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Years of Multidisciplinary Practice

Since the focus of your first appointment is not only a thorough examination but also the collection of your medical history, please bring all previous findings from your family doctor and/or internal medicine doctor(s) with you. This includes findings from Endocrinologists, Diabetologists, Cardiologist, Gastroenterologists as well as old operation reports and all types of examinations (Blood analysis, …) 

In order to help patients suffering from scars quickly and comprehensively, we have set up a special consultation.  Only a detailed doctor / patient consultation forms the basis for successful individual treatment.  

The aim is to create an individually tailored treatment plan for the patient, with which an optimal treatment result can be achieved with the lowest possible risk. 

You will receive a doctor’s letter at an early stage with my assessment of your situation and, if necessary, a therapy recommendation.  

In order to facilitate a familiar and stress-free atmosphere in the operating room, I have been working closely with our Anesthesia department. This collegial cooperation of experienced specialists and the use of the most modern substances and comprehensive monitoring devices ensure the greatest possible safety for the patient during and after the operation. 

 Various forms of anesthesia are available for patients with body contouring surgery. The aim is to select the most gentle form of anesthesia while reliably eliminating pain. The decision depends on the type of surgery to be performed and the general health and personal preferences of the patient. After consultation with the surgeon, the anesthetist determines the most suitable form of anesthesia together with the patient. 

  • Local anesthesia (+ Sedation) 

Small operations, such as scar revisions can be made under local anesthesia. To reduce stress and aniety additional application of tranquilizing substances can be added (Analgosedation). 

  • General anesthesia 

Body contouring operation mostly treat large part of the body. Therefore general anesthesia is the technique of choice. 

At this point, we would like to familiarize you with some important information regarding the correct behavior before and after operations and in the context of therapy and aftercare, which must be observed: 

  • Before the operation 

If, for whatever reason, you are unable to keep the agreed date for the operation, please inform me by telephone as early as possible so that the appointment can be given to another patient. 

The area to be operated on must be free of recent injuries. If there is an infection or a fresh or crusted tear, the surgical procedure cannot be carried out. You should therefore refrain from manual activities with an increased risk of injury. When handling pets, special care must be taken to avoid any scratches or small bite wounds. 

 If general infections or purulent inflammations occur, the surgical intervention should be postponed because of the associated general weakening of the immune system. 

In the case of Marcumar/Warfain patients, the Quick/INR value must be brought into the normal range after consultation with your surgeon and the general practitioner or specialist in internal medicine. We are always at your disposal for any questions. 

 Before surgical interventions under general anesthesia, you are not allowed to eat or drink anything or smoke after a previously agreed time (usually 6 hours before the planned intervention). 

For your own safety, please leave jewelry, valuables and large sums of cash at home. All jewelry (bracelets, rings, etc.) on the operated extremity must be removed before the procedure. 

Make sure, that your garment is delivered and fitting well, as it is your first dressing, applied directly after surgery. 


  • After the operation 

Adequate pain management is always necessary. Early patient mobilization is a must to reduce the risk of blood clotting complications (thrombosis, lung embolus, ….). How long you have to stay in our hospital after an operation depends primarily on the extent of the procedure done.  Irrespective of the form of anesthesia chosen, you are not fit to drive after an operation due to the medication administered (including local anesthetics) and under no circumstances are you allowed to drive a vehicle, but you are also not allowed to take part in road traffic as a pedestrian or train passenger. Please ensure that a relative or friend accompanies you home. 

 Since local anesthesia and regional anesthesia can last for hours and the sensation of pain is reduced or eliminated as a result, there is an increased risk of injury to the anaesthetized part of the body. Therefore avoid contact with hot, pointed and sharp-edged objects.

Exposure of the scar to direct sunlight should be avoided for 3 – 6 months. Applying a sunblocker (maximum strength) is strongly recommended. 


“Adequate Edema Management speeds up wound healing and scar maturation” 

 There are various simple, conservative therapy options to influence postoperative swelling (edema)  these are summarized in the so-called Edema Suppression Ladder: 


“As long as a scar is red, it can be improved with conservative or minimal-invasve therapy”:  

Redness of a scar normally takes 12 – 18 months in adults and 24 to 36 months in children.  

 Scar supression ladder: The sequential use of conservative therapeutic measures such as scar massage, pressure therapy alone or in combination with silicone pads (scar silicone compression therapy), etc., can significantly reduce scar formation during the wound healing process (cicatrization) 

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