Is 4 liters an appropriate amount of aspirate/fat removed from Vaser Lipo to pecs, flanks, love handles, arms and inner thighs?

Thank you for your question; it's a bit of a "loaded" one, in that there really is not a definite answer.  Most liposuction cases on appropriate patients result in removal of 1-3 liters of fat.  Of course, the amount will depend upon many variables: the BMI of the patient, the amount of subcutaneous fat (as opposed to visceral fat, which cannot be liposuctioned), present, the total surface area of the body being treated, and the aggressiveness of the surgeon.  "More" does not equal "better."  I tell all my patients that my goal is to get it "just right" the first time; but if I had to make an error, I would rather leave too much fat behind than to take out too much.  One can always take a little more out, but if you're left with unnatural-appearing divots, ruts, and indentations in the treated area, that is nearly impossible to totally "fix" and is not an easy thing to do.  With that said, I cannot tell you if 4 liters is going to be too much.  From your description of yourself as 6' tall and 179, that seems like more than I would expect.  Maybe it was 4 liters of total aspirate? ("Aspirate" means, "all stuff that is sucked out," which includes fat, numbing fluid, and a little blood.)  The fat settles on top of the fluid and blood, because it is lighter and floats on the watery component of the aspirate.  In most cases, the fat portion of the aspirate is approximately double the fluid volume, but this is quite variable from one patient to the next.  In some patients, I will get almost 100% fat and very little fluid (I love it when that happens!), whereas in others, it can be 80% fluid and 20% fat.  The latter can be frustrating for both patients and doctors and has to do with how fibrous or "tightly-held" the fat is.  This is mostly a function of genetics, but I have also found that younger patients, male patients, and more physically-fit patients tend to have more fibrous fat.  The same is true of those who have had previous liposuction of the area being treated, due to scar tissue (just another form of tough collagen fibers that trap the fat).  I would bet that the 4 liters refers to total aspirate, but maybe not.  Time will tell - you will be swollen for several months, so it will not be until the swelling subsides that you will know if you were "overdone."  If you had an experienced surgeon, who does many of these cases, then most likely, you will look great.  Keep us posted with follow up photos, please.

Vaser liposuction removes fat comprehensively and to the desired amount. What you need to worry about is your outcome not the volume removed.  I have removed up to 8 Liters before from not so obese patients. 4 Liters is very routine for us Vaser surgeons !