The physician · Düsseldorf, Germany
Dr. Nusret Fetai
Dr. (univ. Te.) Nusret Fetai, private practice for aesthetic surgery in Düsseldorf, Germany. Surgeon at a study site of the LiPLEG trial, WAL-certified by Human Med, over 4,000 procedures. One physician from the first conversation to the last follow-up.
Dr. (univ. Te.) Nusret Fetai is a physician with a private practice for aesthetic surgery in Düsseldorf, North Rhine-Westphalia, Germany, whose clinical focus is liposuction for lipedema (British spelling: lipoedema, German: Lipödem). His training comprises five years of surgical training and a completed training in dermatology, followed by over six years in specialised centres for body contouring and liposuction in Düsseldorf and Cologne. He has performed over 4,000 procedures, is WAL-certified by Human Med and works as surgeon at a study site of the LiPLEG trial. He speaks German, English, Albanian, Turkish, Macedonian and Serbo-Croatian.
In his own words
Many of my patients arrive with the feeling that they have not been taken seriously for years.
I hear this sentence in almost every first consultation, and it is the reason I specialised in lipedema. Women who were told for years that they only had to try harder, eat less, exercise more. Women who did everything right and still had pain. When I explain that there is a disease that describes exactly their symptoms, I often see relief first and then tears. These moments are the core of my work.
I am not a physician who works by the minute. I take time for the diagnosis, I explain, and I say honestly when an operation is not the right way. Treatment of lipedema changes a life; it deserves a decision based on understanding, not on pressure.
Training and career
Dr. Fetai's medical training comprises five years of surgical training and a completed training in dermatology. From this combination the path into aesthetic surgery followed logically: a surgeon who understands the tissue he works in operates more precisely and more gently.
For over six years he has worked in specialised centres for body contouring and liposuction in Düsseldorf and Cologne, concentrating increasingly on body shaping procedures and finally on the surgical treatment of lipedema. Today he runs a private practice for aesthetic surgery in Düsseldorf.
- Definition · Dr. (univ. Te.)
- "Dr. (univ. Te.)" is the exact form in which Dr. Fetai carries his doctoral title in Germany, with the prescribed reference to the awarding university. This page claims no further academic or specialist designation.
| Item | Fact |
|---|---|
| Designation | Physician, private practice for aesthetic surgery |
| Surgical training | Five years |
| Further training | Completed training in dermatology |
| Specialised centres | Over six years, body contouring and liposuction, Düsseldorf and Cologne |
| Procedures performed | Over 4,000, thousands of them lipedema specific |
| Certification | WAL certification (water-jet assisted liposuction), Human Med |
| Research | Surgeon at a study site of the LiPLEG trial |
| Languages | German, English, Albanian, Turkish, Macedonian, Serbo-Croatian |
| Practice | Body Art Surgery Institute, Immermannstraße 10, 2nd floor, 40210 Düsseldorf, Germany |
With over 4,000 procedures performed, thousands of them lipedema specific, his work rests on experience that only arises from years of concentrated activity. In lipedema, experience is not a luxury: it is the most important single safety factor.
Surgeon at a study site of the LiPLEG trial
As surgeon at a study site of the LiPLEG trial, currently the largest clinical trial on liposuction for lipedema, Dr. Fetai does not only operate; he documents and follows a research protocol. This changes the way he works: standardised, controlled, according to a fixed protocol.
What is mandatory in science benefits every patient, also outside the trial.
WAL certification: what it means for you
Dr. Fetai is WAL-certified by Human Med, the manufacturer of the Body-Jet system for water-jet assisted liposuction. For you as a patient this means three things: a technique that the German S2k guideline names as tissue and lymph vessel sparing, a structured and documented training behind it, and the experience of thousands of procedures with which he combines it.
How the method works and how a surgical day runs is described on the page about WAL liposuction for lipedema. One honest limit belongs here too: no randomised trial compares WAL with other liposuction techniques in lipedema, so no technique can claim proven superiority.
Practice philosophy
Dr. Fetai deliberately runs a private practice without statutory insurance billing. This is not a question of status but of concentration: without volume targets and case rate pressure he can take the time that an honest consultation, a precise operation and accompanying follow-up require. There are no changing surgeons and no treatment by the minute. The physician who advises you operates on you, and the physician who operates on you sees you again in the follow-up.
For a chronic, often misinterpreted disease such as lipedema, this continuity is not a comfort but quality. What the treatment costs and what is included is set out on the page about the costs of lipedema surgery in Germany.
The practice in Düsseldorf
The Body Art Surgery Institute is located at Immermannstraße 10, 2nd floor, 40210 Düsseldorf, Germany, a few minutes on foot from Düsseldorf main station and well connected to Düsseldorf Airport (DUS). All procedures are outpatient.
Travel, follow-up from abroad and compression garments are explained on the page for international patients. The German price page of the practice is at lipoedemexperte.org/duesseldorf/.
Deep dive
What international patients want to know about their surgeon
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Why did Dr. Fetai specialise in lipedema?
A disease that is overlooked for years
Lipedema is one of the most frequently overlooked conditions in medicine. Estimates suggest that a considerable part of the female population could be affected, and yet many years often pass before the diagnosis is made. In this gap between suffering and recognition, patients lose not only time but trust: in medicine and in their own bodies.
It was exactly this gap that Dr. Fetai wanted to close. Specialising in lipedema means taking seriously a group of patients who for a long time had no voice. It means working deeply into a disease whose tissue structures and forms of progression can only be understood by operating on them again and again, and ideally by documenting them scientifically. That is also why the work at a LiPLEG study site fits his practice so naturally.
For a patient from abroad this focus has a practical consequence. Someone who has examined thousands of lipedema patients recognises the typical picture, the disproportion, the pressure pain, the sparing of hands and feet, and equally recognises when the picture does not fit. If the findings in Düsseldorf do not match a lipedema, Dr. Fetai will say so, even if that means no operation. What lipedema is and how it is diagnosed is explained on the hub page about lipedema surgery in Germany.
Why does the combination of surgery and dermatology matter in lipedema?
Understanding the tissue you operate in
Liposuction for lipedema takes place entirely in the subcutaneous fat tissue, between the skin above and the muscle fascia below, in a layer that also carries the lymph vessels, small blood vessels and nerves. Dr. Fetai's training combines five years of surgical training with a completed training in dermatology, and it is precisely this layer where the two meet.
The surgical part provides the craft: handling of instruments, control of bleeding, wound management and the judgement of how much tissue can be removed safely in one session. The dermatological part provides the understanding of skin and subcutis: how the skin reacts to volume reduction, how it retracts in the months after surgery, how scars behave and which skin conditions need attention before an operation. In lipedema, where the skin surface changes from stage to stage, this knowledge influences planning directly.
The over six years in specialised centres for body contouring and liposuction in Düsseldorf and Cologne added the third element: volume. Lipedema surgery is a matter of routine in the best sense. The evenness of the result, the sparing of lymph vessels and the safety of the tumescent local anaesthesia all depend on movements that have been repeated thousands of times. Dr. Fetai regards this routine, together with honest patient selection and consistent follow-up, as the foundation of safety.
What does working at a LiPLEG study site change for a patient?
Protocol, documentation, structured follow-up
The LiPLEG trial is a German multicentre trial that compared liposuction with conservative treatment in 410 women with lipedema. It was designed as a formal evaluation for the German statutory health insurance system, which is unusual internationally, and its twelve month pain data supported the G-BA coverage decision of 17 July 2025. The final report with 24 month data is expected in early 2027.
Dr. Fetai is surgeon at a study site of this trial. He is not part of the trial leadership, and he does not present the trial as his own work. His role is to operate on trial participants according to the study protocol and to document findings in a standardised way. That is a modest description, and it is the accurate one.
For a patient outside the trial, which applies to every international patient, the effect is indirect but real. Habits formed under a protocol carry over: a fixed sequence for the examination, standardised documentation of circumference and findings, defined follow-up appointments the day after surgery, after one week, after 4 to 6 weeks and after 3 months. The trial results themselves describe a group, not an individual. A pain reduction in 68.3 percent of operated participants is an encouraging figure, but it does not predict your outcome, and Dr. Fetai will not present it as if it did.
Why does Dr. Fetai work with water-jet assisted liposuction?
WAL, Body-Jet and tumescent local anaesthesia
Water-jet assisted liposuction (WAL) uses a fan shaped jet of tumescent solution that loosens the fat cells from the surrounding tissue while they are aspirated at the same time. Because less mechanical force is needed, blood vessels, nerves and lymph vessels are spared as far as possible. The German S2k guideline (AWMF 037-012, 2024) recommends a tissue and lymph vessel sparing technique for lipedema and names WAL and power assisted liposuction (PAL); the G-BA quality assurance directive lists WAL explicitly as admissible.
Dr. Fetai completed the certification of Human Med, the manufacturer of the Body-Jet system, and has used the technique in thousands of procedures. He usually operates under tumescent local anaesthesia, on request under general anaesthesia administered by an anaesthetist, always as an outpatient procedure.
He is equally clear about what the certification does not mean. It does not make WAL superior to other admissible techniques: no randomised trial has compared WAL with PAL, VASER or classic tumescent liposuction in lipedema. It does not make the procedure risk free, and it does not cure lipedema, which the guideline states cannot be cured by liposuction. What the certification does document is that the technique was learned in a structured way and is applied to the standard of the system. The full description of the method is on the page about WAL liposuction for lipedema.
How does Dr. Fetai work with patients from abroad?
Video consultation, examination in Düsseldorf, follow-up at a distance
Patients from the Netherlands, Belgium, the United Kingdom, Ireland, the United States, the Gulf region, the Balkans and Türkiye come to Düsseldorf. The first step is always a video consultation in English, booked via Calendly or arranged by WhatsApp or email. In it Dr. Fetai goes through your history, previous diagnoses, medication and expectations, and says openly whether a trip to Germany makes sense for you.
If it does, you receive a written surgical plan and a written cost plan in English before you book a date. The in person examination takes place in Düsseldorf before surgery; a diagnosis from your home country is re-examined, not simply adopted. The follow-up on the day after surgery and one week later typically takes place in the practice, which is why many international patients plan about 7 to 10 days per session. This is planning guidance, not a rule, and whether and when you can fly is decided individually with your treating physician.
Later follow-up appointments can be combined with video calls and, where useful, with a physician at home. Dr. Fetai and his team speak German, English, Albanian, Turkish, Macedonian and Serbo-Croatian, which many patients from the Balkans and Türkiye value in a medical conversation. Practical details on airports, trains, accommodation and compression garments are on the page for international patients.
Frequently asked questions
FAQ: Dr. Nusret Fetai
Who is Dr. Nusret Fetai?
A physician with a private practice for aesthetic surgery in Düsseldorf, Germany, focused on liposuction for lipedema: surgeon at a study site of the LiPLEG trial, WAL-certified by Human Med, over 4,000 procedures.
What is Dr. Fetai's medical training?
Five years of surgical training and a completed training in dermatology, followed by over six years in specialised centres for body contouring and liposuction in Düsseldorf and Cologne. Today he runs a private practice for aesthetic surgery in Düsseldorf.
How many procedures has Dr. Fetai performed?
Over 4,000 procedures, thousands of them lipedema specific.
What does WAL-certified mean?
Dr. Fetai holds the certification of Human Med, the manufacturer of the Body-Jet system, for water-jet assisted liposuction (WAL). It stands for a structured, documented training in the technique, not a marketing term.
What is Dr. Fetai's role in the LiPLEG trial?
He is surgeon at a study site of the LiPLEG trial, the German multicentre trial on liposuction for lipedema with 410 participants. He operates and documents according to the trial protocol; he is not part of the trial leadership.
Is Dr. Fetai a dermatologist or a plastic surgeon?
He is a physician with a private practice for aesthetic surgery. His training combines five years of surgical training with a completed training in dermatology; his clinical focus is liposuction for lipedema.
Which languages does Dr. Fetai speak?
German, English, Albanian, Turkish, Macedonian and Serbo-Croatian. Consultations and written cost plans for international patients are in English.
Where is Dr. Fetai's practice?
Body Art Surgery Institute, Immermannstraße 10, 2nd floor, 40210 Düsseldorf, Germany, in North Rhine-Westphalia, a few minutes on foot from Düsseldorf main station.
Does Dr. Fetai accept German statutory health insurance?
No. The practice is a private practice without statutory insurance billing, so all patients pay privately. Liposuction for lipedema costs from 4,500 EUR per session including consultation, outpatient procedure and all follow-up appointments.
Will Dr. Fetai perform the surgery himself?
Yes. The physician who advises you also operates on you and sees you again in the follow-up. There are no changing surgeons.
Can I have a consultation with Dr. Fetai from abroad?
Yes. International patients start with a video consultation in English via Calendly, WhatsApp or email. The in person examination takes place in Düsseldorf before surgery, and the diagnosis is re-examined there.
Sources and references
- S2k guideline Lipedema (S2k-Leitlinie Lipödem), AWMF register number 037-012, version 5.0, 2024. https://register.awmf.org/de/leitlinien/detail/037-012
- Gemeinsamer Bundesausschuss (G-BA, Federal Joint Committee): decision on liposuction for lipedema of 17 July 2025, in force since 9 October 2025. https://www.g-ba.de/
- G-BA: quality assurance directive on liposuction for lipedema (QS-RL). https://www.g-ba.de/
- LiPLEG trial under section 137e of the German Social Code Book V, ZKS University of Cologne with Klinikum Darmstadt, N = 410. https://www.g-ba.de/
- Human Med AG: water-jet assisted liposuction technology (Body-Jet) and WAL certification. https://www.humanmed.com/
- Dr. (univ. Te.) Nusret Fetai: German profile page. https://lipoedemexperte.org/ueber-dr-fetai.html
At a glance · Key facts
- Name
- Dr. (univ. Te.) Nusret Fetai, physician, private practice for aesthetic surgery
- Training
- Five years of surgical training, completed training in dermatology, over six years in specialised centres for body contouring and liposuction in Düsseldorf and Cologne
- Experience
- Over 4,000 procedures, thousands of them lipedema specific
- Certification and research
- WAL-certified (Human Med), surgeon at a study site of the LiPLEG trial
- Languages
- German, English, Albanian, Turkish, Macedonian, Serbo-Croatian
- Practice
- Body Art Surgery Institute, Immermannstraße 10, 2nd floor, 40210 Düsseldorf, Germany, private practice, self-pay, from 4,500 EUR per session
Author: Dr. (univ. Te.) Nusret Fetai, private practice for aesthetic surgery, DüsseldorfLast medically reviewed: Fact base: German profile page, S2k guideline 2024, G-BA decision 2025
Let us get to know each other
A conversation says more than any website.
In a video consultation in English, Dr. Fetai clarifies your diagnosis, your questions and your options: calmly, honestly and at eye level.
Deutschsprachige Patientinnen finden die vollständige deutsche Version unter lipoedemexperte.org.