Vaser Lipo, otherwise known as Liposelection, uses low frequency ultrasound waves to emulsify fat and tighten skin. The procedure may be performed in the office under a local anesthetic and involves three steps: Tumescent anesthesia is applied witth a gentle pump that slowly infiltrates Lidocaine with Epinephrine and saline to freeze the area involved. A small ultrasound probe is then inserted into the area to emulsify the fat. All of the fat is aspirated and permanently removed from the body. Smart Lipo is a laser system that uses a needle the size of an IV. catheter with a fiberoptic wire that transmits a 1064 wavelength ND-Yag signal to melt fat and tighten skin. In some regions, such as Europe, the fat is not even removed from the body. This system alone can not remove the fat, therefore it must be combined with some sort of liposuction system. The best combination is to perform vaser lipo and smart lipo together. The two systems are complementary together, providing even more fat melting and exceptional skin tightening. One system is not better than the other but the two partnered together offer amazing results. When searching for the best liposuction results find a board certified plastic surgeon who performs both smart lipo and liposelection by vaser.