patients more often combine several problem zones, e.g. abdomen and flanks, or inner and outer thighs. At the consultation, our surgeons will help define the optimal scope of surgery based on your health and desired result.
Is liposuction a way to lose weight?
No, liposuction is not a way to lose weight. It removes local fat deposits resistant to diet and exercise and reshapes body contours. With an unstable weight, you should first see a nutritionist or endocrinologist.
Will there be scars after surgery?
The surgeon works through punctures only 3–7 mm across — usually no stitches needed. When they heal, the marks are barely visible, and proper care during recovery makes them fade completely.
How will the skin behave — won't it sag?
The surgeon always checks skin tone, elasticity and turgor before the operation. When the skin is in good condition, it tightens on its own along the new contours. If tone is lower or stretch marks are present, our specialists suggest preparatory treatments to improve the skin 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?
The first 7 days: no exertion and no heavy lifting. 4–6 weeks: compression garments, with no bathhouse, sauna, pool or active sport. At least a month without alcohol or tanning beds. All individual recommendations come from your surgeon after surgery.
Is there a minimum and a maximum age for liposuction?
We operate from age 18+, if there are no contraindications. There is no upper age limit — after an examination and health assessment, the decision is made individually.
Does liposuction help with cellulite?
Not directly. Liposuction removes fat tissue but does not change the skin structure that causes cellulite. Still, improved body contours visibly reduce its appearance.
How long does recovery take?
Most patients get back to their usual routine and work in 7–10 days. Swelling and bruising clear by weeks 4–5. The final result forms in 3–6 months, once the tissues have fully adapted.
Do I need a diet after surgery, and what if I gain weight?
A strict diet isn't necessary, though nutrition is important to maintain the result. The fat cells removed won't return, but those left can enlarge if you put on weight. A balanced diet and regular physical activity keep the result lasting.
Do I need to prepare for surgery?
Yes. Give up smoking, alcohol and medications that affect clotting (aspirin, etc.) 7–10 days before liposuction. Pre-operative tests — blood tests, ECG, ultrasound, GP and anesthesiologist consultations — are also required. You'll receive all instructions after the first consultation.
When will the result be visible?
The first changes show at 2 weeks after surgery, with the main swelling down. An interim result is assessed at 1.5–2 months, and the final contours are formed 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 Fresno rarely limit themselves to a single zone.
Preparation follows a simple schedule. Two weeks before surgery, medications that affect blood clotting are stopped; a week before, alcohol and smoking are cut out for faster healing; the last meal is eight hours before the operation. On the day itself, the surgeon meets you, marks the areas and fits compression garments. This is the routine for everyone in Fresno.
There are no surprises in the bill: the price is set after an examination, recorded in the contract and stays the same. Starting from $1,200 per area, liposuction can be paid in interest-free instalments. Patients from Fresno begin with a free consultation where the surgeon answers questions about technique, recovery and contraindications before anything is decided.
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