What is best for removing fat from back flanks, stomach and butt shaping? Lipo or Elite Airsculpt? (photo)

you will need VASER Lipo 360 plus internal heating and it seems like you need skin removal on the front for loose skin. traditional liposuction / air sculpt are the same thing and will not give you a good result.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Hi doingmeup

Fat removal surgery is a terrific treatment for those who are at an ideal weight, but have troublesome areas of fat that are difficult to rid with even the most healthy lifestyle.

Women and men interested in liposuction should have healthy skin because liposuction is not a treatment for stretched-out skin. For more information about this procedure, please visit our website.

The areas are sculpted as the patient desires. The results depend very little on the method used and very much on the board certified plastic surgeon selected. The patient must have adequate skin elasticity to allow for skin retraction after surgery. This factor is the most important element to good results aside from technical proficiency of the surgeon and the patient’s ability to follow the postoperative guidelines.
If the waist was smaller at one time, the waist can likely be reduced through liposuction of the abdomen, flanks, back, and love handles to those same measurements or smaller provided the muscular and fascial integrity has remained the same. Consult via email, Skype, or in person with a board certified PS who is an liposuction expert.

Like so many others, device manufacturers (and the surgeons that buy them) want you to think that it's the machine that matters. It is not. It's the surgeon's training, skill, and most of all experience.

Based on your one photo, you may be an ideal candidate for liposuction. In my 25 years of liposuction experience, I have found that the skill and aesthetic eye of the surgeon and the quality of the patient's skin is much more important than the type of liposuction performed. I've seen multiple new liposuction technologies come out claiming that their machine and/or technique is superior to anything else on the market, but none have ever been proven to be better or worse the others in getting an outstanding results. Yes, they all do it a little differently, but in controlled clinical studies that are not funded by the company making the machines, none has shown a difference in healing, bruising, skin tightening or postoperative pain. Airsculpt is another one of the newest fads in liposuction technology with heavy advertising and clinics popping up in cities all over the country. I don't know of any studies comparing it to other technologies to prove that it is any better or worse.

As I originally stated, patient selection (making sure that you are a good candidate for liposuction) and experience and expertise of your surgeon are much more important factors that you should consider when deciding on having liposuction.

Dear doingmeup,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from liposuction. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

At 58yo, liposuction is unlikely to get a great result as a stand alone treatment. You probably need an abdominoplasty (tummy tuck) for contouring your abdomen with some liposuction of adjacent areas. FWIW, “Airsculpting” is just silly name for liposuction and will not do anything that standard liposuction techniques of 40 years ago.

Thanks for your question. The bottom line is that no modality of liposuction (power, laser, ultrasound, water jet assist, etc) has been definitively shown to be superior over any other. All technology is only as good as the human being controlling it. The important thing is that you are comfortable after consultation with a board-certified plastic surgeon then leave to them the decision of what modality works best in their hands.Best of luck!Sincerely,
John David Rosdeutscher, M.D.

Thank you for your question. The type of liposuction does not produce the end result. The end result is based on the expertise of your surgeon. That being said a surgeon who has excellent body contouring techniques can utilize any type of liposuction to obtain the body you desire. I recommend consulting with a board-certified plastic surgeon in your area who is also a member of the American Society of aesthetic plastic surgeons. Best of luck with your consultation

You would benefit from 360 lipo using high definition VASER liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee