The skin envelope over a fat collection is an important factor in a successful liposuction procedure. When a liposuction is done, the overlying skin needs to contract to the new contour.

The VASER procedure uses internal ultrasound to liquefy the fat layer but also gives off heat and causes the overlying skin to contract. The VASER II head unit and probes are even better at promoting skin contraction.

In some instances, the overlying skin is moderately lax and we VASER for longer and apply the ultrasound closer to the skin. In addition, a longer application of a pressure garment is necessary to ensure good skin contraction in these patients.

When the skin is very lax, we advise against a liposuction and advise a “tuck” procedure to tighten the skin. The surgery is more complex but the results can be excellent.