Vaser vs Tummy Tuck: should I try Vaser first? (Photo)

Hello Lucian0,

Thanks for your photos and questions! First, I would recommend you consult your surgeon to determine if you are a good candidate for VASER Liposuction before considering having an abdominoplasty (tummy tuck) done. In the case you are indeed a good candidate, the excess fat can be removed from multiple areas, such as arms, back, abs, and flanks, leaving the surrounding nerves, blood vessels and connective tissue unaffected. 4D VASER High-Definition Liposuction is the safer and more effective procedure if you want to eliminate the fat while tightening the skin at the same time. It is clinically proven to cause up to 53% skin retraction relative to standard liposuction procedures. Maximum results will typically take 4-6 months to show. In the best-case scenario, your skin would retract as much as you’ve desired and you wouldn’t need to perform a tummy tuck afterwards. Best wishes! Dr. De La Cruz.       

hello lucian0  Vaser is better done when you are very close to your desired look, in other cases it can be done with other body contouring procedure like tummy tuck. You should visit your plastic surgeon  for the best way to go about your procedure. #options #belly

I would favour Vaser liposuction in your case over abdominoplasty.  The hip/iliac crest will be improved and you can expect a reasonable amount of skin tightening over the lower abdomen with the Vaser effect.  
A full abdominoplasty will leave you with usually higher costs with permanent scars around the belly button and lower abdomen as a trade off for some improved degree of skin tightening. Even with a full abdominoplasty, you will have some rolls over the abdomen when you sit and lean forward.  Men generally do not need the other benefit of abdominoplasty which is repair of the diastasis recti.  
Vaser lipo could give you reasonable correction around the abdomen and hips for much less of the incisional scar.  Liposuction can cause contour irregularity and skin thickening/scar so make sure you see a reliable local ABPS/ASAPS Plastic Surgeon.  
It is interesting that one Vaser surgeon recommended against the procedure and the other was lukewarm in your case.  Perhaps the photos do not show the whole picture.  This can be an issue with going by advice from online forums based on patient submitted photos since there is no substitute for an in-person clinical evaluation to give you the best advice.  Surgeons also vary in their experience and  comfort with various options and this will impact their recommendations.