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Body & contour

Body treatments & your contours

Your body changes as your life unfolds. After pregnancy, a change in weight or with the passing years, new questions may arise. Together, we look at what is on your mind and which options may suit you.

A relaxed, fully clothed woman in natural linen tones.
Understanding your wishes and taking time to consider the options.

The short answer

Fat, skin or shape: what would you like to change?

Liposuction treats localised fat deposits. A tummy tuck, upper arm lift or thigh lift removes excess skin and reshapes the tissue. For the breasts, I distinguish between volume, position and symptoms. These procedures serve different purposes; they are not treatments for excess weight overall.

  1. Fat distribution

    Localised fat deposits can be distinguished from internal abdominal fat and general weight concerns. Skin elasticity and contour are also important when considering liposuction.

  2. Skin and tissue

    Excess skin can remain after weight changes or pregnancy. A lift exchanges this excess for a carefully planned scar.

  3. Proportion and everyday life

    Breast shape, freedom of movement, chafing or difficulties with clothing may all play a part. Your concerns determine which area we examine more closely.

From wishes to understanding

Aesthetic concerns understood

Changes that look similar can have different causes. Find your starting point here, along with the treatment we can discuss in more detail.

01Localised fat deposits

When a localised fat deposit is the main concern

Fat deposits on the abdomen, flanks, arms, legs or beneath the chin can persist despite a stable weight. Fat removal by suction, known as liposuction, targets the contours of these areas.

Understand the context

I assess how much fat is present beneath the skin and how well the skin is likely to adapt. Significant excess skin cannot reliably be corrected by liposuction alone. In the abdomen, internal fat must also be distinguished from the fat beneath the skin that can be treated.

The number of areas and the extent of treatment affect the anaesthesia, duration of surgery and recovery. Liposuction is not a shortcut to weight loss. Pain, unusual swelling or suspected lipoedema require appropriate diagnostic assessment first.

02Abdomen & excess skin

When the skin has not contracted sufficiently

A tummy tuck can correct excess skin and the underlying tissue. Whether only the lower abdomen or the entire abdominal area is affected makes a substantial difference to planning.

Understand the context

A small lift below the navel and a full abdominoplasty are different procedures. The more extensive lift also takes the position of the navel into account. If diastasis recti is present, we assess separately whether correction is appropriate and possible.

A protruding abdomen does not prove that diastasis recti is present. Symptoms, a possible hernia and changes in the abdominal wall need to be examined. Scar placement is planned around the examination findings and your clothing; I cannot promise an invisible scar.

03Upper arms

Assessing excess skin and fatty tissue separately

Excess skin may develop on the upper arms after weight loss or as tissue elasticity changes. An upper arm lift is planned according to the extent of the excess and the quality of the skin.

Understand the context

Liposuction may be an option for a localised fat deposit where skin elasticity is good. It is often not enough when there is significant excess skin. Depending on the extent, the lift scar runs along the upper arm and may also extend into the armpit.

I mark out the likely scar line with you. We also discuss how arm movements, physical work and sport will need to be restricted during healing. A narrow, inconspicuous scar is a goal, not a promise.

04Thighs

The extent of excess skin determines the lift

Excess skin on the inner thighs may affect how you feel about their appearance or cause chafing in everyday life. A small amount of excess skin near the groin requires different planning from changes extending towards the knee.

Understand the context

The scar may sit in the groin area or continue down the inner thigh. The shape required depends on the examination findings. The balance between the contour that can be achieved and the permanent scar is part of the decision.

A thigh lift treats the skin and the tissue beneath it, not the muscle. It does not reliably remove cellulite. A tendency to swell, lymphatic drainage and any pre-existing medical conditions need particularly careful consideration beforehand.

05Breast shape & volume

More volume, a different position or relief from discomfort?

Breast augmentation, a breast lift and breast reduction have different aims. If both volume and position have changed, a carefully planned combination may be appropriate.

Understand the context

Implants allow targeted planning of width and projection. Your own fat is an alternative for selected goals and circumstances; some of the transferred volume may be reabsorbed. Breast augmentation with fat transfer is also an operation.

A lift changes the shape and position of the breasts. A reduction also removes tissue. Your existing breast shape, skin, nipple position, any symptoms and your wishes all need to be considered together. A specific cup size cannot be guaranteed.

06After weight changes

A stable starting point for several areas

After significant weight loss, the abdomen, arms, thighs and breasts may all have changed. Not every area needs to be treated in the same operation.

Understand the context

Keeping your weight as stable as possible and being in good health and well nourished make planning easier. After bariatric surgery, I take the previous treatment into account, along with any nutritional deficiencies that may still need investigating.

I discuss with you which concern has the greatest impact on your everyday life. The duration of surgery, the extent of the wounds, mobility and support at home sometimes favour a staged approach. The term body contouring describes this shared planning goal, not a fixed surgical package.

Comparing procedures

What can each procedure change?

Understanding the differences helps turn your wishes into realistic goals. Recovery times are a guide; physical work, sport and individual healing need their own planning.

Liposuction

The aim
Reduce localised fat deposits beneath the skin and shape contours.
The limitations
Not for overall weight loss; excess skin may remain.
Recovery
A few days to weeks, depending on the extent; compression and a break from sport according to your plan.

Tummy tuck

The aim
Remove excess abdominal skin and, where appropriate, treat the abdominal wall as well.
The limitations
Does not treat internal abdominal fat and leaves a scar.
Recovery
Several weeks of taking things easy; lifting, sport and physical work must be agreed separately.

Upper arm lift

The aim
Correct excess skin on the upper arms.
The limitations
Visible scars are possible; complete symmetry cannot be guaranteed.
Recovery
Limit arm movements and exertion; compression is often needed for several weeks.

Thigh lift

The aim
Reduce excess skin on the inner thighs.
The limitations
Not a reliable treatment for cellulite; the extent determines the scar.
Recovery
Wound protection, gentle mobilisation and compression; sport only after medical clearance.

Breast augmentation

The aim
Use implants to make targeted changes to volume and proportions.
The limitations
No guarantee of a particular cup size; implants are not lifetime devices.
Recovery
Several weeks of taking things easy and wearing a support bra; sport often only after six to eight weeks.

Breast lift

The aim
Reshape breast tissue and reposition the nipples.
The limitations
Does not automatically create more volume; scars remain.
Recovery
Take things easy and wear a support bra; agree a gradual return to everyday activities and exercise.
A personal consultation with Andrea Caletti.A decision that fits your life

A closer look

After pregnancy: take things at your own pace

The abdomen and breasts can develop differently after pregnancy. The commonly used term Mommy Makeover brings together possible procedures, but does not prescribe how much surgery is needed or when it should take place. There is no physical state you have to return to.

We take physical recovery, breastfeeding, weight changes and future family plans into account. Your everyday life matters just as much: who can help with lifting, childcare and the early stages of recovery? Combining several procedures in one operation is not the right solution for everyone.

  • Allow time for natural recovery first, then reassess the findings.
  • Examine the abdominal wall, skin and breast shape separately.
  • Weigh up combined procedures in terms of physical demands and benefits; a staged approach remains an option.

Costs in Berlin

Costs and scope
for your planning

Treating a single area, performing a more extensive lift or combining procedures involves different costs. The following figures come from the relevant treatment pages and specify what each price relates to.

These amounts reflect the scope described on each treatment page. They are a guide, not a personal quotation. Materials, anaesthesia, length of stay, combined procedures and aftercare can affect the total price. Before you decide, we clarify in writing what is included and which additional costs may arise.

Discuss the scope of your treatment

Deciding together

From your concerns to a treatment plan

During your consultation on Kurfürstendamm, I first want to understand what is on your mind. Photographs can document progress, but they do not replace a physical examination and a conversation.

  1. 01

    Understanding your starting point

    Bring your questions, a list of medication and information about previous procedures. Existing fillers, implants, medical conditions and your experience of healing are also relevant to planning.

  2. 02

    Considering the options honestly

    I explain what changes appear achievable, what limitations remain and what is possible without treatment. A recommendation may involve several steps — or leaving things as they are for now.

  3. 03

    Allowing time and planning aftercare

    You will receive an individual treatment and cost plan. We discuss follow-up appointments, how to get in touch and support at home. You should have enough time to make your decision.

Personal consultations in Berlin-Charlottenburg
Kurfürstendamm 200 · 10719 Berlin
c/o Vita Aesthetica

Contact & directions

An informed decision

Safety and risks
considered carefully

Lifts and reshaping procedures are operations that require a period of healing. The potential benefit must be weighed against your health and the physical demands of the procedure.

  • Bleeding, infection, fluid accumulation, wound-healing problems, noticeable scars and asymmetry are possible outcomes. Your individual risk of thrombosis and embolism is considered beforehand.
  • Breast implants involve additional considerations, such as capsular contracture, implant damage and possible further surgery. Rare implant-associated conditions are also discussed as part of informed consent.
  • Nicotine, certain medical conditions and medication can affect healing. Medication should only be changed in consultation with a doctor. Compression, movement and follow-up appointments are guided by your aftercare plan.

When you need immediate helpAcute shortness of breath, chest pain, fainting or other life-threatening symptoms require immediate help by calling 112. If you develop a fever, increasing redness, worsening pain or unusual swelling, contact your treating practice or the out-of-hours medical service without delay.

Dottore Andrea Caletti with a warm smile.

The doctor you will meet

Andrea Caletti

Specialist in Plastic and Aesthetic Surgery

I want you to recognise yourself in your appearance and feel comfortable with it.

My professional journey

Exploring the wider picture

Understanding the face

Distinguish between skin quality, facial expressions, volume and tissue displacement.

All treatments

Explore procedures by concern and body area.

Aesthetic Longevity

Relate your aesthetic wishes to the different stages of your life.

Breast treatments

Distinguish between questions of shape, volume, symptoms and implants.

Breast surgery costs

Compare what is included, total costs and possible reimbursement.

Sweaty hands and feet

For pronounced focal hyperhidrosis, injections may be considered if simpler treatments do not help enough or are not tolerated. Treatment of the hands and feet is usually an off-label use. Pain relief, temporarily reduced grip strength and what treatment of each area involves must be explicitly considered in the decision.

Considering Renuvion as an additional procedure

An invasive thermal procedure for selected cases; not an equivalent substitute for removing larger amounts of excess skin.

Labiaplasty

A sensitive look at symptoms, natural variation and individual surgical options.

Arm liposuction

A fuller upper arm and predominantly excess skin call for different solutions.

Leg liposuction

The outer thighs, inner thighs and knees are assessed together, but treated only when there is a suitable indication.

Abdominal liposuction

Fat beneath the skin requires different treatment from fat around the internal organs or changes in the abdominal wall.

Tummy tuck after a caesarean section

Scar tethering, overhanging skin, fat beneath the skin and the abdominal wall are examined separately.

Mommy Makeover

Pregnancy does not in itself create a need for treatment. Treating just one area, or choosing not to have surgery, may also be right for you.

Finding the right topic for you

Ratgeber und Behandlungen im Überblick

Find answers to your questions and relevant treatment information — from initial guidance to specific options.

19 matching articles

Body & contour

Guides & advice9
Relevant treatments10

Good to know

Frequently asked questions:
Body & contour

A website can offer guidance. We will discuss your personal situation during a medical consultation.

Ask your question
01

Is liposuction enough, or do I need a lift?

This depends mainly on the balance between fatty tissue and excess skin. If skin elasticity is good and fat deposits are localised, liposuction may be enough. Where there is significant excess skin, a lift is a different treatment option. For the abdomen, the abdominal wall and internal fat are also assessed.

02

Can I lose weight through body surgery?

Liposuction and lifts are intended to reshape and contour the body. They do not replace treatment for excess weight overall. Keeping your weight as stable as possible makes planning easier; significant weight changes later on can alter the result again.

03

Is diastasis recti always treated during a tummy tuck?

No. An examination is needed first to establish whether diastasis recti is present and how it affects symptoms and shape. Any correction of the abdominal wall is planned separately. A possible hernia and other causes of the bulge also need to be investigated.

04

What does Mommy Makeover mean?

The term describes a possible, individually tailored combination of procedures after pregnancy, often involving the abdomen or breasts. It is not a fixed package. Physical recovery, breastfeeding, weight, family planning, health and support in everyday life determine whether and when a procedure may be appropriate.

05

Can the abdomen, arms and thighs be operated on at the same time?

This is not a blanket recommendation. The number of areas affects the duration of surgery, the extent of the wounds, the physical demands and aftercare. Depending on the examination findings and your health, a staged approach may be more suitable. I discuss the considerations with you after the examination.

06

How much time should I allow for work, sport and childcare?

This depends on the procedure, its extent and the activity involved. Desk work is different from heavy lifting. After more extensive lifts, you should plan for several weeks of reduced physical capacity. You will receive individual guidance and clearance for sport, lifting and carrying children; an early return cannot be promised.

07

How much do body treatments cost in Berlin?

Example starting prices: from €3,500 for liposuction, from €5,000 for an upper arm lift and from €8,000 for a tummy tuck. The area and extent are key factors. The cost overview explains what each price relates to; combined procedures require a separate quotation.

08

Where can I discuss my situation in person?

I see patients by appointment at Vita Aesthetica, Kurfürstendamm 200, 10719 Berlin-Charlottenburg. Please bring information about previous operations, medication and relevant medical conditions. We will also discuss which preliminary examinations and what support during recovery would be helpful.

Dottore Andrea Caletti in a friendly conversationDottore Andrea Caletti

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Personal consultation
about your wishes

Tell me what matters to you.
I take time for your questions.

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