Liposuction,
Overweight

What you would otherwise have to struggle for with long and tedious dieting can be achieved in a few minutes or hours through liposuction in Munich: get rid of the unsightly problem areas and there will be nothing more for you to hide.

Liposuction is a wonderful method for shaping the body. By making a small incision, we can shape large areas of the body without leaving long or visible scars.

A liposuction procedure at our practice in Munich can shape almost all areas of the body: Face, throat, double chin, upper arms, back, breasts and abdomen, and naturally the legs (especially saddlebags) and buttocks.

Smaller liposuction procedures are performed under local anesthesia. However, liposuction is usually performed under brief general anesthesia on an outpatient basis. More extensive liposuction procedures require an inpatient stay. Avoid blood-thinning medication (e.g. Aspirin) for at least 14 days before the procedure. Please obtain the appropriate compression garments and bring them with you to the procedure.

The presentation of before/after pictures on the Internet is prohibited in Germany for aesthetic operations. Please understand that we may only show you pictures during a personal consultation.

There are a number of different methods and devices for liposuction: laser, ultrasound, water jet, etc, and no method has clear advantages over others. Ultimately, it comes down to the skill of the surgeon. What use is a golden chisel to a sculptor if he doesn’t possess the talent to create a beautiful sculpture?

We use a hyperosmolar tumescent infiltration technique. It involves infiltration of the tissue with saline fluid. The slightly higher salt content makes the membranes of the fat cells more permeable, the fat cells lose their structure and are then easier to suction. In addition, the tissue fluid (the edema) reacts to the increased salt concentration (osmosis), which also makes it easier to suction.

• Starting two weeks before liposuction, you should avoid medications that impair blood clotting (e.g. acetylsalicylic acid-based medications such as aspirin or ASS).
• Because smoking fosters circulatory problems and promotes wound healing disorders, you should stop smoking two weeks before the liposuction procedure.
• If the liposuction is performed on an outpatient basis, please make arrangements for someone to pick you up from the hospital or practice and look after you at home.
• Purchase cooling packs to use at home after the operation.
• In addition, please obtain the recommended compression garments.

Smaller liposuction procedures can be performed very well under local anesthesia. We prefer local anesthesia with twilight sleep or general anesthesia for larger areas.

For local anesthesia, the region to be treated is numbed by injecting an analgesic medication, usually together with a special solution that facilitates liposuction.

Liposuction is usually performed in twilight sleep at our clinic in Munich without a hospital stay. Following liposuction, you can rest and recover for a while at the clinic before being picked up. For major liposuction procedures, we recommend one night of inpatient care.

Whether or not an inpatient stay is necessary depends primarily on the expected amount of liposuction: The upper limit of an outpatient liposuction is 4 liters. An inpatient stay is necessary for larger amounts. The upper limit is 6-8 liters per procedure.

Incomplete shrinkage of the skin after liposuction can lead to excess skin, especially in older women and men whose tissue is no longer elastic enough; this tissue can only be removed with a scalpel. The upper arms and lower abdomen are examples of areas where, after liposuction, excess skin often needs to be tightened by removing excess tissue.

Depending on the volume of the fatty tissue and the suction method used, treatment of a body region takes approximately 30 to 90 minutes, plus preparation time (solution injection and exposure time). If liposuction is performed on several regions of the body in one session, surgery times of 2 to 3 hours or longer may be required.

The fee depends on the time required and ranges between 1,500 and 9,000 € plus anaesthesia. If the surgery is purely cosmetic (no medical indication), VAT of 19% is added to the costs.

Please understand that we are unable to provide any financing ourselves. However, MEDIPAY has been our reliable partner on this matter for many years now. You can find all the relevant information on our information page or by visiting www.medipay.de.

• Minor pain after a liposuction is possible and will be treated with painkillers.
• However, it is more common to have the feeling of sore muscles.
• There will always be some swelling in the area treated. Visible swelling will subside within one to two weeks.
• Residual swelling that is hardly noticeable will subside much more slowly, with the final result visible after a few months.
• Any bruising will disappear after about 7 to 10 days.
• Temporarily, your skin may have a numb or “furry” sensation, which in some cases can last up to six months or even longer.
• Depending on the extent of the procedure, you will be able to resume work after two to five days.

Liposuction permanently removes fat cells, which means that you will retain the resulting body contour. If you gain weight, you will gain more weight on those parts of the body that were not treated by liposuction.

Especially after an operation, varying degrees of swelling and bruising can be expected, but the majority of this completely subsides after a few days. A temporary “furry” sensation and the skin’s hypersensitivity to touch can also be expected. Contour irregularities are also possible risks.

Liposuction can be performed in almost any age group. However, best results are achieved when the skin is still elastic enough to lie smoothly on the areas that have been treated. In older people with decreased skin elasticity, the skin may not shrink back completely and additional skin tightening may be required.