Liposuction is a method for removing the accumulated fat depots in various face and body areas. To conduct this procedure without trauma, we use the so called ultrasound assisted liposculpture (UAL) using VASER. This is the best liposuction and body contouring method available today. There is almost no blood loss and recovery is fast. Patients can immediately resume their regular activities. Additional benefits are the skin tightening and weight loss. This is why we don not recommend losing weight with skin sagging prior to the procedure.

Application of VASER Ultrasound Liposculpturing

In the past, traditional tumescent liposuction has been effective in young patients with tight skin and mild to moderate amounts of fat. Post-op recovery with this method is slow, because of the trauma, irregularities and loss of blood.

Ultrasound assisted liposculpture however has expanded the scope of patients suitable for face and body sculpting. We can now include patients with larger amounts of fat and less elastic skin tone. We are also able to treat areas, which were not easily or effectively treated earlier with classic methods. These include fibrous areas such as the back, male breast and upper abdomen, as well as the buttock.

Ultrasonic liposculpture is a more advanced form of both regular lipoplasty and tumescent liposuction, and is used to get precise body contouring results. VASER lipo has the effect of skin tightening and slimming in the first six months after the operation. Therefore, if you consider liposculpturing via VASER technique, you do not need to try dieting with skin flaccidity as a result.

Like every other intervention in cosmetic surgery, ultrasound liposculpture also carries certain risks. In most cases, in the first few days we have to prevent the possibility of seroma retention in the treated areas. For this reason we conduct patient follow up in the first 5-7 days, when complications are most likely to appear. In this way we can be sure that patients from abroad can travel safely back home and have no complications after that.

Please refer to the table below for comparison between VASER lipo and other liposuction methods.

Due to the lack of trauma, liposuction in our clinic can be combined with liftings of the face and body (buttock lift, inner thigh lift, etc.) using Serdev Sutures Lifting technique, rhinoplasty or other beautification procedures.

Every woman dreams to have long and straight legs, slim hips, and no “breeches”. There is no woman without fat deposits, which are the common cause for irregular shape of the legs. Our aim with the legs liposculpturing pricedure is to remove these depots and thus achieve visual elongation and straightening of the legs.

The best method for removing the fat depots is VASER ultrasound liposculpturing. It is a form of liposuction where we liquefy excess fat using sound waves, which are harmless to adjacent tissues. Removal of the liquefied fat tissue is done smoothly and without blood loss, under very low pressure. The fat cells cannot build up in the same places again, because they have been destroyed.

Here you can find a detailed description of VASER ultrasonic liposculpturing, as well as comparison with other liposuction methods.

Read more: Liposuction of the face (double chin, cheeks); Buttock lipo (with lifting effect)

Sculpting the Legs

Fat depots are not an age mark. Even young girls and models can rarely boast of perfect forms. The slimmer the model, the more visible the fat depost. Unfortunately, in addition to slimming, weight loss also leads to skin laxity. This is because fat cells inside the fat depots are created to transform non-burned calories into fat tissue. They increase in size unevenly and lose their connection to caplillaries. Imagine a house with a fountain in the yard. A huge building is built in place of the house and now the fountain is no longer sufficient to serve the needs of all residents. In analogy, when speaking of fat depots, caplilaries can no longer feed oxygen to the enlarged cells to start the process of breking down the accumulated fat tissue.

To remove the fat deposits on the legs, we perform liposuction of the knees, breeches, love handles (where necessary), inner thighs, calves, and in some cases – ankles.

Breeches are women’s bigger concern. Knees are the most common cause for the irregular shape of women’s legs. This is true even in young, skinny girls and selected fashion models. Even small fat depots on the inside of the knee curves visually shorten the legs and distort them to X-shape.

Our job is to sculpture and model the convexity (projection) of the inner knee. The calf is shaped in the form of a bottle (equal form both sides). The form of the inner knee fat collection is moved higher, which elongates the calf. After the procedure, patients wear elastic garments for a month (during summer) or a month and a half (during winter).

Straightening the Legs

Dr. Serdev‘s method for legs liposculpturing, using VASER ultrasound liposculpturing (UAL), involves removing the projection of fat depots in the inner and lateral thighs (breeches), inner knees, as well as “love handles”. This leads to visual straightening and elongation of the legs. In some cases, we also have to shape the outer calves and possibly transfer fat to the inner calves, which makes them straighter. Removing fat from around the ankles is done in rare cases.

Visual Leg Elongation

When observed from behind, women’s legs look shorter. The buttocks are what determine the length of the legs when viewed from the rear and sides. Even in skinny girls, the buttock is not always in a high position and hangs, thus shortening the legs.

We can achieve a visual elongation of the legs by sculpting the fat tissue and reducing the fat depots, especially under the gluteus muscles, around the thighs and hips. This leads to a smaller, lifted, “happy” buttock and visually elongated thighs.

Moving the fat tissue form upward on the inner side of the knee creates visual elongation of the claves (“knee lift”). Secondary sculpturing of the knees is not necessary. The legs preserve their correct form even when patients gain weight.

Straightening and elongating the form of the legs effectively alters the proportions in terms of elongating the entire silhouette. It improves the appearance and appeal of women, as well as their confidence.

Ankles Lipo

Liposclulpture of the ankles is a comparatively rare procedure. There are total of 4 fat depots – two in front and two in the back, but they are not always present at the same time. Thanks to the atraumatic and bloodless VASER UAL procudure, Dr. Serdev has perfected the ankle sculpturing method. The results improve as the swelling diminishes.

After the Legs Liposculpturing Procedure

After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night (and after, if necessary). We do daily follow-up sessions for 3-5, sometimes up to 7 days, depending on the treated areas. These sessions include taking showering, disinfection, bandaging and change of elastic garments.

Most important during the days in the early post-op period is the follow up for fluid retention or collection, so as to prevent formation of painful seroma and infection at a later stage. Patients wear elastic garments 24/7 for a month, preferably a month and a half. Of course, during this time, they are free to follow their normal daily activities.

The immediate result shows much better form of the legs, even when initial swelling is present. Swelling will be minimized in the next 3 months. The final result becomes better and better during the course of the first year.

Massages on the treated areas are strictly forbidden! This is because skin movement can break the newly formed capillaries! As a resutlt, there will be growing of edema, extension of the recovery period and loosening of skin fixation.

The greatest advantage of ultrasound liposculpture is that this method naturally leads to weight loss.  Moreover, there are several additional positive effects – the skin tightens (ultrasound lifting effect), there is a natural activation of enzyme systems with consequent loss of appetite and weight loss to normal.

The atraumatic nature of VASER UAL also makes possible to combine the legs lipo procedure with fat removal from other areas of the face and body, depending on patient characteristics. We can also do various liftings using scarless Serdev Sutures Lifting method.

Gallery - Legs Straightening and Elongation

Gallery - Breeches, Inner Thighs, Knees, Calfs, Ankles

The accumulation of subdermal fat in the abdomen and lumbar region is due to poor diet and stagnant way of life. Once gained, these accumulations can not be eliminated through diet, because fibrous-degenerative processes arise. Typical male problems are the emergence of the so-called “beer belly” and gynecomastia. They are also hormonally determined.

Due to hormonal differences, women accumulate fat subdermally and men – in the abdominal cavity. For this reason, this procedure is more effective in women and they can more easily get a “flat stomach” (abdomen). Depots in the area of the “love handles” appear alongside accumulations in the belly area and must be removed together. Depots in the back area appear in a later stage and are a sign of overall gradual obesity. It rarely is only genetically determined.

Liposuction of the belly, love handles, breast and back is one way of approaching the problem and remove the accumulated fat depots. Diabetes (or predisposition to this condition) will improve, as well as high blood pressure.

Body contouring using VASER ultrasonic liposculpture: belly, love handles, breasts, and back in obesity and cellulite

The best method for removing the fat depots is VASER ultrasound liposculpturing. It is a form of liposuction where we liquefy excess fat using sound waves, which are harmless to adjacent tissues. These are blood and lymph vessels, nerve branches and connective tissue. Removing the liquefied fat tissue is smooth and without blood loss, under very low pressure. The fat cells cannot build up in the same places again, because they have been destroyed.

Traditional liposuction also cannot deal with these problems, due to the lack of precision, the trauma it can cause to neighbouring tissues and blood loss. It cannot easily treat fibrous areas, such as male breast, upper abdomen, back and buttock areas.

Here you can find a detailed description of VASER ultrasonic liposculpturing, as well as comparison with other liposuction methods.

VASER lipo is an outpatient procedure, done through skin puncture only, under local anesthesia. In addition, UAL has a lifting effect. It refreshes the skin, which tightens, while preserving its elasticity.

We treat Gynecomastia in men in the same way – through skin punctures in a hidden spot. Thus, we define chest muscles, which in combination with narrow waist and flat stomach, makes the male figure attractive. High definition six packs are also easier to obtain with this technology.

The atraumatic nature of VASER liposculpturing also makes possible to combine liposuction of the breast, back, belly and love handles with fat removal from other areas of the face and body, depending on patient characteristics.  We can also do various liftings using scarless Serdev Sutures Lifting method.

After the Liposculpturing Procedure

After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night (and after, if necessary). We do daily follow-up sessions for 5 to 7 days. These sessions include showering, disinfection, bandages and change of elastic bandages.

Most important during the days in the early post-op period is the follow up for fluid retention or collection, so as to prevent formation of painful seroma and infection at a later stage. Daily follow-up is crucial in the first days and we have not observed late complications. Patients wear elastic garments 24/7 for a month, preferably a month and a half. Of course, during this time, they are free to follow their normal daily activities.

The result is durable. The immediate result shows much better form of the body and extremities. Swelling will be minimized in the next 3 months. VASER causes fat tissue to liquefy detach from the cells. Thus, the body treats it as a foreign body and fights its own fat tissue enzymatically. The vascular system generalises this process and as a result we observe weight loss during the first 6 months. After this period, patients must maintain their weight.  The final result becomes better and better during the course of the first year, along with losing weight and reduction of swelling.

Massages on the treated areas are strictly forbidden! This is because skin movement can break the newly formed capillaries! As a resutlt, there will be growing of edema, extension of the recovery period and loosening of skin fixation.

Results

We perform buttocks liposuction in cases when we have to remove the accumulated fat depots below the gluteal muscle, around the thighs and hips. In out clinic, we use the VASER lipo method. Besides effectively getting rid of the fat deposits, it helps us achieve a visual butt lift effect.

VASER Ultrasound Assisted Liposculpture (UAL) allows us to sculpt the buttocks with precision.  It is a form of liposuction, where ultrasound waves target fat cells in order to liquefy them, without harming adjacent tissues. In this way, the liquefied fat tissue is sucked out under low pressure without trauma and without blood loss. Fat cells cannot reappear in the same places again, because UAL destroys them.

You can read a detailed description of VASER ultrasound liposculpturing and comparison with other liposuction methods here.

UAL Buttock Lift Effect

The buttock liposculpture procedure has an immediately visible effect of lifting the infragluteal fold, legs are elongated and there is a change of body proportions. As a result, we achieve a buttock lift via ultrasound liposculpture.

After lipo on the left side. Visible lifting of the left infragluteal fold!

This procedure can be a standalone operation, done in advance of scarless Serdev Suture Buttock Lift, or simultaneously, when we have to reduce fat and heaviness of the butt. The atraumatic nature of VASER UAL also makes possible to combine the procedure with fat removal from other areas of the face and body, depending on patient characteristics. We can also add various liftings using scarless Serdev Sutures Lifting method.

After the Buttock Liposculpturing Procedure

After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night (and after, if necessary). We do daily follow-up sessions in the first 3-5 days. These sessions include showering, disinfection, bandaging and change of elastic garments.

During the days in the early post-op period, most important is the follow up for fluid retention or collection, until the organism takes in the resorption. In this way, we prevent formation of painful seroma and infection at a later stage. Patients wear elastic garments 24/7 for a month and a half. Of course, during this time, they are free to resume their normal daily activities.

The immediate result shows much better form of the body and extremities, even when initial swelling is present. Swelling will gradually diminish within the next 3 months. The final result becomes better and better with reduction of the swelling.

NB! Massages on the treated areas are strictly forbidden! This is because skin movement can break the newly formed capillaries! As a resutlt, there will be growing of edema, extension of the recovery period and loosening of skin fixation.

Results

The excess of fat tissue accumulated in the lowe part of the face weighs on the skin and stretches it. This gives the face a “square” form and appearance, instead the youthful “V”-shape. In such cases, we can perform a face lipo procedure (liposuction of double chin and cheeks) to sculpt the lower part of the face and restore the angle between the chin and neck. The procedure helps us eliminate the double chin, the jowline tightens as in young people.

The best method for removing fat depots is VASER ultrasonic liposculptuing. It is a form of liposuction where we liquefy excess fat using sound waves, without harm to adjacent tissues. We thus make its removal under low pressure atraumatic and bloodless. Fat depots cannot accumulate again in the same locations, because the ultrasound has destroyed them.

The result of the face liposculpture is immediate and durable, but it becomes most apparent a few months after the procedure, due to swelling reduction. The skin tightens. From “round” or “square” with hanging cheeks, the face becomes “oval” or “V”-shaped, with “hungry” cheeks.  There are no bruises and signs of intervention. After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night (and after, if necessary).

Here you can find a detailed description of VASER ultrasonic liposculpturing, as well as comparison with other liposuction methods.

Sculpting of the double chin and cheeks can be performed as a standalone procedure, as well as before or simultaneously with mid-face lift (and/or lower face and neck lift).

Liposuction of Double Chin

Liposculpturing of double chin is an atraumatic procedure without blood loss. Small bruises, low and in the front part of the neck, are extremely rare and appear in only 1 to 2 percent of all cases. After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night (and after, if necessary). We place special plasters on the zones of liposculpture for the first night only. Since the skin in the double chin area is a low point, swelling can cause skin to unstick and sag during healing. This is the reason why after double chin lipo, patients must wear an elastic bandage for about a month. This bandage presses the skin so it heals onto the musculature. Patients must closely follow the doctors’ instructions, as they will lead to durable results.

Liposuction of the Cheeks

If we only do liposuction of the cheeks (lower part of the face), patients do not have to wear elastic bandages. They only wear a skin-colour tape during the first night to reduce the swelling.

Simultaneous Liposculpturing of Double Chin and Cheeks

We most often do VASER liposculpture of the cheeks (lower part of the face) and double chin in the same time. During the days in the early post-op period, most important is the follow up for fluid retention or collection. In this way we prevent the formation of painful seroma and infection at a later stage.

The procedure is carried out through skin punctures only. Due to its atraumatic nature, the face lipo procedure can be combined with fat removal from other areas in the same time, depending on patient characteristics, as well as lifting procedures via Serdev Suture methods.

Massages on the treated areas are strictly forbidden! This is because skin movement can break the newly formed capillaries! As a resutlt, there will be growing of edema, extension of the recovery period and loosening of skin fixation.

Read more: Liposuction of the belly and love handles; Buttocks Liposculpturing (with lifting effect); Legs Lipo (straightening and elongation)

Results

The fat accumulation in the arms weighs on the skin and they sag. Women complain that their sleeves become too tight, which leads to depression. The classic method to eliminate this hanging is by excision. The best and most aesthetic method for removing fat depots from the arms is VASER ultrasound liposculpture. This is a form of  arms liposuction where fat cells are liquefied using ultrasonic waves, without affecting adjacent tissues. In this way, the suction of fat tissue under very low pressure becomes atraumatic and bloodless. Fat cells can not accumulate again in the same places as ultrasound destroys them.

Here you can find a detailed description of VASER ultrasonic liposculpturing, as well as comparison with other liposuction methods.

After Liposuction of the Arms

After the procedure, we prescribe antibiotics for 5-7 days and painkillers for the first night. We do daily follow-up sessions for 3-5, sometimes up to 7 days, depending on the treated areas. These sessions include taking showering, disinfection, bandaging and change of elastic garments.

Most important during the days in the early post-op period is the follow up for fluid retention or collection, so as to prevent formation of painful seroma and infection at a later stage. Patients wear elastic garments 24/7 for a month, preferably a month and a half. Of course, during this time, they are free to follow their normal daily activities.

The immediate result is satisfactory and improves with as swelling subsides. The final result, with slimmingof the arms and skin tightening, is obtained within the first year.

Massages on the treated areas are strictly forbidden! This is because skin movement can break the newly formed capillaries! As a result, there will be growing of edema, extension of the recovery period and loosening of skin fixation.

Thanks to the atraumatic nature of VASER liposculpture and  depending on patient’s characteristics, we can remove fat depots from the arms and other areas of the face and body at the same time. We can also do various liftings using the scarless Serdev Sutures Lifting method.

Read more:   Liposuction of the belly, love handles; Fat transfer; Buttocks Liposculpturing (with lifting effect); Liposuction of the legs (straightening and elongation); Face lipo – double chin and cheeks

Results

Fat transfer (also known as lipotransfer and fat grafting) means replenishing the contour of the face and body as well as defects and irregularities, using patient’s own fat tissue.

Most of the injected fat cells have no contact with surrounding tissues. Many of them die and are resorbed due to lack of vascularization. It’s proven that only up to 30% of the injected fat cells are successfully supplied with blood, stabilize, and survive. Therefore, it may be necessary to do multiple fat transfers until a satisfactory final effect is present. The procedure is combined with liposculpture to gather material, as well as shape other areas of the body.

Filling the face with fat tissue for rejuvenation (in elderly patients) is not particularly aesthetic due to irregularities and heaviness. Nonetheless, it may be satisfactory, depending on age .

We do not inject adipose tissue in the lips due to the presence of better methods.

Depending on ethnicity, in some countries like Brazil, surgeons also use fat transfer to puff up labia majora or to augment the buttocks. These are ethnic aesthetics. However, the late results in excessive fat transfer are fistulas, infections, leakage of necrotizied fat tissue etc.

Fat tissue can also be injected into the breast. However, the method is controversial and did not gain vast popularity because of the death of  non–vascularised fat cells. In larger quantities, it may be necessary to drain the fatty liquid at a later stage.

We use lipotransfer in cases where we have to fill in defects (as in the picture of face asymmetry below) or to fill the inside of O-shaped calves (as in the following pictures).

Read more:   Liposuction of the belly, love handles; Arms lipo; Buttocks Liposculpturing (with lifting effect); Liposuction of the legs (straightening and elongation); Face lipo – double chin and cheeks

Results