Tokuda Hospital Sofia



What is liposuction?  

Liposuction otherwise known as lipoaspiration, lipoplasty, or liposculputure is a plastic surgery procedure in which excess and unwanted fat deposits removed (are sucked out) from various locations around the body including the chin, neck, upper arms, chest, back, abdomen, thighs, legs, knees, buttocks, calves, and ankles. Liposuction can be performed by itself or in conjunction with a lifting procedure, breast reduction procedure, tummy tucks and/or other procedures.

What not to expect from liposuction?  

We strongly emphasize that liposuction is not a weight control method  or alternative to physical exercise and healthy eating. Liposuction is a surgical procedure in which specific fat deposits are removed to improve the overall body contours and body shape.

What to expect during consultations?

During the first consultation your physician will gather your expectations and assess your current and past health history, any habits affecting your health, and allergies was well as begin to plan your body shaping procedure. If you are on a diet or plan to go on one we recommend that you postpone it until you have undergone and recovered from your liposuction procedure. As with any surgical procedure certain risks are involved, all of which shall be discussed with you during your consultation.

Types of liposuction and procedure information:

Just like most surgical techniques liposuction has undergone various stages and development directions, which currently differ mainly by the the contents and quantity of infiltrated solution including wet, superwet, and tumescent solution techniques. They also differ by the type of fat collection device being used such as ultrasound, vibration, and other instruments.

There is another liposuction methodology termed laser liposuction in which the tissues laser heated or coagulated which has been shown to enhance the liposuction effects and improve the skin elasticity and tightness. The overall effectiveness of this methodology is still widely disputed.

All the different methods have supporters; however the end results of each method have basically the same outcomes. The preferred method of anesthesia during liposuction procedures is general or epidural for procedures performed on the lower half of the body.     

In all cases we inject infiltrate solutions into the fat tissues of the procedural zones, which facilitate the removal or sucking out of the fat cells. After the infiltrate infusion, small incisions are made in the adjacent and target liposuction zone, through which fat aspiration cannulas are inserted to remove the fat cells. After completing the liposuction procedure, the incisions are stitched, which are to be removed after approximately 7 days after the procedure. The resulting scars are minimal and fade with time to become practically unnoticeable.

The amount of fat tissue, which can be removed during a liposuction procedure can vary and has limits. For example for any liposuction procedure volumes above 3 liters of removed fat, additional medical measures must be taken to help the body cope with vital fluid loss and to manage the bodies salt water balance.

After the procedure, compression garments are placed on the treated area to help recovery and keep the new body shape smooth and uniform. In some cases, drainage tubes must be placed into the treated area after a liposuction procedure to drain any excess fluids for a day or two depending on the specific case.

During the early recover period, our physicians monitor any swelling and bruising to be sure recovery is proceeding normally. We strongly recommend that the patient wears compression garments or stockings for the first month after the procedure to maximize the aesthetic results of the procedure.

Typically, we discharge patients 1-2 days after a liposuction procedure provided they have fully recovered. In some cases standard analgesics are administered to relieve discomfort in the early recovery period. We also strongly recommend a comprehensive exercise and rehabilitation regiment to enhance the procedural results and support recovery.

What results can I expect from a liposuction procedures?  

The final result depends on the total volume of fat removed, the skin elasticity of the treated and surrounding areas, lifestyle factors (healthy or unhealthy habits such as smoking), and the state of underlying muscle tissue, and the recovery process.  Because fat cells don’t regenerate, the fat tissue removal and resultant  shape change is permanent and if weight is gained back again the overall contours and shape is maintained.


Plastic, Reconstructive a…


Breast Enlargement

Breast Lifting

Breast Reconstruction

Abdominoplasty Tummy Tuck



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Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.