Clinic for plastic surgery, Belgrade, Serbia


Stomach and Double Chin Liposuction

In a modern society people became obsessed with a thin body, it is becoming very popular. Diets and exercises are for many people way for achieving such a body. However, there are many people for whom that’s not enough. Such patients, both men and women, are potential candidates for liposuctionStatistics of many plastic and aesthetic surgery societies show that liposuction is one of the most popular aesthetic surgeries.

It is important to understand that liposuction is not a way to remove body weight excess despite often is represented as such. Its indication is shaping of the body.
Liposuction can be performed at the same time on several areas of the body and in combination with other aesthetic surgeries.


Good liposuction candidates are patients that have relatively normal weight, but they look disproportionate with noticeable amount of fatty tissue in belly area, thighs or some other body parts. These localized fat deposits can sometimes be a hereditary attribute and cannot be removed through diets or exercise. Liposuction is often the only way to eliminate them.

The ideal candidate for liposuction is a young person with tight skin and relatively thin with localized fat deposits.

Averagely ideal liposuction candidate for liposuction is a person between age 30 and 45, weighing 5 to 10 kilograms above ideal weight and with small degree of skin flabbiness.

The least ideal candidate for liposuction is usually a person older than 35. Has 20 kilograms over the ideal weight, with striae, scars, ptosis of the buttocks and with severe skin flabbiness.


There is no limit for age of the patients for liposuction procedure. It can be done at any age. However advantage is that the skin is elastic enough, because it will give best results on the skin, to get a smooth contour after its removal. If the skin is not elastic, it cannot tighten enough and the procedure of tightening needs to be performed (dermolipectomy or thigh lift). Sometimes it is the case with older patients.  Men also prefer liposuction, especially procedure of elimination of fatty tissue around the waist.

Localized fatty tissue deposits can be found on different body parts. Most often they are found on hips and thighs, inside and outside of thighs, abdomen and waist, inside part of the knee, lower leg, upper part of the arm, cheek, jaw and neck, in breasts or chest, and back areas.

If you wish to go through this type of surgery, you must attend some examinations. During the first consultative discussion you have to tell Prof. Dr. Milan Jovanovic your desires and expectations, and he will assess if they are real or not. If you decided to go through this surgery, you will be asked about your medical history. You need to tell what illnesses you had, and if you had any surgeries previously, if you are allergic to some medications and if you are using some medications. For a week after the surgery you must not use medications like aspirin, vitamins, anticoagulants, estrogen. You’ll be asked to discuss about your weight and whether you plan to take care of your diet and food consumption habits. It is of great importance to give complete information.

During the examination, your skin flexibility will be assessed by Prof. Dr. Milan Jovanovic, as well as the amount of fatty tissue that needs to be removed to get an optimal result.


Liposuction surgery can be done in general or local anesthesia with intravenous sedation. It depends on how big is the area that is being treated and patient commodity.

Three liposuction procedures are being used: so called suction‐assisted lipoplasty, ultrasound‐assisted lipoplasty and power‐assisted lipoplasty.

The most popular is suction‐assisted lipoplasty. It is performed with special aspiration cannulas of different length, shape and diameter. First, cannulas are used to physically break fatty tissue that is previously infiltrated with specially prepared solution. This is known as "tumescent" technique that introduces large quantities of liquid or its variations. Before this technique, surgeons have been using so called "dry" technique that is less used today. Next, through openings on the tip of cannulas, suction of fat cells is achieved by using vacuum. Liposuction surgery can be done in deep or surface fatty tissue layer. Which technique is being used is determined on objectives set before the operation.

After the surgery, patient wears a corset that is put on for a couple of weeks. Many surgeons call this procedure liposculpturing because this surgery shapes the body.


Liposuction can be performed in hospital or ambulatory conditions. Before the surgery, patient receives premedication. Type of anesthesia that will be used will be determined by you and your surgeon. During the surgery, vital signs are monitored: your heart function, blood pressure, pulse and oxygen levels in your blood. After the operation is complete, your monitoring will continue. After a few hours you can be discharged or (if your surgeon decides) you can stay for the night in the surgical ward.


Possible complications of liposuction are: hematoma (that subsides after a few days), skin numbness (which is temporary), infection and contour irregularities as bumps. Serious danger from liposuction are complications such as fat embolism and thromboembolism.


After the procedure patient needs to wear a special corset that helps tightening and regular attachment of skin. It is worn immediately after the surgery and after a couple of weeks it can be removed. Every patient is different and liposuction recuperation differs from person to person. On the first day after the surgery you need to get up in order to improve circulation. You have to limit yourself to short periods of light activities during the first few days. Don’t forget that aspirins or some other anti-inflammatory medicines are forbidden as well as smoking during these few days.

First bandage change will be after two to three days. Bruises and swellings may be noticeable. Swelling usually becomes less intense during the first seven days, while bruises can stay even up to three weeks and longer. Numbness in some areas may also appear that can last up to couple of weeks before it disappears. If sutures were used, they are usually removed on tenth day after the procedure.

Returning to your normal activities usually takes one to two weeks (sometimes even a week). It starts with some form of exercise immediately after that. Time for a full recovery process will depend on extent of surgical procedure.

Sometimes achieved results can’t be seen because of extended bruising and water retention. For that reason, sometimes up to six weeks can pass before you see the true results and are satisfied.

Liposuction results are going to be permanent if you keep your postoperative weight. If you gain weight, fatty tissue accumulates evenly and not in the areas that were problematic.

After the surgery some check-ups will be arranged you have to regularly report for check-ups that will be scheduled for further observation.


Liposuction (chin) - from 900€
Liposuction (abdomen) - from 1700€
Liposuction (thighs) - from 1700€


Some of the patients that were operated on by Dr. Milan Jovanovic personally:

Note: All of the results are genuine, without any processing in Photoshop.

Result before and after liposuction
Before liposuction | After liposuction

Result before liposuction Result after liposuction
Before liposuction | After liposuction

Result before liposuction Result after liposuction
Before liposuction | After liposuction