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Prof. asoc. Dr. Gress​

Plastic Surgeon

Prof. asoc. Dr. Gress

Specialist in plastic and aesthetic surgery


Professor Gress is one of the top specialists internationally

Media Partner

First point of contact for international media for all questions relating to intimate surgery.

Art & Precision

Unique combination of the highest demands in terms of precision and aesthetics.

Professor for
Plastic Surgery

Professor and lecturer
in Plastic Surgery.

Read more about

Prof. Dr. Gress

Experience makes the difference

  • More than 10,000 procedures
  • Over 30 years of experience
  • Inventor and developer of the “Composite Reduction Labiaplasty”
  • Internationally recognized top specialist
  • Author of the international textbook “Aesthetic and Functional Labiaplasty” (Springer Publishers)
  • Professor and Lecturer in Plastic Surgery
prof stefan gress


In the most important national and international specialist societies

Face modelling process

With increasing age, the thickness and volume
of fatty tissue under the skin decreases
significantly, especially in the face.


As a result, the skin loses some of its mechanical stability, which leads to wrinkles and an excess of sagging skin. Projecting bones, especially in the area of the cheeks and the eyes, become visible.

By refilling the fat pads, angular regions become round again. The face gets more fullness and volume, which makes it appear younger. Due to the increase in subcutaneous fatty tissue, the blood flow in the skin is enhanced, giving it a healthier and rosy look. Moreover, wrinkles are smoothened by stabilising and tightening the skin from underneath. This method is suitable to reshape and enlarge the chin and the lips.

If you have any further questions or would like to learn more about a specific procedure, feel free to email us or arrange for us to call you back or make an appointment for a comprehensive personal consultation at our plastic surgery practice.

Fat tissue of the face decreases when ageing. That can cause wrinkles and loose facial skin


Fat cells are sucked out as gently as possible, for example on the inner sides of the knees. Following special preparation, referred to as the Coleman technique, the purified fat is injected into the areas that require augmentation using a fine needle. Autologous fat transfer is usually performed under local anaesthesia. If this procedure is performed correctly, the volume and fullness of lips, cheeks and the chin can be increased permanently.


The method commonly referred to as “autologous fat transfer” (lipostructure) consists in the use of autologous fat for reshaping the body’s surface. In the face, this method is particularly suited to:

  • Fill up hollow cheeks and lower eyelids
  • Reshape the chin and the lips
  • Correct nasolabial folds

Subcutaneous fat injection in the „Spaghetti Technique“ leads to a higher survival rate of the transplanted fat

Augmentation of flat midface by lipostructure. Medical indication

Steri Strips cover the area of fat transplantation

statistical survival of fat transplantation into the face

Good to know

Frequently asked questions about lipostructure using autologous fat

Autologous fat transfer is suited to:

  • Augment the lips
  • Rejuvenate the face by refilling empty subcutaneous fatty tissue pads
  • Cover projecting bones (e.g. around the eyes)
  • Lift sunken areas (e.g. around the eyes)
  • Highlight anatomical structures (eyebrows, zygomatic arches)
  • Fill up deep wrinkles and creases (nasolabial folds and marionette lines)
  • Eliminate skin defects (e.g. scars, dents resulting from liposuction)
  • Fill up the back of the hands
  • Fill up sagging labia

Whether the transferred fat is broken down again or remains in place for life substantially depends on two factors:

  • The correct performance of fat transfer: The fatty tissue needs to be treated very gently, because otherwise it cannot be used. The method of choice is the COLEMAN technique, which involves the purification of fat by centrifugation.
  • The body area: The transferred fatty tissue is better retained in the cheeks and the lower eyelids than in the lips, for example.

Once the fat cells are supplied with oxygen by blood vessels, they will remain in place for life, i.e. the increase in volume will be permanent!

Only when the swelling has completely subsided is it possible to tell how much of the transferred fat has actually remained. Any revision procedure should therefore not be performed until 6 months after the first transfer, when the swelling has completely gone down. Even if a certain percentage of the transferred fat (approx. 10-40%) is broken down again, too much fat should not be transferred during the first procedure, because it can happen that the entire fat is retained. In this case, the volume would be too high, which is difficult to correct.

Autologous fat transfer is usually performed under local anaesthesia.

If part of the fat is broken down again, a revision procedure can be performed. Minor swelling should always be expected. Bruising occurs rarely and is usually not severe.

Depending on the volume of transferred fat, the surgery takes 1.5 to 3 hours. The fees range between EUR 1,200 and EUR 2,800. A revision procedure costs EUR 600.

We will be happy to find the optimum financing option for you together with our partner MEDIPAY.

  • Avoid medications that increase the tendency to bleed (e.g. medicines containing acetylsalicylic acid, such as aspirin or ASS) 15 days prior to the surgery.
  • Get a cooling mask or cold packs for use after the surgery.
  • Lie and sleep on your back with your chest in elevated position and cool the treated area.
  • Avoid any physical effort. Speak as little as possible and avoid exaggerated facial expressions. Eat liquid or soft foods.
  • Wash your face carefully. During the first few days, only use clear water or mild shampoos for washing your hair.
  • Avoid direct sunlight and sun beds for at least 3 months.
  • Avoid any sporting activities, sauna and strenuous activities for 2 weeks after the surgery.

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