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Liposuction – the process step by step

From planning the areas to the compression garments: this is how liposuction with tumescent and vibration technique typically proceeds.

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Patient information (PDF)
Markings for planning a liposuction
AnesthesiaGeneral anesthesia + tumescence
Treatmentoften outpatient
Compressionseveral weeks
Final resultafter a few months

Liposuction is carefully planned: the key is to remove only as much fat as is necessary for a harmonious silhouette. This is how the procedure typically proceeds.

The process at a glance

  1. 01a few weeks beforehandPreparation

    Defining the areas, assessing skin elasticity, preliminary examinations and informed consent.

  2. 02Day of surgerySurgery

    General anesthesia with tumescent local anesthesia; suction through small access points with vibration technique.

  3. 03Weeks to monthsAftercare

    Compression garments, check-ups, lymphatic drainage if necessary.

What happens during surgery

Diagram of liposuction: tumescent solution, small access points, fine vibrating cannula, compression
Schematic illustration. Areas and suction volume are planned individually.

Phase 1: Preparation

  1. Consultation Which areas bother you? I assess fat distribution, skin elasticity and weight.
  2. Differentiation Is it an aesthetic fat distribution or lipedema? The approach and the question of costs depend on this.
  3. Preliminary examinations and informed consent Lab tests as needed; detailed informed consent with time to think it over.
  4. Compression garments Fitted in advance so that they are ready immediately after the procedure.
  5. Organization Plan for someone to accompany you home and a few days of rest.

Phase 2: The day of surgery

  1. Marking while standing The treatment areas are marked.
  2. Anesthesia and tumescence General anesthesia combined with tumescent local anesthesia – the solution loosens the fatty tissue and reduces bleeding and pain afterwards.
  3. Suction Through a few very small access points, the fat is suctioned gently with fine cannulas and vibration technique.
  4. Compression The compression garments are put on immediately afterwards.
  5. Going home The procedure is often performed on an outpatient basis; liposuction of up to 6 liters is mostly performed on an outpatient basis.

Phase 3: Aftercare and healing

  1. Day 1–3Feeling similar to sore muscles, swelling; tumescent solution may leak from the access points
  2. Week 1Compression day and night; light movement promotes healing
  3. Week 2–4Swelling subsides; office work usually possible again
  4. Week 4–6Reduce compression as agreed; gradually resume sports
  5. Month 3–6the skin has settled – the new contour is visible

Contact us immediately in case of severe pain, fever, shortness of breath, a leg swollen on one side or redness around an access point.

Your checklist

  • Have compression garments fitted in advance
  • Absorbent pads for the first nights
  • Someone to accompany you home
  • Drink plenty of fluids and move lightly in the first few days
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Areas, technique, risks and questions