Vaser Lipo to Jawline, Abs, and Flanks - Katowice, Poland

This is a review 18 months in the making! It is...

This is a review 18 months in the making! It is long so here is the exec summary: I had vaser lipo to my jawline, abs and flanks under general anesthesia at the Body Asthetic Clinic (also known as MekMed) in Katowice, Poland. It cost £3,400 and the result is excellent. I recommend the surgeons there - but you'll need to be prepared to manage your own aftercare.

Now the long version: I am a 37 yo male, living in London. When I was in my late 20s I gave up smoking and took up eating in its place. My oral fixation ranged from ice cream to apples. Consequently I gained a lot of weight in the space of a few months and stayed like that for about a year. Once I got a grip of myself I subsequently lost most of the weight and have kept it off since, but by that stage I seemed to have permanently changed my physiology. I was left with a sort of flabbiness that I hadn't had previously and which wouldn't go away. For example, I had grown a 'double chin' which wouldn't go away even when I tried a diet and exercise kick which got my weight right down.

So I started looking at lipo to remove my love handles, flabby abdomen, and jowls. I did my research and decided vaser lipo was the best option and so I then starting looking at clinics and prices. I work in the health field so I knew that with all things medical and surgical it's best to find a Dr and team who have had a lot of practice with the particular procedure in question. The more they do of it, the better they will generally be at it.

My initial order of preference based on reviews on this site and similar ones as well as my research on the surgeons was Dr Ravi Jain of the Riverbanks Clinic and then Dr Bassi from Selston. Dr Jain I ruled out early on as simply too expensive. So I emailed Dr Bassi and got a reply from his assistant Mags saying they could do the procedure to all three areas for £4,000. I liked the idea of Dr Bassi. He is a GP rather than a surgeon, but he has done a huge amount of vaser lipo and consistently gets good reviews. So I went to see him and Mags at their Selston clinic in Nottingham. At the consultation Dr Bassi said they'd do the procedures in three separate sessions six weeks apart. This is because he does his surgery under local anesthesia which limits the amount that can be done in each session (due to the danger of Lidocaine toxicity). He also said the price would be £7,000 not the £4,000 Mags had quoted. That was quite annoying. I didn't like the idea of months of separate surgery sessions followed by recovery, and £7k was more than I was prepared to pay.

So I went back to the internet. When I was researching Dr Jain I noted a posting saying that he had taught vaser techniques to a Polish surgeon called Dr Henryk Mekle a year earlier. I did some research on Dr Mekle, including on Polish forums (using google translate) and discovered that while (at that stage) he was relatively new to vaser he had been doing lipo for many years and he had good feedback from his (mostly Polish) patients. So I jumped on a Ryanair flight and went and saw Dr Mekle and his associate Dr Alex Balogun at their Katowice clinic. They were great. I spent a good hour with them and they answered all my questions clearly and honestly. Unlike in the UK, the cost of general anesthesia is not prohibitive in Poland so they would be able to do the procedure in one go under GA at a cost of £3,400. It's worth noting here that GA is not necessarily more risky than local. Lipo requires a lot of Lidocaine when performed under local anesthesia and the dangers of Lidocaine toxicity (which can cause organ damage and potentially even death) are real. So I booked in for the procedure on a Thursday in a months time.

I flew in Katowice the night before and stayed in a hotel nearby the clinic. At 8am I rocked up and by 9am I was in surgery. I woke up several hours later to be told by the good docs that everything had gone fine. I stayed that night in the clinic and the nurses ensured that I wasn't in too much pain and tried to get me to eat. I was discharged the following morning and stayed one night in a hotel in Katowice before flying home. (In retrospect, I could have just gone straight home). I was back at work on the Monday, no problem.

The post-operative pain really wasn't too bad. For about a week it was my abdomen that gave some pain - bending over was especially bad. But mostly it's uncomfortable rather than painful. The lipo'd areas got itchy and then tingly and then numb for weeks (even months in one area) afterwards. I got lymphatic drainage massage a couple of times a week for the first few weeks which was very uncomfortable. And of course there's the dreaded compression garment which is also uncomfortable. Interestingly, I researched use of both massage and compression garments post lipo and discovered there is no clear consensus amongst surgeons on either. Most say they are both necessary to reduce swelling (probably true) and get a better cosmetic result (probably just conjecture). But there is really no objective evidence one way or another. I decided that I would simply follow my surgeon's instructions, and so I wore the garment more or less 24/7 for several weeks, and I got the massages. I've no idea if they made any difference or not...

The worst part post surgery was probably the anxiety and self questioning that I went through: Are these unusual skin sensations normal (yes); will they ever stop or am I going to feel numb under my chin forever (normal feeling did come back after awhile); Will the lumps and bumps ever disappear? (Yes); Will the swelling ever go down (it did after two or three weeks).

In the end it was a few months before everything felt completely normal and I could see the very final result. It is great. People ask me all the time if I've lost weight. I actually haven't - my weight is almost the same as before lipo - but the change to my silhouette is what makes the difference. For the first time in a decade I'm no longer self conscious about my body. That makes it all worth it.

Henryk Mekle

Very experienced vaser lipo surgeon, great clinic, and being in Poland a very reasonable price compared to western Europe.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
1 out of 5 stars After care follow-up
4 out of 5 stars Time spent with me
3 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Hi London and thanks so much for your great review. Your oral fixation ranged from ice cream to apples....just too funny but I can so relate to this, I just eat, eat and eat and I have to add, I too have a problem with jowls :( Amazing how yours was basically a two or three day fly-in/fly-out exercise. Hoping you don't mind me asking these late questions but I'm thinking of Vaser Lipo myself. I note that right up front and centre you warn that one needs to manage their own aftercare and while your rating overall for your doctor was good, you rated the after care follow-up very low. Were there any specific reasons for this? Anyway great to read that you are pleased with the end results. How did your jowls end up? Wishing that you are doing well now.
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There really wasn't any aftercare or follow up, hence my low rating. In fairness there isn't much they can do from Poland when I live in London anyway and I'm sure they would have responded if I'd asked questions via email or phone. My flabby jowls are still no more :)
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Thanks for replying London and good to hear that you left those jowls in Poland :)
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I forgot to ask, you had the compression garment for the torso but what about for the vaser lipo to your jawline, did that need compression garment?
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Thanks for all the information London. I've had the procedure done and I feel uncomfortable but I'm back at work and looking forward to my first MLD this week.
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I had vaser HD with Dr mekle 1 week ago. I saw immediate results, amazing definition. However, since I returned to work yesterday, the swelling has gone through the roof! My belly looks like a pregnant belly and all definition is gone. I look awful and disproportionate. Did you find much swelling after your vaser? Have a look at my review...i did see great results initially but these have all dissappeared. I know its expected that there may be some swelling but im so worried that its not all swelling and that my results wont be ao great afterall :(
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Hope it all works out for you John, I havenbt had Vaser, so I cant speak from experiance but I have read alot, it's normal from what I have read to swell up quite alot after vaser, through it should settle, I think everyone reacts differently I hope all goes well in your recovers, by the way can I please ask, did they in Poland recommend anywhere for you to get the aftercare needed? Thanks Mark
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Hang in there John, I had swelling too and especially the abdominal areas went back to the same size as pre-lipo when the swelling set in. .. But it does go down. Wear the compression garment (tight) and get some lymphatic drainage massage done and you will see most of the swelling come down by the beginning of week four. It took a couple of months for the last five or ten percent of my swelling to totally disappear, but it does go eventually. Remember that your body has been through a trauma so of course it will bruise and swell but it will all heal
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Thanks London and Mark. Its disheartening so i hope it goes soon. I miss the gym so much too! Hope you are both doing well
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London, did you find much of the swelling had gone down by 2 weeks post-vaser? I feel so down about it the fact that I have ballooned up. My body just looks so bad :(
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Hi again John, Though i havent had my vaser done yet loads of the reviews I have read talk about having extreme swelling that make them look pregnant, especaily in the initial healing period and if you've been on your feet all day. The massage is supposed to really help and apparently you can learn to do it yourself on Youtube. I have also noticed that a lot of reviewers take Bromelain as its supposed to help with post op swelling. You can buy it at boots apparently. Everything will be alright. John I know you booked through top medic poland and were taken to a public hospital in poland for blood tests, but Im wondering if you did also London456. Im having a slight problem in that after booking my flight (arrives at midnight the day before surgery) I am told I have to get blood tests. Not sure at all how to arrange these in England and how near to the surgery they need to be.
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London, Top medics Poland also told me that I can get these blood tests done at home and bring the results if that helps. You just need to find out what they need to test for and what results Mekmed need to see. Yeh it will be Ok i know, im too impatient maybe, I want to be out sunbathing in that great weather! Il keep the top on for now!
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Hi again John, They sent me a list of tests that I need to have this afternoon when I sent them my flight dates and times. I think it would have been helpful to tell me before i booked my flight that I needed to be in Poland 24 hours before my procedure so that blood tests can be done. A bit of a language problem, Im sure. The tests they want include complete blood count,electolyte and urea, hepatitus B, creatine and coagulation. Having had some time to think, I wil see if I can change my change my flight and fly on a saturday, have procedure on Monday. Its got to be the cheaper and easier option. From what I have read, and thats most reviews on this site and a few others on the internet, very very very very few have no swelling, most swell a least 2-3 weeks, some swell for months. Besides the fac that there is hardly any sun, in southern England anyway, remind yourself that sunbathing in compression clothing is never a good look!!!!!! Post a pic of your pregnant belly, to give others a laugh, I mean to help educate others : )
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2 weeks was about the worst point for swelling. By beginning of week 3 it had started to settle and beginning of week 4 almost gone. Middle of week 4 I threw my compression garment away - boy was I happy! I brought a little home ultrasound massager (£70) and that really helped - you need to make sure you buy one that operates at the right frequency for soft tissue injury and read the instructions carefully, but I found 2X day self massaging with it (pushing the fluid towards lymph nodes with it as you go) helped with the swelling, itching and tingling.
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I got my tests done at a private clinic in UK before I left, and brought the results with me to Poland. Took a week or so to get the results back and cost me £130 ish as I recall.
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By the way, once the swelling goes you'll probably notice some lumps and bumps - don't worry, no one else will be able to see them and they do go eventually (about 9 weeks in my case). Again, ultrasound massage helps with them as well.
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Thanks for all the info. Did you need to get any fluid (ie seroma) removed with a syringe? I have a large amount of soft fluid that is being removed by my GP on Tuesday. It feels like a jiggly waterbed :(
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Im really sorry to hear that its that bad John and feel like a right cow for joking about it. You must be very worried. I've read a few reviews where this has happened, but following the removal of the water, everything was fine. You will be fine and the results you originally saw will return in time. I presume you are having your first massage today, and I am sure you will feel better for it. Take care and good luck on Tuesday
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Hi London. Yes I am worried. Im not worries about the process or my end result, im worried about all the trouble I will need to go to if I need repeated aspirations. I was told by my PS that this will happen and that I will need to get this fluid removed. Aw well, its a waiting game
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I completely understand why you would be worried about having to under go repeated procedures. I haven't read about anyone having to repeatedly have fluid aspirated yet if that's any comfort. Was your GP understanding? I'm pretty sure mine would give me a right rollicking! I didn't know seromas were to be expected!
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Well i wouldnt say he was happy! He really wasnt happy and sounded a bit confused but he reluctantly agreed as he felt i had no other option! Do you think its normal that i will only need 1 aspiration? iv read of so many people who need it done a number of times to completely get rid of the seroma
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Aww poor you. I did a bit more reading yesterday and came acrossy first review of someone with a serum. They jaded it aspirated 3x! However I also read it's rather common when you have hi def vaser and it will go all by itself but takes about 6 weeks. Have you had massage yet?
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I am going to have vaser HD in Poland in February with Dr Mekle. Ravi Jain actually recommended him after training Dr Mekle in the vaser procedure,so he must be good! I was quoted £2600 for my waist,sides and tummy which would be double this in the UK. I had normal lipo last year and although it did trim me down,I really want a more contoured look and from the literature I have read and the pics I have seen,this is the real deal. I will post my pics when I have been vasered!! :-)
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Best of luck! Please keep us updated how it all goes, as I still want to book myself in 2013, just waiting for funds, but from what I was quoted, was also half of the quote over here so its very tempting one must say Best of luck for feb and lok forward to seeing your resilts :)
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Hi Julesthewolrd Did you go ahead in the end? How'd it go? Mark
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