Hi, Thank you for your question and photos. Vaser liposuction is a minimally invasive technique that utilizes ultrasound technology to break down fat cells. It is generally considered a safe procedure with a lower risk of bleeding compared to traditional liposuction techniques. However, it is important to note that liposuction is still a surgical procedure and carries certain risks. While it is impossible to predict with certainty whether a blood transfusion will be required, in my clinical practice, I always prioritize safety and take important measures to minimize the risk of excessive bleeding and the need for a transfusion. I thoroughly review my patients' medical history to identify any factors or medications that could increase the risk of bleeding during surgery. During the procedure, I use a generous amount of tumescent anesthesia solution to minimize bleeding and provide pain relief. Additionally, for patients like yourself, I review or request blood tests to check for anemia and prescribe iron tablets if necessary to further reduce the risk of a blood transfusion. I also implement other safety measures and medications during surgery to minimize the risk of bleeding. In similar cases, I conduct a detailed physical examination, discuss your specific situation, evaluate potential risks, and provide you with accurate information regarding the likelihood of needing a blood transfusion during the procedure. Based on my experience, when all these steps are properly followed and the right patient is selected, the risk of bleeding is very low. As a surgeon, it is my priority to develop an appropriate treatment plan that aligns with your wishes while ensuring your safety and well-being. I recommend consulting with a qualified and experienced surgeon who specializes in Vaser liposuction for fat removal and body contouring. They will be able to evaluate your individual case, provide you with various options, and create a tailored treatment plan based on your medical history and expectations. Sincerely, Dr. Giuseppe Fiore