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.