I tell my patients that the short answer to that question is that the FDA does not allow “long term” results to be defined as “permanent.” For example, liposuction with Vaser is well known to permanently destroy the fat cells while sparing the nerves, blood vessels, collagen, and lymphatic tissues. VASER® Shape, however, is what I consider to be the most efficacious, non-operative body contouring shape device. By using transcutaneous dual head ultrasound, we have good electron microscopy that demonstrates that the fat cell, which looks like a grape under the microscope, looks like a raisin after treatment and stays in that shape for a long time after treatment. Currently, we have data from both Italy and Germany using the same wavelengths of ultrasound, that preserved the patient’s long term results at 2 to 4 years. In America, the early results are clearly being demonstrated that they last as long as the patient maintains their weight. So, yes Virginia, there is a Santa Claus!