Liposuction and body contouring
For Dr Wiedner, liposuction is not simply a matter of ‘sucking out’ fat, but a precise form of body contouring. The key factors are proportions, transitions, skin quality, lymphatic pathways and the question of how the overall silhouette can be harmoniously improved.
A careful analysis is particularly important in cases of aesthetic liposuction, lipoedema, contour defects or abnormal fat distribution. Modern techniques such as water-jet-assisted liposuction can be used in a way that minimises damage to the tissue. In addition, 3D analysis, autologous fat transfer techniques or procedures to improve skin quality may be beneficial.
More about liposuction and body contouring
Tummy tuck
A tummy tuck may be advisable if the skin, connective tissue and abdominal wall have lost their firmness following pregnancy, weight loss or age-related changes. Often, the issue is not just excess skin, but also tissue tension, scarring, rectus diastasis, the waist, the flanks and the entire midsection.
For Dr Wiedner, a tummy tuck is not simply a matter of removing skin. What is crucial is how the abdominal wall is stabilised, the silhouette harmonised, and the scar planned in such a way as to achieve a harmonious, long-lasting result. In many cases, additional liposuction on the flanks, hips or back may be advisable in order to balance the overall body contour.
Thigh lift
At the UNIQ Institute, thigh lifts are indicated with great care and restraint. The procedure may be a sensible option in cases of functional discomfort following weight loss, significant tissue laxity or contour defects resulting from previous procedures.
Particularly in the thigh area, scar placement, lymphatic pathways, mobility, tissue quality and long-term stability must be taken into account with the utmost precision. Dr Wiedner therefore does not regard a thigh lift as a purely aesthetic procedure, but as a functionally and anatomically complex operation that is only recommended where there is a suitable indication.
Upper arm lift
An upper arm lift may be advisable if excess skin and sagging tissue on the upper arms cause functional or aesthetic problems. This often occurs following weight loss, age-related weakening of the connective tissue, or significant skin laxity.
It is important to have realistic expectations: an upper arm lift can improve the contour, but it always involves scarring. Dr Wiedner therefore carefully assesses whether a surgical lift, liposuction, a combination of both, or, where appropriate, a minimally invasive procedure to improve skin quality would be more suitable.
Upper body lift
An upper body lift primarily targets the upper torso: the lateral chest area, upper back, bra line, underarm area and the transitions to the chest and upper arms. It may be advisable following significant weight loss or pronounced tissue laxity, where excess skin and tissue sagging are not just localised but circular or extensive.
Planning is particularly challenging in the upper body area, as the scar placement, back crease, breast shape, lateral contour and the shoulder-to-arm transition must all be considered together. The aim is not maximum tightening, but a smoother, more harmonious and more natural upper body silhouette.
More about the upper body lift
Lower body lift
The lower body lift is one of the most comprehensive body-contouring procedures. It can be particularly beneficial following significant weight loss, when the abdomen, flanks, buttocks, hips and outer thighs are all affected.
Unlike a standalone tummy tuck, the lower body lift takes a circular approach to the body. This allows not only the abdominal region but also the contour of the buttocks, flanks, outer thighs and the entire lower body silhouette to be improved. However, a careful assessment of suitability is always required, as the procedure involves a longer scar and demands precise planning of tissue tension.
Mommy Makeover
A mummy makeover is not a standard surgical package. Rather, it describes a personalised treatment plan for women whose bodies have changed following pregnancy, childbirth or breastfeeding.
The focus is often on the breasts, abdomen, waist, skin quality and body image. Depending on the individual’s specific situation, procedures such as a breast lift, breast augmentation, breast reduction, tummy tuck, liposuction, rectus diastasis correction or regenerative treatments may be appropriate. Dr Wiedner places particular emphasis not on combining as many procedures as possible, but on planning a course of treatment that is medically appropriate, safe and provides long-term stability.
Find out more about the Mummy Makeover
Which body-contouring treatment is the right one?
The appropriate treatment cannot be determined on the basis of a single area of the body alone. Excess skin on the abdomen may be linked to the flanks, back or rectus diastasis. A thigh lift can alleviate functional symptoms, but is not appropriate in every case. Liposuction can improve body proportions, but is no substitute for a skin tightening procedure where there is significant excess skin.
An individual assessment is always crucial:
What is the quality of the tissue?
How firm is the skin?
What role do lymphatic vessels and scars play?
Have there been previous operations or significant weight fluctuations?
Is liposuction sufficient, or is a lift necessary?
Which combination is safe — and which would be too taxing?
And which result will look natural and harmonious in the long term?
A consultation with Dr Wiedner is therefore not about selecting a procedure in a formulaic manner. It serves to understand the body’s overall silhouette and to develop a strategy that suits the patient, the tissue and long-term stability.