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 surgically removes excess fat under the skin from problem areas. It is neither a weight-loss method nor a replacement for diet and exercise. The aim is targeted contouring: getting rid of saddlebags on the thighs, a sagging belly and fat deposits on the back, flanks, arms or chin.
Liposuction suits people with a normal weight and active lifestyle who still have fat in particular areas. Remember the key point: treated areas don't regrow their removed fat cells, so with steady habits the result lasts a long time.

Guarantee under an official contract

10 years of liposuction experience

Free consultation before surgery
Several areas can be treated in a single operation, saving both 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
Into the treatment area goes a special saline-based solution with lidocaine, adrenaline and several other agents. It loosens fat tissue and narrows the vessels, keeping blood loss minimal and letting the fat be removed gently. The resulting emulsion is suctioned out through a thin cannula.
There is almost no swelling or bruising after surgery, and recovery is much easier 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
Your doctor listens to what you want, examines you, assesses fat deposits and rules out contraindications. City Medical Centre also orders a hormonal screening — it helps 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
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
You meet the surgeon, the areas are marked and compression garments are fitted. Anesthesia is local or general, depending on the scope.
It takes from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
Patients under general anesthesia stay one day in hospital for observation, while those under local anesthesia leave 3–4 hours after surgery.

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 doctor listens to what you want, examines you, assesses fat deposits and rules out contraindications. City Medical Centre also orders a hormonal screening — it helps 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
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
You meet the surgeon, the areas are marked and compression garments are fitted. Anesthesia is local or general, depending on the scope.
It takes from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
Patients under general anesthesia stay one day in hospital for observation, while those under local anesthesia leave 3–4 hours after surgery.

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, get a post-op follow-up consultation with your surgeon to review results and learn more — at the clinic's expense
If you have chronic conditions, please see a clinic doctor first!
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: 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
Most patients return to work within 3–7 days, as recovery after tumescent liposuction is much shorter than after a conventional procedure. In the first week, expect possible mild swelling and a raised temperature — the body's normal response to surgery. For 30–45 days you wear compression garments that fix the new contours and speed up recovery of the tissues. Skip the bathhouse, sauna, pool and intense sport for the first month. We advise lymphatic drainage massage, pressotherapy and returning to activity step by step for the best result and quicker recovery. First visible changes in 3–4 weeks, final result at 3 months.
Plastic surgeons with experience and doctors who care about how patients look and feel
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 work with tumescent and VASER techniques and closed fat-harvesting systems offering precise volume control

Minimally invasive approach
Barely visible post-op marks thanks to 3–5 mm micro-incisions and minimal blood loss

Combined surgeries
Combining liposuction with other procedures, or treating several areas at once, is possible

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 standard practice. A single area on its own is rarely treated — patients more often combine several problem zones, such as the abdomen and flanks, or inner and outer thighs. At the consultation our surgeons help define the best scope of surgery for your health and the result you want.
Is liposuction a way to lose weight?
No. Weight loss is not what liposuction does: it removes local fat deposits that don't respond to diet and exercise and reshapes body contours. If your weight is unstable, start with a nutritionist or endocrinologist.
Will there be scars after surgery?
Punctures only 3–7 mm across are all that is needed, usually with no stitches. The marks are barely visible after healing and fade completely with proper care during recovery.
How will the skin behave — won't it sag?
Before surgery the surgeon always assesses skin tone, elasticity and turgor. In good condition the skin tightens on its own, following the new contours. If tone is reduced or there are stretch marks, our specialists will recommend preparatory treatments to improve the skin in advance.
Is the surgery painful?
No — the procedure is performed under anesthesia, either local or general depending on the scope. Afterwards mild discomfort is possible and is relieved by doctor-prescribed painkillers.
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.
How old do you need to be for liposuction, and is there an upper limit?
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. 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 people resume their routine and work in 7–10 days. Bruising and swelling go by weeks 4–5. The final result forms in 3–6 months, when the tissues have adapted fully.
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. 7–10 days before liposuction, give up smoking, alcohol and any medications affecting blood clotting (aspirin, etc.). Pre-operative tests are also needed — blood tests, ECG, ultrasound, GP and anesthesiologist consultations. We give you all instructions after your first consultation.
When will the result be visible?
Changes start to show 2 weeks after surgery, once the main swelling has gone. At 1.5–2 months the interim result is assessed, and in 3–6 months the final contours form.
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 Sofia is remove local fat and reshape the silhouette.
It starts with a surgeon consultation: the doctor listens to your wishes, assesses the fat deposits and rules out contraindications, and a hormonal screening is ordered to predict the long-term result. Patients from Sofia then take pre-operative tests — blood count, coagulation panel, biochemistry, infection screening, ECG and chest X-ray — which can all be done at the clinic with no waiting.
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 Sofia, a free surgeon consultation is the place to plan scope and cost together. Leave a request to book yours.
Well-known people who spoke openly about this operation, in their own words.
This website uses cookies. By continuing to use it, you agree to the Privacy Policy and data processing terms
Apply before the end of the year and get a consultation at the clinic's expense!