City Medical Centre · multi-specialty surgery clinicDaily 10:00–18:00

Fat Removal Surgery in Sofia

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

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Guarantee under an official contract

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400+ successful surgeries

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10 years of liposuction experience

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Free consultation
before surgery

Our patients' results

Liposuction before and after photos

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What is liposuction
and who is it for?

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.

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Guarantee under an official contract

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10 years of liposuction experience

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Free consultation before surgery

Areas we treat

Several areas can be treated in a single operation, saving both recovery time and budget

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Liposuction techniques at City Medical Centre

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.

How the surgery goes: from consultation to result

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.

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Post-op check-ups

After 7 days
3 months
6 months

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

Who the surgery suits and who it doesn't

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

Recovery after liposuction

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.

Our specialists

Plastic surgeons with experience and doctors who care about how patients look and feel

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Why patients choose City Medical Centre

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

Liposuction prices at City Medical Centre

Following an examination, the final price is calculated for you individually. Interest-free instalments possible

Service

Discounted price

Plastic surgeon consultation

Free

Abdominal liposuction


$1,700

Flanks / waist liposuction

 

$1,400

Thigh liposuction (outer)

 

$1,200

Thigh liposuction (inner)

 

$1,200

Torso liposuction (lower back, sides of the abdomen, front abdominal wall)

$3,600

Abdomen and flanks liposuction

$2,400

Plastic surgeon consultation

Free

Abdominal liposuction

 

$1,700

Flanks / waist liposuction

 

$1,400

Thigh liposuction (outer)

 

$1,200

Thigh liposuction (inner)

 

$1,200

Torso liposuction (lower back, sides of the abdomen, front abdominal wall)

$3,600

Abdomen and flanks liposuction

$2,400

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

Liposuction: frequently asked questions

City Medical Centre licences

Licence and documents
Licence and documents

Liposuction in Sofia: a short guide

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.

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