InSense Clinic performs around 1,000 plastic surgery procedures every year within a specialized surgical environment in Lithuania. The clinic features a dual-endoscopic operating room, which is unique in the Baltic region. Dr. Martynas Norkus brings over 20 years of experience in body contouring, having trained in the US and across Europe. For patients with excess skin, surgeons can combine the fat removal with a surgical arm lift. Post-operative wards include continuous monitoring and nurse call systems for safety and comfort.
","text_type":"mt_wow_description","best_texts":{"techniques":"VASER","why_its_ranked":"Combines liposuction with arm lift to address both fat and loose skin. Surgeons trained in Europe and the U.S. 1,000+ plastic surgeries performed annually."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":3562,"alias":"sv-plastic-surgery-clinic","name":"InSense Clinic ","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/3562-6ac3a2df3ccbd.png","short_description":"InSense Clinic is a private plastic surgery center in Kaunas, Lithuania, performing around 1,000 procedures each year. It specializes in plastic surgery, aesthetic surgery, and functional rhinoplasty. The clinic's dual-endoscopic operating room is unique in the Baltic region.
Fi Clinica specializes in upper arm liposuction with 3D-planning technology to preview results. The procedure typically costs around $1,300–$1,800. Dr. Raminta Česnaitienė, a board-certified plastic surgeon, focuses on arm lift procedures and has trained at the Lithuanian University of Health Sciences. She attended the 88th Annual Meeting of Plastic Surgeons in California and conducts research on wound healing.
Fi Clinica is the largest plastic surgery center in the Baltic states. It specializes in breast surgery, facial plastic surgery, and mommy makeovers. The clinic uses 3D planning to show patients results before surgery.
Dr. Zacharevskij specializes in aesthetic surgery including upper arm liposuction, with international recognition in plastic and reconstructive techniques.
Dr. Ernest Zacharevskij is a plastic surgeon at InSense Clinic in Kaunas. He has performed 4,000+ operations throughout his career. Dr. Zacharevskij leads the Plastic and Reconstructive Surgery Sector at Kaunas Clinics. He holds a PhD from the Lithuanian University of Health Sciences.
InSense Clinic is a private plastic surgery center in Kaunas, Lithuania, performing around 1,000 procedures each year. It specializes in plastic surgery, aesthetic surgery, and functional rhinoplasty. The clinic's dual-endoscopic operating room is unique in the Baltic region.
Dr. Raminta Česnaitienė is a board-certified plastic and reconstructive surgeon at Fi Clinica. She specializes in mommy makeovers, breast augmentation, and arm lifts. Dr. Česnaitienė conducts research on wound healing. She works at the largest plastic surgery center in the Baltic states. Her clinic uses 3D planning to show results before surgery.
Fi Clinica is the largest plastic surgery center in the Baltic states. It specializes in breast surgery, facial plastic surgery, and mommy makeovers. The clinic uses 3D planning to show patients results before surgery.
This procedure removes excess fat from the arms, improving their shape and appearance through a minimally invasive process.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"Dr. Ergin Er is a plastic, reconstructive and aesthetic surgeon who has performed more than 10,000 aesthetic procedures. He is a multiple award winner at Turkish National Congresses of Plastic Surgery and completed advanced training at Baylor College of Medicine in Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}]},"direction":{"id":38,"name":"Plastic Surgery","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"Desk-based work after standalone upper arm liposuction; manual or overhead-arm work usually later."},"complication_rate_pct":{"min":0.1,"max":1,"unit":"percent","qualifier":"Major complications after liposuction in general: hematoma, deep infection, DVT/PE, skin necrosis. Small-volume arm liposuction sits at the low end."},"contraindications":["Pregnancy or breastfeeding","Significant skin laxity where excision (brachioplasty) is more appropriate","Unstable or severe cardiac, pulmonary or other systemic disease","Bleeding or clotting disorders, or inability to interrupt anticoagulation","Active infection or skin disease in the treatment area","Prior lymphedema or compromised lymphatic drainage in the arm","Body dysmorphic disorder or psychiatric conditions affecting realistic expectations"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually discharged same day; one night only if clinic protocol or recovery requires."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity and walking earlier; upper-body strength training typically after about 3-4 weeks if cleared by surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves gradually and skin retracts over this period."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Flight home after first check, usually about 7-10 days; longer flights need clearance and compression."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":7,"unit":"days","qualifier":"Early check and compression garment review."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Review of swelling and healing."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of final contour."}}],"indications":["Localized upper-arm fat resistant to diet and exercise","Good skin elasticity with mild to moderate fat excess"],"main_risks":["Bruising, swelling and temporary numbness","Contour irregularities or asymmetry","Seroma or hematoma","Infection","Prolonged pain or nerve sensitivity","Fluid or anesthetic-related complications","Rarely fat embolism or thromboembolism"],"pain":"Mild to moderate soreness, tightness and bruising for the first several days, usually controlled with oral analgesics.","preparation":["Preoperative consultation and medical assessment","Stable weight before surgery","Stop smoking/nicotine before and after surgery as advised","Review medications and supplements with surgeon","Fasting before general anesthesia as instructed","Arrange transport home and help for first days","Obtain compression garment","Preoperative photographs and marking of areas to be treated"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling, bruising and drainage from incisions; compression garment worn continuously.","restrictions":["Rest with gentle walking","Avoid lifting and overhead reaching"]},{"phase":"Days 4-14","description":"Pain subsides, return to light daily activities and desk work; bruising fades.","restrictions":["No strenuous arm activity","Continue compression"]},{"phase":"Weeks 2-6","description":"Swelling gradually decreases; garment use usually continues up to about 4-6 weeks; exercise resumed progressively.","restrictions":["Avoid heavy upper-body training until cleared"]},{"phase":"Months 3-6","description":"Swelling resolves and final contour and skin retraction become apparent.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Light daily activities and desk work resume within days, wearing compression. Strenuous or overhead arm use takes longer."},"result_longevity":"Removed fat cells do not regenerate, so results are long-lasting if weight remains stable; remaining fat cells can enlarge with weight gain and ageing affects skin.","revision_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Touch-up for residual fat, irregularities or loose skin within about 12 months."},"scars":"Very small incisions (a few millimetres) in the armpit or elbow area, typically fading to inconspicuous marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session, both arms treated in the same operation."},"stages":[{"code":"liposuction","label":"Upper arm liposuction of both arms","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone procedure; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patient-reported satisfaction with arm contour","value":85,"unit":"percent satisfied","horizon":"6 months after surgery","population":"Adults with localized upper arm fat and good skin elasticity","evidence_status":"limited"},"techniques":[{"name":"Tumescent liposuction","suits_whom":"Standard approach for localized arm fat with good skin tone.","recovery":"Bruising and swelling for 1-3 weeks; compression garment for several weeks."},{"name":"Power-assisted or ultrasound/laser-assisted liposuction","suits_whom":"Fibrous fat or desired mild skin tightening.","recovery":"Similar to standard liposuction; possible longer swelling or thermal-related effects."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Both upper arms in one standalone session."},"initial_assessment_documents":["Front, side and back photos of arms","List of blood thinners","Recent blood test results (if available)","Previous surgery or liposuction reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session surgery on both arms; stay about 7-10 days until first check and flight clearance. Later reviews can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that you talk to the operating surgeon before consenting, so consent is informed","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the surgeon is fully insured to perform the procedure","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"The surgeon should also be fully insured to carry out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that a named doctor is available for complications, not only a 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surgery","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Discounts or cheap offers used as marketing for surgery abroad","scope":"treatment_abroad","source":{"url":"https://baaps.org.uk/media/press_releases/1303/survey_reveals_rise_in_botched_holiday_surgery","host":"baaps.org.uk","quote":"Patients should be careful not to base choices on discounts, price and other marketing tactics","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the medicine list to continue treatment safely","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Home doctor may need images for any follow-up care","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Home doctor and patient need a named contact for complications","document":"named doctor's contact 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