Liposuction 2018. What is the most advanced (least downtime) technique used by surgeons?

Thank you for your question. I'm not sure what your goal is. Do you want maximum results with minimal downtime? That will not happen. Little procedure equal little result. You also have to understand the difference between liposuction (reduce fat only) or body sculpting which brings out the muscle anatomy of body and extremities. I never used Coolsculpting. This is a machine that leads to mass fat death or necrosis by freezing. Does not sculpt, it is just a cool name for the machine (no pun intended). I used the Tickle lipo and Micro Aire's PAL and both are OK for liposuction. I prefer to use the VASER Hi Def Lipo technique for body sculpting. It can give you the best long term results in the hands of the appropriately trained surgeon. Not everyone using a VASER does know how to get the maximum benefit. You can gather that from some of the posts, that there's no difference (?). The reason is that most surgeons do fat reduction surgery only, have no experience in sculpting, have no experience with patients who had 2 or 3 liposuction procedures before. That is when the VASER is invaluable. But again, it is not enough to get the machine, one should be able to use to its maximum ability.In my practice, 20% or more of my patients are redo liposuction cases. Most of them from places where the surgeon has no advanced knowledge beyond the basic tumescent technique. Many already had "touch up" liposuction from the same surgeon. More scarring, more difficult to treat. Liposuction is many times the step child of plastic surgery. Most surgeons find it as an adjunct to other procedures they do, i.e. tummy tuck. If one does a tummy tuck only without liposculpting and fat grafting areas that need them, even the best tummy tuck will leave you looking like Sponge Bob. Flat, but no feminine shape or hourglass figure.Good luck with your search.

The gold standard is tumescent liposuction with sedation.  Anything else involves same with added heat to burn the fat prior to suction or radio frequency etc that lengthens the duration of procedure adds risks and due to additional energy even lengthens healing with no added advantage to result but possible additional costs.  Based on evidence based studies published in journal of Plastic and Reconstructive Surgery still gold standard remains tumescent liposuction.   Based on my experience on performing lipo past 20 years and in our center Plastic Surgery Center of Beverly Hills where lipo has been performed for 40 years we have seen many machines and cliche instruments etc but gold standard still is the same.