Which would you recommend; Tickle Lipo vs. Vaser Liposuction?

Hi, it is hard to assess without photos or in person examination. Best to find a board-certified plastic surgeon who has extensive experience on both procedures. Discuss realistic expectations and options for your case. As for the comparison, I believe it is easier to
sculpt and contour the body with #Vaser. You can even add a fat transfer
procedure after. Common uses are for breast augmentation and
Brazilian buttock lift depending on the amount of fat harvested. Best of luck!#RealSelf100

Thanks for your question. The type of lipo used is really a surgeon's preference. Both Tickle lipo and VASER lipo can be performed under tumescent anesthesia, fully awake, as an in-office procedure...pain free. The post op pain your experiencing depends on the amount of work done, your personal pain tolerance, post-op issues such as seromas, etc.If you're wanting Hi Definition Lipo with Fat transfer then VASER is the better tool. This would require anesthesia in an OR. Tickle lipo can't be used for Hi Def. 

Most promotional videos that highlight a specific technology are naturally the best of cases and the best of patients. All technologies appear fantastic and completely painless with beautiful results. The reality is that they are merely tools and are only as good as the surgeon using them. You can experience comfort or pain after any style of liposuction and it might not have anything to do with the quality of the work, but rather with the amount of work that was required to treat you. Tickle lipo and Vaser lipo can both be done under local anesthesia.

I suggest you decide what type of liposuction you want.  Etching/ contouring / full body shaping or just small amount of fat reduction.  VASER can give you body shaping and full body contouring, tickle cant.  Best, Dr. Emer.

As far as having the liposuction procedure locally, you can have both done locally. As far as pain is concerned, it will depend on many factors least of all the type of machine used.

Both VASER and Tickle can be done under local anesthesia, otherwise known as tumescent anesthesia AND both can be performed PAIN FREE.
Post-operative discomfort is normal from any procedure. And every one has a different degree of how they rate that discomfort. The fact that your last procedure was on your buttock, and typically we sit a good portion of our day, probably made it worse for you.
With that said, when I compare ( since I have used both)  the technology behind VASER vs the technology behind Tickle, I feel that there is much more trauma inflicted on the tissue with VASER vs Tickle. If you follow that logic, the more trauma the more inflammation you will have. In the healing process your body will release more chemicals that sensitizes you to the pain. By far, Tickle patients tell me their recovery was like doing an intense workout at the gym; they are quite sore. Over 8 years and thousands of Tickle lipo cases later, I have only heard of handful of patients describe their post-operative experience as painful.
Hope this helps,
Dr. Z