Tighten up loose skin and
remove cellulite after liposuction




Life after liposuction


Liposuction and related procedures always leave you with looser skin and more prominent cellulite

Liposuction is useful but also problematic. It is sometimes the only method to remove large amounts of stubborn fat from one specific area and/or without diet and exercise. However, liposuction and all its variant procedures almost always leave behind saggy skin and residual fat lumps and makes cellulite more prominent.



It's in the nature of liposuction

This is an unavoidable result of removing fat tissue from underneath the skin. By removing the fat, excess skin appears as loose and saggy. Skin contracts very slowly on it's own and in most cases it never regains its pre-overweight shape and tone after the removal of fat by lipo surgery. If you had tight skin to begin with you may not notice such a big difference, but you will notice a clear difference in skin laxity. If you had already loose skin and had "lipo", then skin will look very loose and saggy.



radiofrequency, ultrasound or laser-assisted liposuction
does not tighten skin, it "scar-tissues" it

Bodytite, vaser and smart lipo procedures (i.e. "mini-liposuction" with a smaller cannula equipped with a radiofrequency, ultrasound or laser tip, respectively) claim to tighten up skin after the removal (smaller amounts) of fat.

However, this skin hardening effect is not true skin tightening. Skin tightening refers to more collagen and more elastin produced by more collagen cells (fibroblasts), i.e. skin tightening tissue with an actual functional role in the body. Because this is real, alive collagen tissue, it remains on your body long-term.

On the other hand, the skin hardening produced by those types of "assisted" liposuction is nothing more than deliberate scar tissue (fibrosis), formed by literally burning the skin from the inside and sticking it to the underlying tissues. Because this is scar tissue, i.e. dead, non-functional collagen, it is quite short-lived (less than a year). These technologies do not solve the problem of loose skin after liposuction, as they cause "scar tissue-ing", not real, functional skin tightening.

This "scar tissue-ing" inadvertently leads to difficulty with movement, pain and discomfort for a few weeks or months, until all tissue adhesions are broken down.  Furthermore, all liposuction procedures often result in palpable, quite often visible scar tissue hard lumps that may remain visible and palpable for two years or more. Very strong massage can help with adhesion removal and hard lump removal after liposuction, but several sessions are needed (typically 10-20 for good results). Please read our post-lipo rescue guide here).



Residual fat pockets after lipo

Furthermore, quite often small pockets of fat not removed by the surgeon remain on the body after liposuction. In some cases the surgeon agrees to do a "touch up" and remove those fat pockets, but this is not always possible, especially if you had your liposuction procedure abroad, if you are very sensitive after surgery or if you already have a lot of scar tissue from surgery. Moreover, residual fat removal touch-ups are not always successful.



Cellulite becomes more evident after lipo

Finally, due to the excess, saggy skin after lipo, cellulite becomes more evident. Liposuction does not make cellulite worse per se, but it makes it look worse, due to the removal of the underlying fat.



Liposuction can never remove cellulite

At this point it is important to clarify that, contrary to popular belief, liposuction and mini-liposuction procedures such as "smart lipo", "bodytite" and "vaser" CANNOT remove cellulite. This is because cellulite is fat INSIDE the skin itself (hypodermal fat), while liposuction removes fat UNDER the skin (subcutaneous fat). Because cellulite is an inherent part of the skin structure it can not be surgically removed without removing the skin itself, so all cellulite treatments are by definition non-surgical (if anyone promises you cellulite reduction with liposuction, vaser, smart lipo or bodytite, they are clearly trying to mislead you).



Surgical cellulite removal is even more problematic

There are two groups of two surgical techniques for cellulite, and all four are problematic, as you will see below: even if you manage to effectively remove cellulite with them, you will need post-surgery treatments to reduce swelling, scar tissue and skin looseness. In fact, the cost for those treatments can easily be the same as the cost of surgery itself...



After subcision-style cellulite surgery you really need skin tightening

There are two surgical techniques for cellulite removal that work by removing the collagen fibres (retinaculae, sometimes erroneously called septae) that anchor skin to deeper tissues: subcision and celfina. These collagen anchors, together with the enlarged fat globules and water retention, cause the cellulite mattress appearance.

However, those anchoring collagen fibres are there for a reason: to keep skin attached to underlying tissues and maintain skin firmness. By undercutting those anchoring fibres with subcision or celfina, you replace one evil with another, i.e. you replace cellulite with jelly-like skin looseness / flabbiness. This can actually look worse than cellulite, especially on women with looser skin. Only very firm skin will genuinely benefit from this procedure (same as liposuction).

Furthermore, both these techniques can only be practically applied on a few dozens of the larger collagen anchors that are found in the hypodermis and cause the large cellulite "bumps". It is practically impossible to remove the hundreds or thousands of smaller cellulite bumps that are found in the lower part of the dermis with these methods. So these techniques do half the job and you still need non-invasive cellulite reduction for the smaller bumps. And of course, you also need skin tightening to correct the resulting skin laxity, which can easily cost as much as the surgery itself. So do your research and don't fall for the hype.



burning the skin from the inside / replacing cellulite with scar tissue

The other two cellulite surgical procedures (cellulaze and cellutite) attempt to burn (euphemistically, coagulate) the skin from inside with a laser or radiofrequency tipped cannula. However, as with laser/radiofrequency assisted liposuction, the burned tissue that is produced is not functional collagen tissue, it is dead, hardened scar tissue. This scar tissue is quite often excessive and may look much worse than the original cellulite it replaced, with pronounced hard bumps, much larger and much harder than those of cellulite. Again, this is not skin tightening, it is literally "scar tissue-ing". It offers little and the scar tissue bumps may prove impossible to remove, lasting for years after surgery.



What would I personally do?

"Knowing what I know after all these years and all the clients I have seen, if I needed to surgically remove fat, I would have normal liposuction or mini-lipo (without laser or ultrasound) and then follow it up with a course of 6-12x treatments for skin tightening, residual fat removal and cellulite removal. For excessive stomach fat with hanging skin I would pick the best surgeon possible and have a tummy tuck/abdominoplasty (don't do a tummy tuck on the cheap, you will regret it).

In addition to those, I would ideally have to also allow for 6-12 massage sessions for quick recovery and scar minimisation immediately after surgery and for the next 56 days. And that's before the skin tightening treatments, mentioned above.

(If you think that the only cost of the surgery is the surgery itself, think again...)

For cellulite, it's a no-brainer. I would not touch any of the four surgical cellulite removal methods with a bargepole and would instead have 6-12x sessions of strong radiofrequency, if possible combined with other technologies, such as ultrasound and non-injection mesotherapy with concentrated natural actives.

And practising what we preach, this is what we offer at LipoTherapeia."

Georgios Tzenichristos, LipoTherapeia's director




Skin tightening and cellulite removal
after cosmetic surgery

Cooled, high-power, monopolar radiofrequency:
the strongest skin tightening / anti-cellulite technology known today

Thankfully, technology can be used to tighten/lift the skin naturally and to remove cellulite on women after liposuction. It is widely established today that the only skin tightening treatment that works, barring surgery, is cooled, high intensity, resistive, monopolar radiofrequency (the low power, bipolar radiofrequency treatments you see on fake "before and after photos" on Instagram performed by mobile therapists are just a waste of time - no good radiofrequency machine is portable).

This type of radiofrequency focuses on the dermis and hypodermis, where the skin's large collagen structures and cellulite fat are located. It helps tighten up the skin, reduce residual fat after lipo, boost circulation and remove cellulite, all at the same time.

It is also widely accepted that highly concentrated extracts of centella asiatica, forskolin, caffeine, hydroxyproline and ascorbic acid (vitamin C) are some of the strongest skin firming/anti-cellulite natural actives available (low purity or low concentration actives don't work). Injection-free mesotherapy can help skin absorb those actives 500% more effectively and thereby can assist with cellulite/fat removal and skin firming, but only if a highly concentrated mix of several natural active ingredients is used. 

And high-power ultrasound cavitation can help break down cellulite fatty deposits and cellulite by vibrating cellulite fat cells and literally bursting them up via a process called cavitation.



Meso-CRF® Body

Deep Tissue Radiofrequency™ + Ultrasound + Injection-free mesotherapy with multiple natural actives

Meso-CRF® Body combines all these three technologies, at the same time, thereby offering maximum results at minimum cost and at the least possible time. In addition to cellulite removal and skin tightening, Meso-CRF® also has a mild beneficialeffect on stretch marks, so you get a combined benefit by the use of this technology.

Meso-CRF® Body is provided with a treatment gel-cream which comprises several high quality, active ingredients in high concentrations and specific to the needs of women with cellulite and skin laxity after liposuction: hyaluronic acid, gotu kola / centella asiatica, hydroxyproline, ascorbic acid, caffeine, forskolin, retinol and multiple other actives. The combination of three technologies and multiple, high quality, high purity, high concentration active ingredients aims to fight cellulite, skin looseness offer the best chance to reduce cellulite and boost skin tightening, in a natural, non-invasive way.

For full information on all the aspects of the group of Meso-CRF® Body treatments click on the link below.



Meso-CRF® Body | Turmeric for emphasis on fibrosis & cellulite

For post-liposuction patients with a lot of fibrosis / scar tissue, we prefer to use curcumin as the "signature" active ingredient for our post-lipo treatments. Curcumin, the main active in turmeric, is a well-researched antifibrotic. You don't need to know or decide now which Meso-CRF® treatment you need. We will decide what's the best for you on your first session, after your assessment and provide the appropriate treatment.



Meso-CRF® Body | Centella for emphasis on skin looseness

For post-liposuction patients with a lot of skin looseness, we prefer to use centella asiatica as the "signature" active ingredient for our post-lipo treatments. centella asiatica is known to be a potent skin tightening active. You don't need to know or decide now which Meso-CRF® treatment you need. We will decide what's the best for you on your first session, after your assessment and provide the appropriate treatment.



The essentials: how much, how many, where?

We know that after spending a small fortune on lipo the first questions on your mind are "how much", "how many sessions", "what body areas", "where is the clinic", so please check the essentials below. Also, after having a painful, invasive treatment you will be relieved to know that our treatments are non-invasive and not painful.

Typical price: £160/session (as part of a course of 6x sessions; full pricelist here)
Typical price for small areas: £120/session (as part of a course of 6x sessions; full pricelist here)

Typical course of treatments: 6-12x sessions for long-term results (we don't sell three-session miracles)

Body areas treated: thighs (both thighs of course!), butt, stomach, upper arms (both arms of course!), hands

Super-intensive, yet super-safe • Injection-free • Non-invasive • Never painful • Zero downtime

18-year expertise in cellulite, skin tightening & natural anti-ageing
8-year expertise in radiofrequency, ultrasound and needle-free mesotherapy
15-year experience in treatments after liposuction

The Courtyard, 151 Sydney Street, South Kensington/Chelsea, London | 0207 118 2014



From the eighth week after surgery

Please note that skin is ALWAYS sensitive and inflamed for several weeks after lipo, vaser, smart lipo, bodytite, cellutite, celfina, subcision and cellulaze (despite what surgeons tell you before the operation). So in order to offer you the best possible treatment, we provide post-lipo treatments only after the eighth week after surgery - not earlier and with no exceptions.



Book a treatment

Receive expert and honest assessment and advice and get started with a treatment today!

Book online below or call us on 0207 118 2014.



Post-liposuction rescue guide


Why is liposuction aftercare needed?

As with all surgery, aftercare treatments are essential after all types of liposuction (after liposuction, liposculpture, abdominoplasty, vaser, smart lipo, bodytite, cellutite, cellfina and cellulaze), even if liposuction is performed by a very skilled surgeon. This is because pain and swelling always follow any intrusive procedure. The following side effects typically occur:

  • Loose skin
  • Excessive skin hardening
  • Scar tissue formation / bumps
  • Lumps of fat left unremoved
  • Skin adhesion onto the underlying tissue, which leads to movement restriction



How to reduce swelling and hard lumps after liposuction
with progressively stronger massage

The recommended treatments differ depending on the timeline after surgery. Here is a short list: 

  • Day 3-21: Focusing on pain, swelling and tissue healing. During the first 2-3 weeks post-lipo aftercare treatments should initially be gentle and progressively become stronger and aim to minimise pain and swelling and prevent excessive scar tissue from forming. Mild lymphatic drainage massage by hand or with special electro-lymphatic drainage equipment is needed in the first few days after any liposuction surgery. A firmer massage - but not too strong - must be applied from the second week onwards.
  • Day 21-56: Focusing on scar tissue breakdown and cellulite reduction. From the third week onwards treatment can become progressively more vigorous: stronger lymphatic stimulation massage is preferred to the fluffy MLD variety used the first three weeks. In addition to reducing water retention, stronger massage also helps with the breakdown of scar tissue / hard bumps* that typically form after lipo surgery and uncouple skin stuck on underlying tissue and increase range of movement. Pressotherapy for lymphatic drainage can also be used during that time.
  • Day 56+: After about 8 weeks you can start having a strong radiofrequency / ultrasound / electro-mesotherapy treatment to more effectively break down leftover fat and cellulite and tighten up the skin.

(Please note that we do NOT offer scar tissue/fibrosis removal after liposuction anymore. It is very stressful, as patients feel desperate for quick improvement and it also requires a lot of sessions, which, after forking out thousands of pounds for surgery, most people are unwilling to pay for, pressuring the therapist to produce miracles in 3-6 sessions, when quite often 20 are needed, does not help. Not a very rewarding job, especially when you are pressured to correct with £300 the complications of a £5,000 surgery. Thanks but no thanks.)



A good, multi-ingredient cellulite cream can be of help

A good anti-cellulite cream, i.e. a cream that contains anti-inflammatory, circulation/lymph drainage-enhancing and lipolytic ingredients, can also offer valuable help with recovery after liposuction, not just with cellulite, and it can be applied throughout the different stages of recovery. Cream application can start immediately, as long as contact with the portals (cannula insertion points) is avoided while the wounds are still open.


Receive expert and honest assessment and advice and get started with a treatment today.

Book a consultation or treatment online below or call us on 0207 118 2014.