Who may benefit
Stable localised deposits, stable weight, good general health, reasonably elastic skin and realistic expectations.
Body contouring · Tunis
Body contouring
Five procedures gathered on one page to understand the possibilities, limits and recovery — clearly, without promises.
General information. Any surgical indication must be assessed by a qualified surgeon.
01 · Liposuction
Redraw a silhouette,
not a number on the scale.
Liposuction removes localised fat deposits under the skin. It improves proportions and contours; it is not a treatment for obesity or a weight-loss method.
The essential distinctionIt changes shape more than weight. Skin quality matters: loose skin may require another procedure, assessed during consultation.
What happens
Areas are marked standing up, tiny incisions are made, a blunt cannula removes fat progressively, and a compression garment is fitted.
Recovery
Swelling and bruising are expected. Compression and activity restrictions continue for the period prescribed by the surgeon.
Results
Contours refine over several months. Removed fat cells do not regrow, but remaining cells can enlarge with weight gain.
Risks
General surgical risks, seroma, contour irregularities, asymmetry, temporary sensitivity changes and a result that may require revision.
Frequently asked questions
Questions patients ask us.
No. It changes body shape, not significantly the number on the scale.
Removed cells do not reform, but remaining cells can enlarge if weight is gained. Maintaining weight matters.
It treats fat volume, not the mechanisms behind dimpled skin. It should not be presented as a cellulite treatment.
Often, within limits set by the surgeon according to total volume, operating time and health.
Gradually over several months. The first weeks are not representative because swelling masks the result.
02 · Fat transfer to the buttocks (BBL)
Shape with your own fat.
Fat is taken from selected areas, purified and transferred to the buttocks. The aim is to improve the relationship between waist, hips and buttocks — not to promise an exact volume.
The safety ruleFat must be injected only in the subcutaneous plane, above the muscle. Ask about the injection plane, ultrasound guidance, planned volume and the facility’s safety protocol.
Eligibility
Sufficient donor fat, stable weight, good health and realistic expectations are essential. A very slim person may not have enough tissue.
Technique
Fat is harvested, processed and injected in small deposits across several levels to support revascularisation.
Recovery
Direct pressure on the buttocks is avoided for the period prescribed. Sitting resumes gradually, often using a cushion supported by the thighs.
Results and limits
Some transferred fat is naturally reabsorbed. The final volume settles at a distance and follows later weight changes. A second stage may sometimes be considered.
Risks
Alongside general surgical risks, there may be partial resorption, asymmetry, nodules and the specific risk of fat embolism if safety rules are not respected.
Frequently asked questions
Questions patients ask us.
You need enough fat available for harvesting. Without enough tissue, the procedure cannot be performed as planned.
The surgeon sets the period. Sitting is resumed gradually, often with a cushion resting on the thighs.
Fat that survives is living tissue and can last, but it follows weight changes. Major weight loss reduces the volume.
Only cells that revascularise survive. The proportion varies with the person, technique and postoperative instructions.
Sometimes, to complete the volume. It is not systematic, but it is a possibility to discuss from the outset.
No. Fat transfer adds volume; it does not remove skin or correct major skin laxity.
03 · Tummy tuck (abdominoplasty)
Repair the wall, remove loose skin.
Abdominoplasty removes loose abdominal skin and, when needed, repairs separated abdominal muscles. Liposuction may complement it, but addresses a different problem.
The trade-offThis procedure exchanges loose skin for a permanent low horizontal scar. Deep fat around the organs cannot be treated by abdominoplasty.
Who may benefit
Loose skin after pregnancy or major weight loss, possible diastasis, stable weight, good health and an informed acceptance of the scar.
Techniques
A full, mini or circumferential abdominoplasty may be considered. Muscle plication repairs a diastasis when present.
Recovery
Recovery is heavier than after liposuction: a slightly bent posture, compression, possible drains, early gentle walking and restricted effort.
Results and scar
Contour improves early, while swelling and the scar continue to evolve for months. Pregnancy or later weight changes may alter the result.
Risks
Seroma, delayed healing or skin necrosis, sensory changes, scar widening and thromboembolic risk must be discussed before deciding.
Frequently asked questions
Questions patients ask us.
No. Liposuction removes fat; abdominoplasty removes skin and may repair the muscle wall. They are often combined.
Only those on the skin that is removed, generally below the navel. Upper abdominal stretch marks remain.
Yes, but a later pregnancy can stretch the repaired wall and affect the result. It is usually preferable to wait until pregnancy plans are complete.
Plication brings separated muscles together and restores support. It does not replace muscle strengthening, which resumes after medical clearance.
It is placed as low as possible for that purpose, but its exact height depends on technical constraints and should be discussed in consultation.
The contour improves quickly, but lower abdominal swelling and the scar continue to evolve for months.
04 · Arm lift (brachioplasty)
When the skin no longer retracts.
An arm lift removes loose skin from the inner arm and tightens the remaining tissues. Liposuction may be added when excess fat is also present.
The trade-offThe procedure exchanges loose skin for a long, permanent scar on the inner arm. Its visibility must be considered before deciding.
Who may benefit
True inner-arm skin excess, stable weight, good health and nutrition, daily discomfort and realistic expectations.
Techniques
The scar may be limited to the armpit, run from armpit to elbow, or extend toward the chest wall, depending on the excess.
Recovery
Compression sleeves, arm elevation at rest and limits on lifting and extension are common. Daily tasks may need help at first.
Results and scar
The arm refines as swelling settles. The scar softens and fades over months, sometimes more than a year, but does not disappear.
Risks
Scar widening, delayed healing, seroma, sensory or lymphatic symptoms, an axillary scar band and asymmetry are among the risks to discuss.
Frequently asked questions
Questions patients ask us.
Muscle training strengthens muscle, not loose skin. Exercise cannot retighten skin that has lost elasticity.
Yes, only when the skin remains elastic. Otherwise it could worsen laxity.
Yes. It fades with time but does not disappear. Its exact position can be discussed.
Gradually, according to the surgeon’s instructions. Everyday movements are limited at first.
This is usual for symmetry, but reduced independence for a few days should be anticipated.
05 · Thigh lift (thighplasty)
Remove skin, not fat.
A thigh lift removes loose skin from the inner thighs and tightens the remaining tissue. Liposuction may be combined when excess fat is also present.
The trade-offThis procedure exchanges loose skin for a scar. Daily rubbing, irritation and walking discomfort should be weighed against a permanent mark.
Who may benefit
True skin excess, stable weight after major weight loss, good nutrition and a clear acceptance of the scar.
Techniques
The scar may be horizontal in the groin, vertical toward the knee, or combined in an L or inverted T according to the excess.
Recovery
Compression, careful scar hygiene, limited leg separation and gentle walking are adapted by the surgeon for this demanding area.
Results and scar
Contour and comfort improve after swelling settles. Scars are long, evolve for months and may widen in this mobile, high-friction area.
Risks
Delayed healing, partial opening, seroma, lymphatic symptoms, scar migration, sensory changes and asymmetry should be explained.
Frequently asked questions
Questions patients ask us.
Only if the skin remains elastic. With loose skin, liposuction alone could worsen laxity.
Yes. It fades with time but does not disappear. It may lie in the groin or along the inner thigh.
This is usual for symmetry. The surgeon decides according to the extent of surgery and health.
Yes. Weight must be stable and nutrition satisfactory; operating too early can lead to recurrent laxity.
The contour is judged after swelling settles; scars continue to evolve for many months.
Your project
A first conversation,
without pressure.
Punica Med coordinates and supports your journey. Medical assessment and surgery remain the responsibility of qualified healthcare professionals.