VASER is a device that uses ultrasound energy to emulsify the fat. To review- in most areas of our bodies, our fat is divided into three layers: superficial, intermediate, and deep. As with all lipo procedures, we first start with the infiltration of tumescent solution. This allows for numbing, vasoconstriction (decreasing bleeding), and engorging the fat cells. What takes place next is the differentiating factor. Some surgeons will go straight into liposuctioning the fat. This is traditional lipo. It can be done either through the assistance of PAL (power. assisted lipo) which decreases the number of passes the surgeon has to make to remove the fat, or merely hand held lipo, which is just a cannula connected to a suction device. Fat removal is generally limited to deeper layers of the fat to avoid contour irregularities. Other surgeons, including myself, elect to use VASER prior to liposculpting, I am able to go through all layers of the fat, including the superficial layers, and can maximize my fat extraction. I can also introduce abdominal etching as well. I have great videos on my website that review these topics in much greater detail. In my practice, after tumescent, VASER, and lipo are completed, I then use Renuvion J Plasma or BodyTite to tighten the skin. Hope this helps! Warm regards, Dr. Satey