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 is a surgical way to remove surplus subcutaneous fat from troublesome areas. It is not meant for weight loss or as an alternative to diet and exercise. Instead, it sculpts specific zones: thigh saddlebags, a sagging belly and fat deposits on the back, flanks, arms or chin.
This operation is meant for people whose specific areas keep fat despite normal weight and an active life. The key point: removed fat cells do not grow back in the treated zones, so with a steady lifestyle the result is long-lasting.

Guarantee under an official contract

10 years of liposuction experience

Free consultation before surgery
Several areas in a single surgery mean less recovery time and a smaller budget
Abdomen and flanks
For women and men, this is the most requested area — often done 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 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.
After the operation swelling and bruising are minimal, and recovery is far easier than after a standard 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 listens to your wishes, examines and assesses the fat deposits and rules out contraindications. At City Medical Centre a hormonal screening is also ordered — it 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
2 weeks before, stop medications that affect blood clotting. A week before, stop alcohol and smoking for faster healing. 8 hours before, the last meal.

Surgery day
Meeting your surgeon, marking the areas and fitting compression garments. Depending on the scope, anesthesia is local or general.
From 1 hour for small areas to 3–4 hours when procedures are combined.

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

Recovery
30–45 days in compression garments. The first results appear in 3–4 weeks after the swelling eases; the final result is judged at 3 months, when the skin is fully tightened.

Surgeon consultation
The doctor listens to your wishes, examines and assesses the fat deposits and rules out contraindications. At City Medical Centre a hormonal screening is also ordered — it 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
2 weeks before, stop medications that affect blood clotting. A week before, stop alcohol and smoking for faster healing. 8 hours before, the last meal.

Surgery day
Meeting your surgeon, marking the areas and fitting compression garments. Depending on the scope, anesthesia is local or general.
From 1 hour for small areas to 3–4 hours when procedures are combined.

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

Recovery
30–45 days in compression garments. The first results appear in 3–4 weeks after the swelling eases; the final result is judged at 3 months, when the skin is fully tightened.
Post-op check-ups
Until the end of the year, get a post-op follow-up consultation with the surgeon to review your results and get more information — at the clinic's expense
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

Restoring body shape after childbirth 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 area to be treated, menstruation, use of 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
Unlike a conventional procedure, tumescent liposuction allows a much shorter recovery — most patients are at work again within 3–7 days. Some mild swelling and a raised temperature in the first week are possible; this is a normal response to surgery. You wear compression garments for 30–45 days so they fix the new contours and speed up tissue recovery. The first month rules out the bathhouse, sauna, pool and intense sport. We recommend lymphatic drainage massage, pressotherapy and a gradual return to activity for the best result and faster recovery. First changes become visible in 3–4 weeks, and the final result at 3 months.
Skilled plastic surgeons and doctors who look after 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
A hormonal approach — an endocrinologist excludes hormonal causes of obesity before surgery, which improves the long-term result

Modern equipment
Tumescent and VASER techniques, plus closed fat-harvesting systems 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 in one session, or liposuction combined with other procedures

Support until the result
The surgeon stays in touch for the entire recovery. Price fixed by contract, no hidden extras
Following an examination, the final price is calculated for you individually. Interest-free instalments possible
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, this is normal practice. A single area alone is rarely treated: patients more commonly combine problem zones, e.g. the abdomen and flanks, or the inner and outer thighs. At the consultation, our surgeons will help you settle on the optimal scope of surgery for your health and desired result.
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 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?
Before surgery, skin tone, elasticity and turgor are always assessed by the surgeon. Healthy skin tightens by itself to follow the new contours. With reduced tone or stretch marks, our specialists recommend preparatory treatments to improve the skin beforehand.
Is the surgery painful?
No, it doesn't hurt: the procedure is under anesthesia (local or general, depending on the scope). Mild discomfort after surgery can occur and is relieved with painkillers the doctor prescribes.
What should be avoided after liposuction?
For the first 7 days, no physical exertion or heavy lifting. For 4–6 weeks, wear compression garments and avoid the bathhouse, sauna, pool and active sport. Alcohol and tanning beds are off-limits for at least a month. Your surgeon gives all individual recommendations after surgery.
How old do you need to be for liposuction, and is there an upper limit?
From 18+ and without contraindications, we perform the surgery. No upper age limit: the decision is individual and follows an examination and assessment of your health.
Does liposuction help with cellulite?
Not directly. Liposuction deals with fat tissue, not with the skin structure behind cellulite. Still, better body contours make it visibly less apparent.
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?
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. 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, once the main swelling subsides, first changes appear. At 1.5–2 months the interim result is assessed. Final contours form in 3–6 months.
Two techniques are used. In tumescent liposuction a saline-based solution with lidocaine and adrenaline is injected first; it loosens fat and constricts vessels, so blood loss is minimal and there is almost no bruising. In VASER liposuction ultrasound breaks down fat cells before vacuum removal, which suits athletic abs and delicate zones. The surgeon picks the method for each patient in San Antonio.
Here is the route in brief. Consultation and hormonal screening. Blood tests, ECG and chest X-ray at the clinic. Two weeks of preparation. Marking and compression garments on the day, then surgery under local or general anaesthesia. Observation, discharge, 30–45 days in compression and check-ups at 7 days and 3 months. Patients in San Antonio follow this same sequence.
The cost is built around your zones: from $1,200 for the most compact area, rising for larger combinations such as the torso or the abdomen with flanks. Nothing is added later, because the contract fixes the price. San Antonio residents can split payment into interest-free instalments and begin with a free surgeon consultation, booked through the form on the page.
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Apply before the end of the year and get a consultation at the clinic's expense!