Many people find changes in the shape of the abdomen, thighs, and buttocks particularly distressing. Exercise or dietary adjustments are often insufficient when fat deposits stubbornly persist or the skin has become significantly lax. The first step is therefore always a precise assessment: is the primary concern excess fatty tissue, excess skin – or both?
Targeted Liposuction with Precision
Localised fat deposits – classic saddlebag thighs, hip padding, or a pronounced lower abdomen – respond well to liposuction. With the tumescent technique, anaesthetic, adrenaline, and a saline solution are introduced into the tissue before the fat cells are loosened with fine cannulas. Achieving natural results depends on contouring in even passes and maintaining sufficient distance from the skin to prevent dimpling.
- ✓Analysis of individual contour changes on the abdomen, hips, and thighs
- ✓Infiltration of a tumescent solution with adrenaline to reduce bleeding
- ✓Gentle suctioning with fine cannulas – not too superficial, to avoid dimpling
- ✓Immediately afterwards: application of compression shorts or stockings for 6–12 weeks
When a Tightening Operation Is Advisable
When tissue has been significantly overstretched – for example following pregnancies, major weight loss, or as part of the natural ageing process – liposuction alone is insufficient. The skin is then too lax to re-drape itself. Depending on the findings, abdominoplasty, thigh lift, or buttock lift may be employed. Scars are planned so that they are not visible beneath swimwear.
During an abdominoplasty, excess tissue between the pubic mound and the navel is removed. If a rectus diastasis is also present, the abdominal wall can be stabilised during the same procedure. The aim is not to impose a new body ideal, but to restore clear contours and a stable sense of body confidence.
Body Lift: A Combined Approach for a Harmonious Overall Result
Multiple problem areas often present simultaneously. In such cases, the abdomen, lower back, flanks, and outer thighs can be addressed together in a body lift. This tightens the entire trunk girdle and creates a continuous silhouette. The technique chosen depends on skin quality, the amount of excess tissue, and the patient's general state of health.
A thorough consultation will clarify which results are realistic and what pre- and post-operative care will be required. This includes laboratory values, a possible internal medicine check-up, and preparatory measures such as lymphatic drainage or dietary adjustments.
Aftercare and Healing Phase
The body's contouring phase begins immediately after the procedure. Compression garments, adequate rest, and a protein-rich diet support healing. During the first two weeks, wounds should be consistently protected from strain so that scars remain soft and flat. From the third week onwards, light movement exercises are possible; sport and sauna must wait a little longer.
Gentle lymphatic drainage, abstaining from nicotine, and regular follow-up appointments help to avoid complications. After approximately three months the result is stable – and patients can enjoy their new contours in the mirror.
