Skinny but still have stubborn fat and I want ab etching. What procedure should I go for? (Photo)

22/no kids/5'4/118lbs Liposculpture, cool sculpting, etc...what should I go for?

Doctor Answers 8

Vaser hi def lipo 4d

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



Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

What makes a patient a good candidate for abdominal etching?

Abdominal etching is a really popular subset of liposuction in my practice. This is a form of high definition liposculpture that can be done by carefully etching out small amounts of superficial fat along the patient's anatomic lines. To get a great result, the important things are to 1) only work with a board certified plastic surgeon. This is a delicate form of liposuction and you need someone with the experience and tool set to acoomplish this. 2) Take a look at the doctor's work. Call the office, explain what you are looking for and ask for similar patients.3) Make sure that your doctor is using the right tools. Just like you wouldn't paint a portrait with a paint gun, you need a doctor that offers different types of liposuction to meet all of your needs and take out the fat effectively and cleanly. 
When we do abdominal etching, we typically use 3 to 4 different types of liposuction to create the correct thickness of abdominal fat and then to etch around each bony landmark, muscle line, and tendon transcription. You have great skin and are in wonderful shape. Make sure you work with an ABPS board certified plastic surgeon with the correct tools and a lot of experience and you will get a terrific long lasting result. :)

Pat Pazmino, MD, FACS
Miami Plastic Surgeon
4.7 out of 5 stars 108 reviews

Etching and Lipo

The first photo shows a patient with very little body fat in her core. She is probably in the 4-8% body fat range.  Though liposuction and abdominal etching will improve your contour, the end result will probably not look this lean and defined. 

Marc Schneider, MD
Fort Myers Plastic Surgeon
4.5 out of 5 stars 25 reviews

Abdominal etching

You seem to be a great candidate for abdominal etching procedures using liposuction. I think it will give you the contour and definition you are looking for. Best of luck!


Surjit S. Rai, MD 

Dallas Plastic Surgeon 

Surjit S. Rai, MD
Dallas Physician
5.0 out of 5 stars 6 reviews


Hello, That's a great question!

You have a beautiful frame a for HD  Lipo, HD Liposculture is an advanced body sculpting technique that creates an athletic, sculpted appearance. It works through the removal of both
superficial and deep fat that surrounds muscle groups to enchance the
visibility of underlying toning and musculature. The best way to assess and give true advice would be an in-person exam.  Please see an osteopathic (MD with enhanced body contour/function training) board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.  I wish you well through your procedure and recovery process,

Dr. James S McAdoo DO FACOS

  •  20 years experience 
  • 33,000 cases
  • AOA board-certified plastic surgeon 

James S. McAdoo, DO, FACOS
Aventura Plastic Surgeon
4.2 out of 5 stars 324 reviews

Beverly Hills Abdominal Etching

Hello and thank you for the question.In review of your photos, if you are looking to achieve a significant amount of definition with optimal results, I would recommend the following:  A combination of Vaserlipo, Power X, and Power-Assisted high-definition lipoplasty with strategic fat-transfer to augment the appearance of rectus abdominis musculature. Depending on your native skin tone, you may also require ThermiRF.Due to the nature of complexity of the procedure and subsequent extended OR times, these procedures can tend to get pricey as compared to conventional lipoplasty. The results are indeed extraordinary, however. Best of luck,Glenn Vallecillos, MD, FACS

Glenn Vallecillos, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 31 reviews


Liposuction could etch well. An alternative would be cold sculpting which would be less etching but would be less of recovery.

Howard S. Caplan, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 3 reviews

Ab etching

Thank you for submitting your question. Abdominal etching is for patients who want to get rid of the stubborn fat around their abdominal muscles to unveil and augment their natural contours depending on their goals. Be sure to find a board certified surgeon who performs over 100 procedures per year. 

Best of luck to you!Dr. Mentz

Henry Mentz, MD, FACS
Houston Plastic Surgeon
4.4 out of 5 stars 35 reviews

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.