Considering 360 vaser lipo. A huge concern for me is skin discoloration after treatment. (photos)

Done properly, vaser lipo should not cause any change in skin color. If the vaser is done too superficially, it can cause some discoloration. The way to avoid this is to consult with an experience vaser surgeon who knows how to properly use the technology. As always, be sure to carefully research the doctor doing your procedure to increase the chance of having a favorable outcome.

if you have loose skin you must do skin removal and/or internal heating. otherwise yes vaser will be very helpful and you shouldn't get discoloration if you go to an expert.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Thank you for your question and photos. Based on these photos, you are a great candidate for VASER Hi Def Lipo 360 (VHD). This is a revealing liposuction and not just fat reduction. It will give you an hourglass figure with an athletic youthful figure. As a Total Definer Grand Master, I trained with Dr. Hoyos the inventor of the VHD technique. I use stealth incisions and skin protectors so there's no sign that surgery was ever done. Skin discoloration can happen if the VASER probe gets too close to the underside of the dermis, these are usually temporary, but can last up to a year.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
See attached web reference.

Great question. VASER, on its own, should not create any discoloration to your skin. VASER uses ultrasound guided energy to emulsify (or liquify) the fat. The steady and constant movement of the probes in a fanning motion minimize the risk of thermal or burn injury to the overlying skin.
In reviewing your body habitus, you are an ideal candidate for VASER assisted liposculpting- and could undergo abdominal etching should you desire. In my practice, I would recommend the addition of Renuvion J plasma or BodyTite to also help reduce skin laxity, and to help tighten the skin.
Hope this helps.
-Dr. Satey

I think skin discoloration should be pretty low on the list of realistic things to be worried about.

Personally I think patients number one concern should be not getting botched.

I have a list of recommendations to minimize the chance of this happening.

I also wouldn’t worry about the form of Liposuction VASER versus any other format.

Getting an accurate an honest assessment from an experienced board-certified plastic surgeon is key in knowing ahead of time what kind of results you should expect.

The best way to ensure good results and minimizing the chance of disfigurement is to be in the hands of the most talented and experienced board-certified plastic surgeon who particularly has expertise in Liposuction beyond what the normal plastic surgeon will claim

To do this I suggest having exclusively in person consultations starting with a minimum of five consultations.

During consultations ask the provider to show all their before and after pictures for the specific procedure in question. In your case Liposuction of the full torso and arms.

An experienced plastic surgeon should have no difficulty showing you a minimum of 20 before and after pictures of both the torso and of the arms.

This means they should be able to whip up 40 before and after pictures for these two areas.

A very experienced plastic surgeon should have several hundred before and after pictures for this procedure of these two areas.

The goal is not to see the best results that surgeon has managed to get throughout their career. It’s to get an idea of what the average results look like.

Asking to see all the surgeons before and after pictures also give us confirmation of how many of these procedures the surgeon has actually performed.

I recommend reading all the reviews on the select plastic surgeon on various physician review websites.

Organic unmanipulated reviews tend to fall fairly equally among different physician review websites.

A clinic that has an excessive number of Reviews on only one website is a bit suspect in my opinion for Review manipulation.

I wouldn’t worry about how many reviews a provider has unless it’s less than 10.

I would however not consider any provider that has more than three justified negative reviews consistently on various review websites.

When I look at the review profiles of the plastic surgeons I have the most respect for they all have the same characteristic of not having negative reviews posted about them.

We all have patients who aren’t all always content. Every plastic surgeon has had complications.

The ability to manage these patients correctly to avoid negative reviews is what separates the truly great from average.

The two single variables that matter for this procedure are the individual candidacy of the patient together with the skill and experience of the surgeon.

The equipment is irrelevant, pretty much everything else is irrelevant.

Long-term skin discoloration’s happen very rarely from Liposuction. It can happen when patients are extremely bruised which typically only happens from poor surgical technique.

It can also happen the very rarely from dermal physical injuries which is also related to poor surgical technique.

I suggest having a few in person consultations with providers in your area.

This procedure will irreversibly change your body for the rest of your life.

I suggest Following the above recommendations for finding the best provider in your area.

Best,

Mats Hagstrom MD

Dear Jean,
You are a great candidate for liposuction and liposculpting. I recommend a combination of water assisted liposuction with power assisted and ultrasound assisted liposuction. The combination of technologies is much better than any one alone.
Best. Dr Brecht
Seattle, Wa