Hi, thanks for your question. Both Vaserlipo and power-assisted liposuction (PAL) are effective methods for removing excess fat from the body, including in individuals with an athletic body. Vaserlipo (Vaser liposuction), utilizes ultrasound technology to break up and liquefy fat cells before they are removed from the body. This technique is known for its ability to selectively target fat while minimizing damage to surrounding tissues, nerves, and blood vessels. It can provide precise sculpting and contouring, making it a popular choice for individuals who want to enhance the definition of their muscles and achieve a more athletic appearance. Power-assisted liposuction (PAL), on the other hand, uses a specialized vibrating cannula to facilitate the removal of fat cells. The vibrating motion of the cannula helps to dislodge the fat cells, making the procedure potentially more efficient and reducing the physical effort required by the surgeon. PAL can be particularly useful for treating areas with dense or fibrous fat, improving the surgeon's control and precision during the procedure. In my clinical practice I use both methods in order to remove the fat but also create body contouring, improve the waistline and middle to high definition Vaser ( if the patient is a good candidate for this). My preferred method involves circumferential body Vaser liposuction (360-degree approach) and Renuvion/J plasma or Bodytite/Morpheus 8 which is an excellent option for women or men who want to improve their body contour and silhouette and tighten the skin. Before undergoing Vaser liposuction, it's essential to have a preoperative assessment to determine if you are a suitable candidate. Factors such as a BMI less than 30-32, overall health, and medications you are taking will be evaluated. It's important to note that liposuction is not a weight loss procedure and should not be used as a substitute for a healthy diet and regular exercise. I would suggest to make an appointment with a surgeon expert in body contouring and skin tightening who can assess your specific situation and recommend the best course of treatment for you. Hope this helps, All the best, Dr Giuseppe Fiore