Category Archives: liposuction clinic central london

Liposuction Clinic Central London

Dr Vidal has been practising liposuction under local anaesthesia for more than 10 years. Liposuction is the perfect treatment to get rid of unwanted fat deposits and sculpt a better body shape . Today there are many differents names for “enhanced” liposuction such as Vaser Lipo , Bodytite lipo, Laser lipo, Smart Lipo etc.. All these names simply means that the surgeon will use a device such a laser, ultrasounds or a radio-frequency machine to minimise side-effects, get a better skin tightening and faster recovery. Once the device has been used the surgeon will use a traditional cannula to suck out the fat and achieve the desired result and shape.

liposuction clinic central london.Dr VidalThe result will depend primarily on the fat being sucked out of the body in an artistic manner  to obtain a more harmonious body shape. It is simply not possible to obtain a good result without suctioning and reshaping. It doesn’t matter if your diet is very healthy or if your train three times a week. Some fat on knees, outer thighs, love handle can be particularly stubborn and resist to very strict training and healthy lifestyle.liposuction clinic central london. Dr Vidal

At the Skin Oasis clinic,we use a laser (laser diode Osyris) to enhance the result of the liposuction. This approach with local anaesthesia and enhancement with the laser allows very fast recovery time , minimal side effects and very artistic results.

read more about knee liposuction uk

Knee liposuction : sculpting and refining

Knee Liposuction

The knee is a highly important part of the silhouette and allure. Fatty knees can just be a cosmetic problem but sometimes they also may be a functional problem with poor lymphatic and veins circulation due to fat accumulation and pressure creating swelling, heaviness and discomfort. Knee liposuction can be rewarding on both aesthetic and functional issues.
The most common complaint about knees is : I can’t wear what I want to !. Skinny jeans, dresses, skirts, high boots… etc.


knee liposuction before. Dr Vidal. London.

Knees before knee liposuction. Dr Vidal.London.

After knee liposuction. Dr vidal.London.

Knees after knee liposuction. 8 months. Dr Vidal. London.

You can see on these pictures that the knee is surrounded by many small stubborn fat pockets which are impossible to get rid of just with diet and exercise. This can be seen with any patient, old, young, thin, overweight, healthy and active lifestyle or a bit lazy. No difference.
Also, these fat deposits are rarely symmetrical and this adds to the unpleasant look.


drawing for knee liposuction.

The fat excess above the knee is pushing the knee cap (letter P) downward.

On this picture you can see a very attractive, healthy and active young woman. But she was not happy with her knees. Once the different parts and fat pockets are individualised during the examination it becomes obvious that the knee cap (the letter P area) is looking downward.
This is because the knee cap is pushed down by the fat located above.
The knee cap is also pulled down by the fibrous fat tissue located below.

As these drawings show, resculpting the knee is not such a simple thing as you have so many different elements to take in account before the treatment.



The inner knee is also a common source of concern for many patients. There too, this is seen on a slim patient. On these pictures you can see the back of the legs.

before knee liposuction. Dr vidal london.

Inner knees are touching before the knee liposuction. Dr Vidal. London

knee liposuction after. Dr

inner knees after knee liposuction. Dr Vidal. london

knee liposuction. Inner knee.Dr Vidal. London.

Inner knee fat pocket organisation. Dr Vidal. London.

before knee liposuction. Dr Vidal. London

same patient front view.

knee liposuction 1 month result

1 month after knee liposuction. Swelling. Small incisions are fading. Shape redefinition and improvement are already visible. Knee cap has started to go up. Dr Vidal. London

Knee liposuction procedure

-We perform this procedure with a local anaesthesia. The area to be treated is infiltrated with an anaesthetic solution.

-The second step is the use of a laser lipolysis device. A laser fiber is inserted into the fat layer. This will melt some fat but more importantly will prepare the area for the insertion of a liposuction cannula. Another reason for using a laser is that the skin retraction and quality will be greatly improved.

-The final step is the liposuction itself. Cannulas are small as they must work into small areas. The objective is to correct and rebalance what has been evidenced during the clinical examination and by the drawings.

And finally

With the local anaesthesia and laser technique the immediate recovery is very fast. You leave the clinic on your feet after the procedure. We recommend to take two days off because of the normal leaking from the incisions. Bruising is normal in this area and will subside in two weeks. But It will take some time to get the final result, usually 8 months. Knees are a sensitive and delicate area, you have to be patient with them. They also have the full body weight pushing on them constantly. Swelling can be important at the beginning and decreases gradually in a few months. Collagen and tissue remodeling will still getting and looking better after a year. A high quality compression garment is more than recommended at least several hours a day for a few weeks. Patients learn very quickly when they need it and when they can take it off.


Before knee liposuction

knee liposuction result. Dr Vidal. London.

Happy patient with a short skirt. Dr Vidal.London.

When the indication is correctly examined and justified, knee liposuction is a very rewarding procedure for the patient.
Patient quality of life is greatly improved.




Dr Vidal practices at the Skin Oasis Clinic. 25-27 George Street.London W1U 3QA.

Knee liposuction costs : £ 2500-£3000 all included.



Aesthetic Plast Surg. 2013 Apr;37(2):246-53. doi: 10.1007/s00266-012-0027-7. Epub 2013 Jan 26.

Laser lipolysis using a 924- and 975-nm laser diode in the lower extremities

Laser Liposuction History

Birth of liposuction

Liposuction is still a relatively young procedure. The concept has been developed in 1974 by a an Italian gynecologist Dr Giorgio Fischer and his father Dr Arpad Fischer. Their first publication was in 1976 :”Fischer A, Fischer GM. First surgical treatment for modeling body’s cellulite with three 5-mm incisions.” Bull Int Acad Cosmet Surg. 1976;3:35. It was the beginning but the key concepts were there : cannula, suction, sculpting, tunnels. They have invented liposuction.

liposuction or not liposuctionIt was revolutionary but not perfect. The major problem was a very significant blood loss that sometimes would lead to fatalities. From 1977, French surgeons Dr Pierre Fournier and Dr Yves Illouz  refined the technique making the liposuction less aggressive. They became very popular among their peers. In the early 1980’s surgeons from all over the world came to Paris to learn this revolutionary new technique.  In 1989 Dr Fournier published his book ” Liposculpture ma technique. Paris, Arnette, 1989.”  In this book liposuction pioneers including Dr Fischer himself relate the birth and development of the procedure.

The second liposuction revolution

A major improvement was introduced in 1985 by an American dermatologist Dr Jeffrey Klein. Dr Klein  invented the tumescent technique. This was a revolution because it became possible to perform a liposuction with a totally local anesthesia. Moreover, the blood loss was reduced to a minimal. The toxicity of the drugs was under control. The risks of a general anesthesia were eliminated. Patients were back to their normal life very quickly. Cosmetic results were greatly enhanced by the use of smaller cannulas. He made liposuction a reliable, safe and effective cosmetic procedure. It is still a gold standard today. Dr Klein has described his concepts and findings in his book  “Tumescent Technique : tumescent anesthesia and microcannular liposuction. St Louis. Mosby. 2000.”

From liposuction to laser liposuction

Always in search of technological advances, practitioners became interested in the use of lasers to treat fat deposits as an alternative to liposuction. In 1992 Dr Apfelberg made the first description of a Yag laser effect on the fat tissue. Despite encouraging results, the laser did not demonstrated a significant advantage and was not developed. But at the beginning of the 21st century doctors from South America (Goldman, Schavelzon, Blugerman) started to publish studies demonstrating the effect of the laser on fat and on the skin. Dr Katz and Dr McBean from New York have related this in their very interesting 2011 article laser lipolysis : an update . Soon, an Italian company would get the FDA approval for a laser device, the world famous “Smartlipo®“.

Smartlipo was introduced in the UK in 2006. At this time, practitioners were taught to use the laser alone, without additional suction. Whilst the laser beneficial effects on speed recovery and skin tightening were obvious, it was not so good for body sculpting. Very logically, a lot of practitioners started to combine the laser and the suction giving birth to the laser liposuction.

liposuction legsToday, laser liposuction combines the benefits of the liposuction under local anesthesia (as described by Dr Klein 27 years ago) with the specific thermal effect of the laser on the dermis and blood vessels. Lasers have also improved in speed, power, safety. The first Smartlipo has now been replaced by a second generation of laser lipo.This combination of old and new techniques allows these clinical results in a day procedure without all the risks of the traditional liposuction with general anesthesia.