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High definition (HD) abdomen and back liposuction surgery

English subtitled video

The abdomen and back liposuction surgery at Clínica Sanza in Barcelona, consists of extracting the adipocytes or cells that contain the subcutaneous fat located in the abdomen and back through various methods.

The combination of conventional liposuction, lipolaser, lipovibrosuction and lipolaser with ultrasound achieves high definition results which are presented below. These techniques are the most accurate that exist now days in regards to body remodelling.

What is fat and how is it removed forever with liposuction?

The body fat is a cellular tissue that: protects the organs, covers articulations, controls the temperature, stores vitamins and is a source of energy for the body. This fat is in a semi liquid state composed basically of triglycerides. We generate it from an excess of calories that we eat and do not use.
The body is prepared to store what we have in excess in cells called adipocytes. I present them to you: you can see them in the picture below. Notice everything that is in a yellow tone, all of that is the fat that accumulates and the bad news is, there a millions of them in your body (in mine as well. On top of that they reproduce…unless you eliminate them…and that is the question.

What happens to the skin that is left over after fat is reduced with liposuction?

In most cases the skin retracts on its own and nothing else is needed. it goes back to its place alone and it doesn’t hang. Only in some cases, when the skin is considered of bad quality, it cannot retract on its own. We are talking about 5% of the cases. Look at this picture below, the skin is retracted with no need to lift it. How does the skin look before and after a liposuction? It is not a matter of taking more or less fat that makes the skin retract, it is due to the quality of the skin. This is something the Dr will tell you before doing or paying anything. A skin lift is done only in extreme cases and later on. These types of interventions are called ABDOMINOPLASTY and you can click here to get more details and see what it is about.

How to mark the musculature with liposuction?

Do you know the difference between an abdominoplasty and a liposuction surgery?

They are two similar surgeries but it is not the same. If you don’t know the difference between one and the other we advise you to read this article.


At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.

Its prestige, facilities, medical and healthcare staff, as well as its technology are a guarantee.


Men and women with a genetical predisposition or life rhythm that cause an accumulation of fatty tissue in the abdomen or back, and would whish for these areas to be well defined.

Also, patients that look after their diet and practice exercise come to us, seeking to define the abdominal musculature (six pack).


The 3D liposuction or high definition liposuction surgery is held at the hospital surgery, under local anaesthetic and sedation or general anaesthesia.

With the previously mentioned appliances, we can eliminate the fatty tissue which is accumulated between the skin and muscle: rectus abdominis, oblique, serratus, latissimus dorsi and the square of the loins.

This technology provides an improved body silhouette definition.

It is a procedure that requires great ability and surgery skill.

We can remove from 100 grams to over 10kilos, also, decreasing the close size. Also, we achieve a good skin retraction. 


  • From 1 to 4 hours depending on the areas to treat and the litres of fatty tissue to be removed.



  • Evaluation of the area for an accurate treatment.
  • Follow the Doctors instruction.
  • Blood tests, cardiac and respiratory tests.


  • Local and sedation, epidural or general if preferred. It has a high variability depending on the volume to be removed.


  • Ambulatory when the procedure consists in small definitions.


  • Wear a compressive corset for 24-48 hours that Clínica Sanza will provide.
  • Periodic revisions to control the corset that will be changed in size as the volume decreases. Sometimes it is worn during one month.


  • From 1 to 7 days depending on the quantity removed.
  • Normal day to day. Except sport, which can be practiced after 1 week.
  • Only take off the compressive corset when the Doctor specifies (this can vary between 15 days to 1 month).
  • We advise lymphatic massages for a fast recovery.


  •  Non visible scars
  • Great satisfaction on behalf of the patients
  • We can define the six pack and the inguinal pleats in men
  • We can define women abdominal muscles and thighs
  • Improves psychological health and self-esteem


  • Medium-High.


  • Medium, depending on the areas and volume.
  • Surgical intervention risks: bleeding, bruising, infection. Rare.
  • Asymmetrical risk which could require a retouch procedure. Rare.


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What is a super or mega liposuction and what is it for?


A super liposuction is an intervention that allows to extract a large volume of adipose tissue, that is, fat and especially the cells that deposit it. We talk about 10 kilos of fat in a single intervention (from 8 to 15 liters), that is, from 4 to 6 sizes of clothes.

mannequin sizes 38 to 44



You have to have a lot of experience and it is true that few surgeons have dedicated themselves to learning how to do it and get very good results with a minimum of risk, like any other liposuction or liposculpture operation.


I do not think so, because I have taught many surgeons who have come to learn my megaliposuction techniques during 25 years of work.

I have published incredible and unpublished results in scientific journals, but above all, I have made thousands of patients happy

Publication on megaliposuctions
Publication of Sanza Clinic on megaliposuction

Patients, yes, thousands. More than 2000 megaliposuctions during my 25 years of work as a plastic surgeon.

In fact, if you go to my office you can see the scars I have on my right arm of epicondylitis (tennis elbow) and epitrocleitis (golfer’s elbow), because of so much muscle overload of so many patients that I have intervened and thousands of kilos of fat that come to take out.

As an anecdote and in a true way, I can tell you that I have been able to fill a 6x12m and 1m deep pool with all the fat tissue I have taken out of these 2000 patients (20,000 kg). Surprising, right? but, totally true.

We could fill this truck up with the 20,000 kg of fat
We could fill this truck up with the 20,000 kg of fat


Thank you very much.

It is not an operation that can be done lightly. Many precautions must be taken so as not to take unnecessary risks and obtain a very good result.

It is true that liposuction, liposuction, lipolaser, etc. It has been evolving but the most important thing is to fall into the hands of a very good professional, honest, honest, with the desire to help the people who need it and thus be able to achieve what I have said before: downloading 4 to 6 sizes of clothing definitive and permanent form.


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Of course yes. A healthy lifestyle and a favorable genetic inheritance is ideal, but unfortunately it can not always be achieved.

When a patient comes to my office to obtain a definitive result, the first thing I ask is her family history and that of the patient. And I assure you that 99% of patients have a genetic problem and / or a type of life that can not afford to lose weight.

99% have done diets, they have tried appliances, punctures, creams, everything and more, but they have not succeeded.

Sometimes the fat becomes encysted in such a way that if we do not extract the adipocytes (cells that contain the fat) it is impossible in any other way to achieve the desired body contour.



It is not easy to explain, but with some examples you will understand it better.

First: know that fat is not like oil. The fat is oil that is inside some balloons or cells called adipocytes.

They are like a bunch of grape

Megaliposuction - super liposuction

If a person inherits many adipocytes between skin and muscle has the misfortune that, however little they eat, these cells will pick up the fat and will become thick or fat (sorry for the adjective).

On the other hand, if you inherit a few adipocytes, no matter how much you eat, you will not get fat.

It is always like that.

Another example to understand it better:

If a person inherits many melanocytes in the dermis (skin) when sunbathing, it becomes easily brown. On the contrary, if another person inherits a few melanocytes under the skin for more hours than the sun goes down, it will turn red, burn or it will cost much more to get dark.

The same goes for food. We have to take care of ourselves, of course, but still there are those who care more and get fat without wishing. Why? Because he has more adipocytes. And what is the solution? Take them out. There is no other way. Everything else are things to waste time, patience, and get non-durable results.


Yes, in agreement, every year, every season thousands of commercial companies take out new creams and new miraculous devices, but always, they are always “a lie”. Sorry to be so abrupt, but it’s the truth.


There are not and will not exist in many years miraculous devices that take out the adipocytes and those that have left have been withdrawn from the market because they are very dangerous. They give more problems than benefits. It is not so easy.

Adipocytes can not be removed without a good knowledge of how to extract them to obtain a definitive result.


True, unfortunately it happens very often and I will explain why.

As I said earlier, fat cells (adipocytes) “grapes” can be thicker or thinner depending on whether we diet or not. But there will always be the same number of adipocytes that we have inherited.

If a patient goes below her weight, what happens is that we will extract a smaller amount of cells (adipocytes) and those that remain without extracting can be filled and the weight recovered.

This is the error that is commonly committed. That is, go to the surgeon and recommend a diet and then what can not be lost with the diet take it out with liposuction.

Logically it is easier to extract 2 liters than 10 liters of fatty tissue. But if we only extract the 2 liters that we see after the diet, 80% of subcutaneous adipocytes will remain, we have only extracted 20% of them and will not easily notice the result because 80% will regain fat, since these cells have this Fat pickup function.

On the contrary, when a patient comes to my office I always explain and advise her, or rather, I demand that she come over her weight. In this way all the adipocytes that you have are full of fat and instead of extracting 20% ​​of them I extract 80% or 100% of them.

The intervention is more expensive, more difficult and you have to know very well how to do it so as not to take risks, that is, to have a lot of experience in megaliposcucciones. But the result is always infinitely superior and above all, definitive.

This is the most important premise to achieve success in the result.

I’ve been treating patients for the first time for years but I also treat previous liposuction with bad results.

When I explain my technique forced them to get fat before the operation and are very surprised.

But that’s the way it is, and whenever they’ve believed me and I’ve operated on them, they tell me that liposuction has really had nothing to do with the liposuction performed before me.

It is not magic or put me medals. I’ve also screwed up with my first liposuction, but I’ve realized over the years that we were completely wrong. And experience has confirmed it. You can see cases like these.


Before After
Before After


Well, I’ll tell you, the more fat we extract, the thinner we leave the skin, the better it retracts.

It seems a lie, right?

Well, it’s like that.

The weight of the fatty tissue causes the flaccidity of most patients. On the contrary, if we leave too few adipocytes, this skin retracts as after a pregnancy.

Obviously the preoperative exploration is very important, because not always all the skins will retract 100% after a megaliposuction.

With the first visit I can already tell and talk to the patient about, if her skin is going to look good, or, on the contrary, she will need a posterior stretch in some cases. The power of retraction of the skin is much greater than we think, when things are done very well without leaving grooves or sinkholes, of course.


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The cases in these top photos speak for themselves, they are not photoshopped.

I have no interest in deceiving anyone, on the contrary, in helping the most and in an honest, safe and real way.


Unfortunately it is not cheap and it is not covered by any insurance company or social security.

They are operations of 3 or 6 hours, with a stay of one to three days of admission and with the possibility of having to pay blood previously reserved.

All this makes the price can not be exact. It varies a lot in each patient, not because of the amount of fatty tissue to be extracted but by the areas to be treated. It is more economical and simple to remove 15 Kilos of fat from one abdomen and back than 7 Kilos from full legs.

Many times a very localized obesity involves extracting very pure fatty tissue, that is, not bloody, and in 2 hours to be able to remove 15 Kilos of fat quietly without risks of bleeding and one day of stay. The price is more economical than a liposculpture of several parts of the body that may bleed a little, but, a little here and a little there, may require more postoperative days and have to pay for blood that can be lost underneath. the skin, in the form of bruises, or bruises. In these cases the cost will be higher.

Thus, the prices oscillate a lot, but in a rough way we can say that it can cost, all included, from 5,000 to 10,000 €.

Nothing economic.


Believe me, if I had, I would not publish this article.

Of course there are many ways to improve the body contour or lose weight, and if you get it I am the happiest person on the planet.

I advise you to try diet, exercise, take care of yourself, but do not lose money in miraculous treatments or miraculous devices because, believe me, they do not exist.

One more example and I finish: When I studied medicine more than 30 years ago, we all said that in a few years the needles would stop to have to draw blood. Such a simple thing, not to hurt the patient.

It’s been 30 years and we’re still the same. When we request an analytical, nobody draws the blood without a needle.

There are no devices that analyze our blood if we do not extract it with a needle. Such a simple thing, right? Well, imagine removing the fatty tissue that is much more bulky as it can extend from the neck to the ankles.

Medicine advances, of course, but not as much as the media makes us believe. And especially when it comes to “beauty”, not “health”, where there are many economic interests.

“Beauty” I put it in quotation marks because for me it is not only beauty but above all health. And when I talk about health, it’s mental health, rather than physical health, which is also mental health.

I always say that, if aesthetic surgery does not exist, which is considered by the vast majority of the population of “banal”, there would be many more disorders, not only physical health, but psychological self-esteem, depression, phobias, etc.

Of my 7500 operated patients, maybe 100 are not happy with the result achieved, I accept it, but 7400 are, and of these, half of them, some 3000 patients, have not only managed to remove a physical defect but have succeeded psychologically a lot. plus.

And megaliposuction is, really, one of the most grateful operations for patients who could not dress as they wanted or look in the mirror every day as they wanted, even making every effort to get it. And it is more, sometimes with rebound effect both mentally and physically.

By this I do not mean that everyone should undergo mega-surgery, far from it. Only those people who do care or bother their body contour and can not improve it in any traditional way, or with miraculous devices.

Whatever your case may be, do not hesitate in contacting us.

Clínica Sanza in Barcelona, Spain, quality service

Frequently asked questions about liposuction and lipolaser surgery

Where is the fat accumulated?

Fat in our body accumulates in 3 areas:

Subcutaneous fat: If I say love handles, I am sure you understand. It is the fat the accumulates right under the skin and before the muscles, what does not interest us in this case and that it is so noticeable. This type of fat can normally be easily lost with exercise. Attention! it is not the same for everyone. It depends on our genetics and our hormones; the fat can accumulate more in some areas than in other ones. For men it usually accumulates in the stomach and torso, but for women in hips and thighs.

Dónde está la grasa corporal

Visceral fat: it is more interiorized in our organism. It is around the organs, which is dangerous if it accumulates in excess. Normally, an excess of visceral fat is preceded of an excess of subcutaneous fat, there is the importance of not growing an excessive protruding stomach or excessive thick legs and thighs. If you do not have love handles, or cellulitis it is unlikely that you have it around the organs.

grasa visceral

Intramuscular fat: It is inside the muscles and there is usually not much. As the fat you can see in a “jamón de bellota”. It is totally different than the other types of fat. Obese people have fat in the muscles that can develop to diabetes because they are resistant to insulin. But that is another topic.

Grasa intramuscular

To summarize, right now we are talking about how to eliminate the subcutaneous fat, the love handles, fat rolls and cellulitis, which are the ones we are most interested in.

And this is where the magic words starts:

Where can fat be removed with liposuction?

We can use the liposuction to eliminate the excessive fat of different areas of the body. These are the different areas that can be treated:  

  • Face and neck liposuction
  • Chest liposuction (gynecomasty)
  • Arm and underam liposuction
  • Back and abdomen liposuction
  • Feminine and masculine pubic liposuction
  • Buttocks liposuction
  • Leg liposuction

What kind of a scar will I have after a liposuction?

For any liposuction, a small cut from 3 – 5 millimetres is needed, nothing more. The size will depend on the tube (called a cannula) used for removing the fat. This means if it is for the chest, you will have a cut on each breast. If it is in the arms, there will be one in each arm, if it is in the buttocks one on each buttock, if the area is a bit bigger like the abdomen there will be two cuts, one on each side.

Foto de cicatriz de una liposucción

This mark is so small that it ends up being invisible at the end. It is like when a freckle, or wart is removed.

In the example we can see on the right of the picture a small dot from the scar that with time it will practically disappear. It is really small: 3-5 millimetres.

Does the result last forever?

It really does!! And if you do it well, it is definitive.

Let me tell you: If you diet, eat less or practice sport, what you really do is eliminate the accumulated fat in the cells called adipocytes. What you get is, deflate them, they empty out. Just like with balloons. But they are still there waiting for you to overpass yourself and accumulate the extra energy. What we do with a liposuction is to eliminate the fat cells, we remove them from where they were. This means that you will not gain weight again unless you eat excessively, but in a really exaggerated way. If you eat too much but not exaggerated you will gain weight but in other areas of your body, not that one. 

Can I do a liposuction in more than one area at the same time?

Yes, in fact it is the most usual. Our patients usually do liposuctions of different zones taking advantage of the operating room, anaesthesia, etc.  You can save a lot of money. If you are thinking about it take advantage, you will pay one OR, one anaesthesiologist…

But if we are talking about a big liposuction, we are limited to the number of hours to do it and the quantity of anaesthesia needed. We do not do liposuctions of more than 4 – 5 hours. If that is the case then you would have to do them in different days, but it is less common.

What is the difference between liposuction and lipolaser?

Liposuction is the conventional technique where a small cannula is used to remove fat deposits from certain areas of the body. The lipolaser requires a special fiber optic device that transmits laser energy, this energy produces a destruction of fat. The fat is converted into a liquid emulsion that is left for the body to reabsorb (if the amount is not too large) or can be removed by aspiration through a cannula. Apart from the removal of fat, the laser causes the coagulation of the small vessels of adipose tissue and stimulates the reorganization of collagen in the superficial dermis causing an immediate skin tightening or firming effect.

Can I have liposuction in summer?

Liposuction, like any cosmetic surgery, can be performed at any time of the year. The only consideration to take into account is the need to wear a compression garment in the operated area for a month after the operation, which prevents you from going to the swimming pool or the beach.

Can fatty tissue accumulate again in the treated areas?

Not if it is done well. Once puberty is over, fat cells take a long time to reproduce, but maintain the ability to “grow”, which is why once we eliminate the number of fat cells (adipocytes) these accumulations cannot develop, as long as we follow a healthy diet and without excesses.

When will I be able to bathe or shower after liposuction?

The time of the bath will be marked at the time when you can remove the girdle and replace it without causing discomfort and that the inflammation begins to subside, this can be 2 or 3 days after the intervention.

How much time is necessary before I go back to work? How is the recovery?

The results of a liposuction are amazing, people are delighted because the result is INMEDIATE. Your clothes will be big, a pleasure for you. The truth is that the first week after surgery you will not feel very good. From there on it depends on your pain threshold. We recommend for you to be in a calm place, be at home and not go to work. It will be a bad week, but then it will be better. It is as always, once you see the result you forget how bad you felt the first week.

After the first week, recovery gets better. You will still not feel well, but it will be different. From our experience we can say that normally you can go back to work after 10 days. But it really depends on each person and the type of job. It is not the same to work in an office where you can sit and work slower than a more physical job like in construction or be in a store or if you have to carry weight.

Does liposuction improve or eliminate cellulite?

Yes and a lot. Cellulite or orange peel skin is a skin problem that manifests as very frequent small depressions in the buttocks, legs and hips. Liposuction cures and improves cellulite by decreasing the volume of certain areas. It partially eliminates fibrous partitions and favors a better lymphatic drainage.

How much fat can be removed in a liposuction?

At Clinica Sanza Barcelona we are specialists in liposuctions. It is our forte as to say after more than 30 years doing them. This allows us to do big liposuctions as other clinics are not prepared for.

Dr Sanza has taught many plastic surgeons from over the World, his techniques to do these big liposuctions and thanks to him his methodology is done in clinics all over the World.

We can remove from 100 grams to 1 liter of fat from patients that have not much fat and with bigger ones up to 20 liters of fat in one go. Imagine how amazing the result can be. In one go you can see your pant size reduced 6-8 sizes, interesting!!

Do you know what happens? Fat weights much less than the muscle and when you eliminate so many liters the volume reduces is amazing.

Can I have liposuction if I am very overweight?

Yes, of course, you just have to remember that liposuction is not a method to lose weight but to lose volume. Clinica Sanza has a very extensive protocol for large volume liposuctions (from 10 to 15 liters), a technique that we have published in different specialized magazines and that we have presented in multiple national and international medical congresses.

Will there be a lot of bruising and swelling after liposuction?

Bruises and swelling may appear in the area for a few days, even weeks. Usually the bruises disappear after 7 to 14 days and the most evident inflammation after one to two weeks. Subsequently there is a little residual swelling that can be maintained for a month or two after the intervention.

Should I follow any post-operative treatment?

Basically you have to follow the specific instructions for each case that your surgeon gives you. On the other hand, it is necessary to wear compression garments for a period of 3 to 5 weeks (this will vary according to the evolution of each patient). We suggest lymphatic drainage to eliminate edema, swelling and speed up the disappearance of bruises.

When will I see the effects of the operation?

Once the acute inflammation has passed, the initial results can already be seen, that is to say after 3 weeks to 2 months depending on the extension of the intervention, although the definitive results can take 6 to 9 months.

Why are there some liposuctions that put on weight again?

It is due to a bad technique of the surgeon. If it is done correctly, it is impossible for the fat to form again, even if you get pregnant and after giving birth you keep the weight after the liposuction, the result continues to be as we had left it.