Whats the difference between ab etching and liposculpture and 4D Def?

Am confused about those different techniques and i want to know which one has more result and lasts longer? And ofcourse looks real

Doctor Answers 4

Vaser hi def lipo 4d

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I appreciate your question.

Vaser assisted liposuction utilizes ultrasound to emulsify or melt felt prior to removal. It is also used to etch or define the muscles and normal anatomy to enhance the results. I use a specialized technique to remove the deeper fat areas and sculpt the superficial fat, so that one can achieve the goal of having not only a flatter stomach but also a more defined and curvaceous body if wanted. I can use this technique on the arms as well.

I also use the fat removed to graft into the pecs for men or breasts for women as well as into the arms and other areas to further enhance muscle definition.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery and high definition body contouring.


Best of luck!


Dr. Schwartz

Board Certified Plastic Surgeon



Liposculture has many different names - but results depend on both the patient and plastic surgeon

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This is a common question. Basically the labels of ab etching, liposculpture, and 4D or high def are interchangeable for many plastic surgeons. They generally refer to sculpting the "six pack".But its best to ask your surgeon how he personally defines these non-specific terms, especially in your specific case. 

It should be noted that this procedure requires properly selected and motivated liposuction candidates that have both the required physical and psychological profiles to get and maintain a lasting  "six pack" result.   In other words, the duration of the result  depends on the patient maintaining their preoperative diet and exercise routine for as long as they want their result to last.  Also, before undergoing successful liposculpture, it is recommended that a proper candidate has maintained their weight within 5 lbs with a regular diet and exercise routine for at least six months to one year preoperatively.  Gaining  over 5-10 lbs postoperative at any time will likely alter the result.

Following these peri-operative instructions will determine how long your results will look their best. The techniques for performing liposculpture include suction-assisted liposuction/liposculpture (SAL), ultrasound assisted liposuction (UAL),and power-assisted liposuction (PAL), depending on the preference of the plastic surgeon. None of these techniques can guarantee a longer lasting or more natural looking result. Its the talent, training and experience of the plastic surgeon that primarily determines the initial result for the properly selected patient. Then the patient's motivation primarily determines how long it will last. 

As in virtually all cases of plastic surgery, it is important to consult a board certified plastic surgeon with training and experience in the procedure of interest. Only a full history, physical exam, and occasionally radiologic studies are needed for a proper recommendation. 

Abdominal etching

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

All of these require VASER Lipo + Power X + J Plasma tools for superior results. You should expect high definition contouring of your abdomen with a six pack showing. The name of it is irrelevant, as people make up their own names all the time.

Arian Mowlavi, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 106 reviews

Different techniques of body contouring

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

one of the  commonest questions asked is the difference between 4D body contouring, hi-def and etching and conventional liposuction. its actually pretty easy once we understand the whole concept. i would begin by saying liposuction is the first step. it is simply removal of fat to give a better shape and remove as much of fat from the deep fat layers of the skin. A piece of information here is relevant, that fat in the skin is arranged in superficial and deep layers. liposuction should be done in the deep layers, since operating at the superficial layer level can produce complications like surface irregularity and seromas and sometimes burns. so in a way it is safe to say that where liposuction ends, body contouring begins. once the process of lipo is over, whether it be with manual suction assisted, power assister, laser or VASER, body contouring surgeons then start the next phase of surgery which can take longer than the previous step. Please know that all lipo surgeons are not trained to perform 4D or hi-def surgery. I feel at the basic only Plastic surgeon should be consulted for this. i am not a big fan of Dermatologists doing Cosmetic surgery, chauvinistic though it may sound. in etching the surgeon simply sucks fat out in parallel layers from the superficial fat compartment to create adhesions between skin and underlying muscle layer. though this process gives a hint of a pack, it looks unnatural and underlying muscle appears to stand out differently. my view is that etching simply without concept of dynamicism and movement and 4 dimensional anatomy knowledge is wrong and should not be done

as we move towards more sophistication, we go to hi-def surgery. As a rule i feel this should only be done using the tool called VASER. no other energy provides the comfort, safety and better body contours . However VASER is a dangerous tech in untrained hands, It is prudent to ask your surgeon if he or she is trained in vaser. skin burns are very common in untrained hands and can be disasters. specially in redo cases, skin burn is common and needs a lot of extra care while using vaser. so hi-def starts to create packs using underlying anatomy to create the shape of the pack according to the shape of the muscle, thus moving the process towards a greater natural looking scenario, with lesser chances of being found out so to say

As the surgeon starts to learn further and gets perfect with this art, he or she starts to do what is 4D body contouring. SO 4 D body contouring creates movement, simply stated, the packs now appear to be dynamic and appear to move with the body movement making them beautifully natural.

today if anyone wants to do 6 pack , chest pack, or arm pack surgery, 4D contouring is the way to go, if my view is of any significance, to be done only with VASER. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.