Is Abdominal Etching higher risk than traditional liposuction? Abdominal etching involves artistry and finesse to produce a six pack, so I focus on producing natural attractive contours that are etched according to your pre-existing anatomy ,that simply is covered by a thick blanket of fat. Often Vaser or ultrasound assisted liposuction is introduced to emulsify fat. Traditional liposuction removes the thicker deep layer of fat, especially in the lower abdomen. Then gentle high definition liposculpture is required in the more constant thickness superficial layer to generate bilateral semilunar crescents , six pack intersections, and mid-line linea alba, removing fat artistically to sculpt these areas into a natural looking contour. With abdominal etching, all the risks of traditional liposuction exist, which responsible plastic surgeons review in detail, including but not limited to infection, bleeding, seroma, necrosis, thromboembolism, pulmonary embolism, and perforation. Additional risks introduced with Vaser or ultrasound relate principally to burns on the skin surface, around the portal of entry, or on the undersurface of the skin from excessive heat from the probe. Finally the risks of superficial liposculpture fall principally into the contour asymmetries or worse unnatural looking results. Proper safety guidelines help minimize risks, starting with proper patient selection and medical clearance. At the end of the day, it’s critical that anyone contemplating abdominal etching have an individualized consultation with a board certified plastic surgeon whose aesthetic perspective, personality, educational background, talent, training and experience (with your special needs and wants) makes you comfortable, and you believe can help you achieve your aesthetic goals I wish you well in achieving your desired six-pack abdominal contouring result! Joseph Pober, MD,FACS Harvard - Trained Plastic Surgeon