Can Vaser Liposuction cause skin sagging? (photo)

Question

I am interested in vaser lipo because of the less downtime on my thighs and stomach. I am worried about sagging skin

J. Roberto Ramirez Gavidia, MD, FACS · Answer

Hello there! VASERlipo® utilizes ultrasound energy for minimally invasive aesthetic body contouring that yields results with less pain and downtime than traditional liposuction. As with any surgery, finding the right candidate for the procedure and a skilled surgeon to perform the surgery is imperative. Schedule a consultation to find out if VASERlipo® is right for you as well as to discuss risks, benefits, and alternatives to surgery! Best, Dr. RG.

Jason Emer, MD · Answer

Liposuction works best in combination with skin tightening treatments. When we perform liposuction to the lower legs, microcannulas are used to remove fat very superficially without damaging the tissue or causing any scars or irregularities. Multiple energy devices are used to melt fat and tighten skin, which is especially needed in this small, sensitive area. Precision and skill is vital to get the best outcomes.

Coolsculpting and Kybella are non-surgical options that can also be used for fat reduction in the knees.

I recommend getting a formal evaluation with an expert to determine the best course of treatment for you. Best, Dr. Emer

Coolsculpting and Kybella are non-surgical options that can also be used for fat reduction in the knees.

I recommend getting a formal evaluation with an expert to determine the best course of treatment for you. Best, Dr. Emer

Navjot Singh, MD, FACG · Answer

The Vaser device causes skin retraction. Sagging skin can occur after liposuction particularly when large amounts of fat are removed. However the evaluation of post liposuction laxity may take up to one year to assess how loose the skin remains after the procedure. Adding the Renuvion - "Skin Tightening" procedure may help tighten up the area of your concern.
Good luck

Arian Mowlavi, MD, FACS (license on probation) · Answer

A thorough evaluation of your skin laxity, muscle tone, and adiposity through a consult would be most beneficial to you. If liposuction is coupled with skin tightening technology, loose skin concerns can be addressed.

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

Mats Hagstrom, MD (license on probation) · Answer

Removing subcutaneous fat can create some skin compromise.

Generally speaking well done liposuction should not create skin laxity.

Certain areas respond better to liposuction than others. Inner thigh is an area that tends to not deliver results similar to our patients had hoped for and an attempt of getting quality results by being aggressive inner thigh Liposuction can lead to skin laxity issues or contour irregularities.

I suggest scheduling multiple in person consultations with local board-certified plastic surgeons who have extensive Liposuction experience. During consultations ask each provider to show their entire collection of before and after pictures of liposuction of the anatomic areas you’re interested in having treated.  An experienced provider should have a collection of before and after pictures that reads like a telephone book.

There is no particular advantage in recovery to using VASER.

From a patient’s perspective there really is no one single device that has any significant advantage over another.

The single variable that matters is who does the procedure not the equipment used to.

Choosing the most experience and talented provider regardless of what equipment they use is by far the most important decision you can make and I would focus on that exclusively.

Best,

Mats Hagstrom MD

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note moderate fat repositories involving the abdomen, flanks, hips, and thighs. I do not see significant stretch marks or hanging loose skin.
If one thinks of the skin as the rubber "skin" of an inflated balloon, one can remove some volume of air and there will not be wrinkling of the balloon envelope. But if too much is removed, the surface of the skin will begin to wrinkle and eventually sag. 
As you do not demonstrate significantly loose skin, it appears that you are a suitable candidate for vaser liposuction. 
Best wishes...

Kristine Brecht, MD (license suspended) · Answer

Dear Shel,
You are a great candidate for liposuction, Vaser or laser liposuction will give a bit of skin tightening, Renuvion jplasma in combination with Vaser liposuction  will give even better skin tightening through small incisions, no stitches needed, in my hands.
Happy NewYear!
DrBrecht 
Seattle, Wa

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