At the earliest six months after liposuction, if there is excess skin, the tightening operation should be performed. To protect the lymphatic system, the surgical skin tightening is combined with a thinning of the tissue. Before the operation under general anesthesia, the extent of the excess skin is determined and the area of skin to be removed is marked on the inner sides of the upper arms, thighs or abdomen. Care must be taken to remove sufficient skin for an effective lifting success on the one hand, but to avoid excessive tension of the scar on the other. The incision is made in an area that is as inconspicuous as possible and the procedure is performed in as scar-saving a manner as possible.
The first step of the surgery is an almost complete liposuction of the fatty tissue under the skin in the marked excision area on the inner side of the upper arms, thighs or abdomen. The remaining excess skin is then removed. This procedure largely preserves lymph vessels and even smaller blood vessels. The wound is closed with self-dissolving sutures, which do not need to be removed, and covered with a special plaster. At the end of the operation, the compression garment is put on, which is to be worn day and night for six weeks to support wound healing and tightening results. Physical strain and sports should also be avoided for six weeks.