• Anesthesia: General
• Days of Hospitalization: 1
• Sutures: Absorbable

This procedure improves the shape and the skin flaccidity in the arms that is a result of aging or a significant weight loss.

In case there is a concentration of fatty tissue without particularly great sagging and good elasticity of the skin, only liposuction can be done.

In small skin laxity, the incision can be made in the armpit without being visible in the future.  In extensive skin laxity, the incision is made on the medial and inferior side of the arm and is visible when the woman raises her arms above the horizontal plane.

In cases where there is additional skin flaccidity in the armpit area, a Z plastic is required in that area.

In general, incisions improve in 8-10 months. In any case, a clinical assessment is required in the doctor's practice to choose the right technique.

• Anesthesia: General
• Days of Hospitalization: 1
• Gymnastics - Sports: After 6 Weeks

The buttock-thigh lift corrects the sagging skin of the thigh or buttock, which is a result of a significant body weight loss.

Sagging skin in these areas can be related to both age and heredity.

In case of slight laxity of the medial surface of the thigh, the incision is made in the femoral fold, at the border between the thigh and pubis. In extensive laxity of the skin, the incision is extended along the medial surface of the thigh to the knees.

Buttock lift can be done either by transferring fat to the buttock after liposuction in the abdominal area, or by using silicone implants or a combination of both techniques, depending on the sagging level.

In extensive sagging of the buttock, skin removal is also required. The incisions are made in places that can be covered by underwear or swimwear in the summer.

• Anesthesia: Local

Liposuction is one of the most common aesthetic plastic surgery procedures worldwide. This procedure corrects the silhouette of the body and is addressed to people who have already tried to lose weight through diet or exercise. It is not a slimming method, as the largest amount of fat we can remove is 3-4 liters.

It can be combined with other body contouring procedures such as abdominoplasty, breast lift, thigh lift, brachioplasty. The fat that is removed can be transferred by liposuction to parts of the body or face, such as the buttocks, breasts, nasolabial folds, cheeks and lower eyelids.

The most common liposuction techniques are the following 3:

Tumescent Technique

This is the most common liposuction technique. No incisions are made and through 2-3 holes, 2-3 mm in size, we inject a saline solution into the fat to be suctioned. The solution also contains a local anesthetic along with adrenaline, to minimize blood loss and reduce pain as much as possible. The fat cells absorb the fluid and are destroyed, expelling their contents. With thin cannulas, we suck out the damaged fat cells until we achieve the desired result.

Power Assisted Liposuction

It is a variation of the previous technique. The whole process relies on an electric cannula with 24 holes and a vibration rate of 4000 times per second. The advantage of this technique is that we do not damage the vessels and sensory nerves of the area and it is easier to do in areas such as the calves and ankles.

Ultrasound Assisted Liposuction

In this technique, special cannulas are used which, with the help of ultrasound, destroy the fat cells selected without affecting the surrounding connective tissue, vessels and nerves. It has a greater indication in areas with hard fat, such as the chest in men or the back. Its disadvantage is a slight possibility of skin or subcutaneous tissue burning.

---

Post-operative Instructions:

Use lastex for 4 weeks, return to work in 5 days and to gymnastics in 1 month.

The final result is visible 6 weeks after the procedure. If a small amount of skin loosening occurs after surgery, radio frequency treatment may follow in the doctor's practice.

The most common areas where fat accumulation is observed and we can apply all the above techniques with great results are the following: Hips - outer surface of thighs, waist, knees (inner side), abdomen, double chin - cheeks, back, inner thighs, ankles - calves, arms.

At younger ages the results are even better, because the skin is more elastic and the risk of sagging is much lower compared to older ages.

• Days of Hospitalization: 1-2

Abdominoplasty or tummy tuck is one of the most common procedures for both men and women. By the term abdominoplasty we refer to the removal of excess skin and fat from the abdomen.

Sometimes it can be combined with liposuction.

Causes of Sagging Skin:

• Massive weight loss after diet or surgery (sleeve, etc).
• Pregnancy with accompanying stretch marks and abdominal wall distension.

---

Pre-operative Instructions:

1. Stop smoking and taking aspirin or dietary supplements.
2. Pre-operative check-up (blood test, cardiological assessment, chest x-ray).

---

Surgery

The surgery requires general anesthesia, it lasts 2 hours and 2 drains are placed in the abdominal area. The abdominal muscles are sutured and excess skin is removed.

---

Post-operative Instructions

Patients wear an abdominal belt for 4 weeks and refrain from exercise and swimming for 8 weeks. They return to work in 2 weeks.