In Berlin


By liposuction, unwanted pockets of movement- and nutritionally-resistant grease, such as fat pads and saddle pockets on the buttocks, hips and thighs, as well as excess fat on calves, ankles, breasts (including the male breast), back, arms and neck can be removed. This results in a harmonious shaping of the body as well as a more attractive appearance. Liposuction is often combined with other procedures to create a desired shape and is one of the safest and most popular cosmetic procedures. Liposuction is performed competently, responsibly and successfully in our Berlin practice.


If you have areas of localized fat deposits that are disproportionate with the rest of the body and affect your overall body proportion.

If you want a further definition or slimmer contour in certain areas of the body such as e.g. On the hips or thighs, etc. (see above).

If you have a good homeostasis (liposuction removes fat, but does not tighten the skin).



  • Your body will appear slimmer and you can wear tight-fitting, top-fashion clothing in problem areas.
  • Uses small cuts that lead to smaller scars than open surgical body shaping procedures.
  • Can be performed under sedation, without general anesthesia. The duration of the intervention is relatively short and involves less risks than comparable open surgical body shaping procedures.


  • The results can be influenced by weight gain, aging and pregnancy.
  • Liposuction is not meant to improve the appearance of cellulite or sagging skin.
  • You may need to lose weight first to be a suitable candidate for liposuction.

These are the three top advantages and disadvantages that you should consider when considering a liposuction. If you need detailed information about your specific problems and ideas, you should consult an aesthetic plastic surgeon. You can always arrange a free first consultation with Dr. Akhundov in Berlin.


  • They have deposits of fat, localized to your belly, arms, thighs and / or neck, which can be the result of heredity and do not disappear with movement and nutritional change.
  • They are part of the group of people where the diet and exercise are not enough to get rid of stubborn fat deposits despite intensive efforts.

    Are you a good candidate for liposuction?
  • They have a minimal amount of excess skin and a good elasticity of the skin. Loss of elasticity of the skin as a result of increasing age can adversely affect liposuction results, but if your skin remains elastic, age alone is not a contraindication for liposuction surgery.

    Note that liposuction is neither suitable to remove cellulite nor to tighten loose skin. Your doctor will be able to recommend other procedures to improve these symptoms.
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    They are physically fit, have no more than 20 pounds of overweight and your weight is stable. If you are planning to lose a significant amount of weight or even gain weight (for example due to pregnancy), this is not the appropriate time to undergo liposuction.
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    They have a stable weight, stubborn fat pockets, but a good elasticity of the skin.


  • The amount or degree of scarring depends on the technique of the surgeon and your genetic tendencies
  • Most liposuction paints fade over time and are hardly perceptible later. Visible scars are more likely when large liposuction cannulas are used, and in patients who have dark pigmented skin
  • There are two types of markers that can remain on the skin after liposuction. One is a true scar and the other is called dyschromia, i.e., either a dark (hyperpigmentation) or lighter or white (hypopigmentation) spot appears on the skin.
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    In general, the incisions are placed very small and in hidden areas. Sometimes, depending on the area, the incisions can not be hidden.

    If you have any further questions, please contact Dr. Akhundov in Berlin. He will be happy to help you.

detailed procedural info

How is a liposuction procedure performed?
The fat is removed from the body by suction. In this process small, thin tubes with a blunt tip (cannula) are introduced into the skin through small incisions. Your plastic surgeon moves these tubes under the skin specifically to the grease deposits and then sucks them off. There are a variety of techniques to make liposuction easier:

Tumescent liposuction describes a “wetting solution” with a local anesthetic, such as lidocaine and other medicaments, in infusions injected prior to surgery, such that the blood vessels shrink or contract. In this way the liposuction in the patient can be carried out under local anesthesia and the blood loss can be minimized, at the same time postoperative pain and bleeding can be reduced.

Suction liposuction (SAL), the traditional form of liposuction, sucks fat with a vacuum.

Power liposuction (PAL) is equivalent to the traditional SAL with the addition of a tool which increases the movement of the cannula and accelerates fat removal.

Ultrasonic Liposuction (UAL) transmits energy through a special handpiece that allows to melt and dissolve fat. This allows a larger volume of grease to be removed. This method is best suited for larger areas, dense fat and male patients.

VASER, a variation of UAL, is an ultrasound cannula with multiple grooves that evenly spread the energy, loosen the fat and improve the fat removal.

Laser liposuction (LAL), as well as Smartlipo and SlimLipo, is a relatively new technology. The theory is that the laser acts like ultrasound on the fetal cells and makes fat removal more efficient and less traumatic.

SAFELipo is a process developed by a member of the “Esthetic Society” which involves a 3-step process of separation, aspiration and fat-balancing.

Separation – loosens, emulsifies and eliminates the unwanted fat cells without generating heat, so that essential blood vessels, skin and other tissues remain intact.

Aspiration fetal cells are gently removed by suction without damaging supporting structures such as nerves, blood vessels and skin.

Fat Equalization – smoothes the remaining thin fat layer behind a uniform layer of “local fat grafts” and prevents the contour deformities.

Originally designed to solve the challenges of revision-liposuction cases, the process removes a significant amount of fat without increasing the risks of contour deformities or skin damage.

Short version

A cannula is inserted through a small incision and fat is suctioned and removed.

Liposuction helps by removing localized fat deposits to eliminate unsightly bumps.

It is important to maintain a balanced diet and maintain a healthy lifestyle to maintain the results over a long period of time.

If you are in a good general state of health, have a positive attitude and realistic expectations, you are probably a good candidate for this procedure.


As mentioned above, in connection with liposuction, there are many techniques and new technologies for the procedure. Some are traditional, such as suction liposuction (SAL), and others are relatively new. It is important to know that, on the one hand, some new technologies can improve your results; on the other hand, the choice of the procedure should never take place according to the motto “What is new” as this is never a medically based decision. A hearing through a brand name procedure like Smartlipo or CoolLipo on TV, through an ad or online does not necessarily mean that this is the best procedure for you. Your board-certified plastic surgeon will determine what is best for you based on your experience, your body type, and your cosmetic goals. In Berlin, Dr. Akhudov will be pleased to advise you on the best procedure for you.

More information:

Download Dimpling_and_Irregularities_After_Liposuction.pdf



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We pride ourselves by constant and continuous improvement of our skills and methods to be at the cutting edge of medical progress.



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