Liposuction

Liposuction at Brandeis Clinic removes stubborn localised fat deposits that resist diet and exercise, using either standard tumescent liposuction or the SLIM LIPO laser-assisted technique. The clinic performs liposuction daily — a volume indicator that reflects both demand and surgical team experience. Main treatment areas include the double chin, abdomen and waist, flanks, outer and inner thighs, knees, and buttocks. The laser-assisted SLIM LIPO option can remove up to 5 litres of fat and is associated with faster recovery than standard liposuction because the laser energy helps seal small blood vessels as it works. Removed fat can be purified and transferred to other areas (fat grafting) for an additional fee.

Liposuction at Brandeis Clinic is performed with a frequency that reflects genuine procedural volume: the clinic's website notes daily liposuction performance, which in a single-surgeon setting suggests a high operative tempo and correspondingly high team familiarity with the procedure. **Standard tumescent liposuction:** Before fat removal, a tumescent fluid (dilute local anaesthetic and adrenaline in saline) is infiltrated into the target area. The adrenaline causes vasoconstriction, which reduces intraoperative blood loss; the local anaesthetic contributes to post-operative analgesia. Small cannulas (2–4mm) are then inserted through 3–5mm incisions and used to mechanically break up and aspirate the fat. The cannula pattern is varied to create even, smooth fat removal without contour irregularities. **SLIM LIPO (laser-assisted liposuction):** The SLIM LIPO system adds a laser fibre to the standard liposuction workflow. Before aspiration, the laser is applied to the fat layer, causing thermal disruption of fat cell membranes (lipolysis). The liquefied fat is then easier to aspirate and the laser energy simultaneously causes dermal collagen contraction — producing some skin-tightening effect, which is beneficial in areas where skin elasticity is borderline. The thermal effect also seals small blood vessels, reducing bruising. The clinic states SLIM LIPO can remove up to 5 litres; recovery is described as faster than standard liposuction. The SLIM LIPO option costs 15,000 Kč per area on top of the base liposuction price. **Fat transfer (lipofilling / fat grafting):** Removedand centrifuged fat can be reinjected into other areas requiring volume — commonly the buttocks, face, or hands. The fat transfer surcharge is 10,000 Kč. Fat transfer results depend on graft survival rate (typically 50–70% of transferred volume is retained long-term). **Treatable areas:** - Submentum (double chin): the most commonly treated small area; can be done under local anaesthesia from 20,000 Kč with much faster recovery - Abdomen, flanks and waist (love handles) - Outer thighs (saddlebags) and inner thighs - Inner knees - Buttocks and banana fold - Upper arms (can be combined with arm lift if skin excess is also present) **Anaesthesia:** Single small-area procedures (particularly submentum) can be performed under local anaesthesia from 25,000 Kč with no hospitalisation required. Multi-area procedures use general anaesthesia and require inpatient care. **What liposuction is not:** Liposuction removes fat, not skin. In areas where the skin has lost significant elasticity (common after large weight loss or in older patients), removing the underlying fat volume may worsen skin laxity. The surgeon assesses skin quality at consultation and will recommend combining with skin excision (abdominoplasty, arm lift, thigh lift) where appropriate. **Recovery:** Compression garments are worn over treated areas for 4–6 weeks. Bruising and swelling peak at 3–5 days and progressively resolve over 4–8 weeks. Final contour result is visible at 3–6 months when residual swelling has fully resolved. Return to desk work is typically 3–7 days; return to sport at 4–6 weeks.