Liposuction & Body Contouring

Today, based on decades of experience, Dr Wiedner and Dr Richter know that, in the long term, good results depend far more on:

• Proportion
• Tissue physiology
• Skin quality
• Harmony of contours
• and biological stability.

That is precisely why, for Dr Wiedner, effective body contouring does not begin with the question of how much fat can be removed.
What is crucial, rather, is:

• where tissue should be reduced
• where there is a lack of volume
• where transitions appear jarring
• and which structures need to remain stable in the long term.

This is because the problem is often not simply that there is too much tissue in certain areas.
Equally important are:

• asymmetric distributions
• smooth transitions
• deficits in contour
• or areas where skin texture and volume do not complement each other.

Water-jet-assisted liposuction

Particular emphasis is placed on water-jet-assisted liposuction – the so-called WAL technique.
This procedure uses a fine jet of water to gently break down the fatty tissue.
This allows:

• Blood vessels
• Lymphatic structures
• Nerves
• and the surrounding tissue is protected much more effectively than with more aggressive procedures.

This is particularly true in the case of:

• delicate tissues
• large-scale contouring
• Combined procedures
• and plays a crucial role in the functional treatment of lipoedema.

For Dr Wiedner, the focus is not on an aggressive definition.
Rather, her aim is:

• harmonious contouring
• gentle treatment
• reduced trauma
• and stable transitions in the long term.

Lipedema – functional and tissue-preserving surgery

The treatment of lipoedema is one of Dr Wiedner’s particular areas of expertise.
Unlike purely cosmetic liposuction, this condition involves a chronic disorder of fat distribution, which is often associated with pain, tenderness and a significant reduction in quality of life.
This is precisely why aggressive contouring is not the primary focus of lipoedema surgery.
What is crucial, however, is:

• gentle treatment
• Preserving the lymphatic system
• functional improvement
• and long-term biological stability.

Waterjet-assisted technology often makes it possible to:

• more precise contouring
• less tissue trauma
• reduced swelling
• and a more comfortable recovery after surgery.

Dr Wiedner considers it important to make a clear medical distinction:
Pathologically altered lipoedema tissue is not used for regenerative autologous fat procedures or lipofilling.

Skin quality and modern skin-tightening techniques

Not every change in body shape automatically requires major cosmetic surgery.
Dr Wiedner particularly likes to use modern energy-based devices for cases of mild skin laxity or as a complementary treatment to liposuction.
These include, in particular:

• Radiofrequency procedures
• Radiofrequency microneedling
• regenerative skincare approaches
• and biological tissue repair.

These procedures can:

• stimulate collagen production
• Improve skin quality
• Tighten the skin
• and support the healing process biologically.

Fine lines and wrinkles, or skin that appears soft, are often caused not only by excess fat but also by hormonal and biological changes in tissue quality.
As we get older, the skin loses its elasticity and collagen structure.
This often results in subtle irregularities in the tissue structure that cannot be explained or treated by conventional liposuction alone.
However, Dr Wiedner always considers it important to make a realistic assessment of the options.
Not all cases of sagging skin can be corrected using minimally invasive procedures alone.
That is precisely why she does not view conservative, minimally invasive and surgical procedures as mutually exclusive.
Rather, she regards them as different tools that can be combined effectively depending on tissue quality, anatomy and the biological context.

Fat as a valuable resource

In modern body contouring surgery, fat is no longer regarded solely as excess tissue.
Particularly in the case of cosmetic liposuction procedures, fat can – where biologically appropriate – be specifically processed and utilised:

• on the harmonisation of transitions
• for lipofilling
• to improve tissue quality
• or to correct contour defects.

This is because a harmonious result is often not achieved simply by reducing volume in certain areas.
It is just as important to consider where there may be insufficient tissue.
This is precisely why:

• Fat redistribution
• Autologous fat transfer
• Microfat
• Nanofat
• and regenerative tissue approaches

an increasingly important role.
For Dr Wiedner, modern body contouring is therefore not about achieving maximum reduction.
Rather, it is about restoring biologically appropriate proportions.

Three-dimensional analysis and bespoke planning

A key component of modern body contouring is the precise analysis of the entire silhouette.
To this end, Dr Wiedner uses professional three-dimensional examination and planning systems.
This makes it possible to:

• Volume deficits
• Asymmetries
• Differences in contour
• and analyse proportions accurately.

This often makes it possible to identify the following very accurately even before the operation:

• where tissue should be reduced
• where there are contour deficiencies
• and where regenerative or volume-restoring procedures can be usefully supplemented.

In Dr Wiedner’s view, it is precisely this three-dimensional approach that is crucial for achieving truly natural results.

Academic expertise and international teaching

For many years, the research and clinical work of Dr Wiedner and Dr Richter has focused intensively on:

• body contouring surgery
• Liposuction
• Tissue physiology
• renewable energy concepts
• Lipedema surgery
• Autologous fat transfer
• und langfristiger biologischer Stabilität.

Both are active internationally as speakers and faculty members at specialist conferences and have been involved in the further training of plastic surgeons for many years.
In addition, Dr Wiedner and Dr Richter are co-authors of specialist textbooks published internationally by Elsevier.
This academic work also shapes their clinical approach:
calm, nuanced, anatomically sound and focused on the long term.

Naturalness rather than harsh definition

Dr Wiedner deliberately adopts a calm and anatomically oriented approach.
Their aim is not aggressive ‘Instagram contouring’.
The focus is rather on:

• harmonious proportions
• Tissue preservation
• natural transitions
• Mobility
• and long-lasting, stable contours.

In her view, modern body contouring does not mean removing as much tissue as possible.
Rather, it means shaping the silhouette in a way that is biologically sound and harmonious in the long term.
It is precisely in this that Dr Wiedner sees the true value of modern liposuction and body contouring.