Hello, canthopexy, and thank you for your question about how abdominal etching differs from regular liposuction. Thank you for your history and your interesting question. Abdominal etching is quite different than regular liposuction. During traditional liposuction, tumescent fluid is infiltrated to minimize intra- and postoperative pain and bleeding. Then, a cannula or medical-grade straw is inserted, and fat is removed. Traditional liposuction is the removal of excess fat. No sculpting is performed. Muscles are not sculpted. Abdominal etching is quite different. Abdominal etching aggressively removes more fat and sculpts the muscles—specifically the rectus abdominis muscle bellies. The vertical linea alba and semilunaris lines are meticulously dissected with the lipo cannula. Additionally, the horizontal insertions are also sculpted. Some plastic surgeons inject the removed fat into the rectus muscle bellies for more muscle definition. The best tool to achieve abdominal etching is with the VASER. The VASER leads to less swelling, less bleeding, and maximum results. These facts are substantiated in the medical literature. In terms of cost, some plastic surgeons charge extra for abdominal etching. The VASER machine is a very expensive investment and expensive to rent. The VASER cannula is also very expensive. Also, there is additional training required to use the VASER properly. Therefore, these costs may be transferred to the patient. Also, because the VASER procedure takes longer to perform than traditional liposuction, these additional fees for OR, anesthesia and surgeon's time are passed to the patient. In addition, most experienced certified plastic surgeons specializing in VASER high-definition liposuction require you to wear a special compression vest. This helps to minimize skin rippling and maximize results. The post-VASER lipo vest costs more than a traditional lipo garment. I hope this helps answer your question regarding how abdominal etching differs from regular liposuction. The VASER procedure takes about two to three hours to complete. VASER HI DEF can be performed under IV sedation or general anesthesia. Most plastic surgeons prefer general anesthesia because more fat can be removed safely, Also, general anesthesia is less painful compared to IV sedation. Plan for a 10-day recovery. I hope I have answered your question regarding traditional Lipo360 versus VASER Ab Etching. Since VASER HI DEF liposuction is a specialized procedure, please seek an experienced, board-certified plastic surgeon with significant experience in VASER HI DEF liposuction. Do your research. Look at their website. Look at their reviews on RealSelf. If you cannot find an experienced, VASER HI DEF liposuction plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)