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.
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 can be treated in one operation — this saves recovery time and budget
Abdomen and flanks
The most requested area for 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
First, a special solution based on saline with lidocaine, adrenaline and several other agents is injected into the treatment area. It loosens the fat tissue and constricts the vessels, minimizing blood loss and allowing gentle removal. The fat emulsion is then removed by vacuum through a thin cannula.
Swelling and bruising after surgery are almost absent, and recovering is much easier than with 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
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
Pre-op tests: blood (complete count, coagulation panel, biochemistry, infections — HIV, hepatitis, syphilis), ECG, chest X-ray and, if needed, a GP consultation.
All tests can be done at the clinic with no waiting.

Preparation
Stop any medications affecting blood clotting 2 weeks before; stop alcohol and smoking a week before for quicker healing; eat for the last time 8 hours before.

Surgery day
Meeting the surgeon, marking the areas, fitting compression garments. Anesthesia is local or general depending on the scope.
Duration: from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
Hospital stay: one day under observation after general anesthesia, or discharge 3–4 hours after surgery with local anesthesia.

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
Pre-op tests: blood (complete count, coagulation panel, biochemistry, infections — HIV, hepatitis, syphilis), ECG, chest X-ray and, if needed, a GP consultation.
All tests can be done at the clinic with no waiting.

Preparation
Stop any medications affecting blood clotting 2 weeks before; stop alcohol and smoking a week before for quicker healing; eat for the last time 8 hours before.

Surgery day
Meeting the surgeon, marking the areas, fitting compression garments. Anesthesia is local or general depending on the scope.
Duration: from 1 hour (small areas) to 3–4 hours (combined procedure).

Waking up and monitoring
Hospital stay: one day under observation after general anesthesia, or discharge 3–4 hours after surgery with local anesthesia.

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 year-end, a post-op follow-up consultation with the surgeon to review your results and answer your questions is 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
After tumescent liposuction you recover much faster than after a conventional procedure — most patients are back at work in 3–7 days. A little swelling and a raised temperature in the first week are a normal response to surgery. Compression garments stay on for 30–45 days, fixing the new contours and speeding up tissue recovery. In the first month, avoid the bathhouse, sauna, pool and intense sport. To get the best result and recover faster, we recommend lymphatic drainage massage, pressotherapy and a gradual return to activity. Visible changes appear in 3–4 weeks and the final result at 3 months.
Experienced plastic surgeons and doctors who care about 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
We take a hormonal approach: an endocrinologist rules out hormonal causes of obesity before surgery, for a better long-term result

Modern equipment
Closed fat-harvesting systems with precise volume control, and the tumescent and VASER techniques

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

Combined surgeries
Several areas at one time, or liposuction together with other procedures

Support until the result
During recovery the surgeon stays in touch. The price in the contract is fixed, with no hidden extras
Interest-free instalments are available. The final price is calculated individually after an examination
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 is standard practice. Patients rarely have one area treated alone and more often combine several problem zones, such as abdomen and flanks or inner and outer thighs. Our surgeons will help define the optimal scope of surgery at the consultation, based on your health and the result you want.
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?
Liposuction is performed through 3–7 mm punctures that usually require no stitches. The healed marks are barely visible and, with proper care during recovery, disappear completely.
How will the skin behave — won't it sag?
Skin tone, elasticity and turgor are always checked by the surgeon before surgery. Good skin tightens on its own and adapts to the new contours. If the tone is reduced or stretch marks are present, our specialists will recommend preparatory treatments that improve the skin in advance.
Is the surgery painful?
No. Anesthesia — local or general depending on the scope — is used for the procedure. After surgery you might feel mild discomfort, which is relieved with painkillers prescribed by your doctor.
What should be avoided after liposuction?
Avoid physical exertion and heavy lifting for the first 7 days. For 4–6 weeks you wear compression garments and skip the bathhouse, sauna, pool and active sport. Alcohol and tanning beds are ruled out for at least a month. The surgeon gives personal recommendations after the operation.
Liposuction: from what age, and is there an upper age 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. Fat tissue is removed, but the skin structure that causes cellulite stays the same. Even so, its appearance is visibly reduced by the better contours.
How long does recovery take?
The majority of patients go back to work and their normal routine within 7–10 days. Swelling and bruising disappear by weeks 4–5, and it takes 3–6 months for the final result to form as tissues fully adapt.
Do I need a diet after surgery, and what if I gain weight?
No strict diet is required, but nutrition matters for keeping the result. Removed fat cells don't come back, but the remaining ones can grow if you gain weight. For a lasting result we recommend a balanced diet and regular exercise.
Do I need to prepare for surgery?
Yes. 7–10 days before liposuction, stop smoking, alcohol and medicines that affect blood clotting (aspirin, etc.). You also need pre-op tests: blood tests, ECG, ultrasound, and GP and anesthesiologist consultations. You'll get all instructions after your 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.
Before any decision on liposuction in Tokyo, it helps to know how the clinic approaches it. An endocrinologist rules out hormonal causes of excess fat, which improves the long-term result. Surgery uses tumescent and VASER techniques and closed fat-harvesting systems with precise volume control. Liposuction can also be combined with other procedures, for example a tummy tuck for the abdomen.
Some rules matter after surgery. For the first seven 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 individual advice, and people from Tokyo can stay in touch with the surgeon throughout recovery.
Liposuction starts from $1,200 for a single area, and the final figure is calculated individually after an examination. For patients from Tokyo, the price is fixed in the contract with no hidden extras, and interest-free instalments are available. The first consultation with the surgeon is free: leave your name and phone number, and a coordinator will contact you to book it.
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Apply before the end of the year and get a consultation at the clinic's expense!