Hi-Def Liposuction (4D Body Contouring)

Gaining weight or having an overweight body is one of the biggest problems of modern people. Male and female body gain weight from different regions due to genetic and hormonal reasons. Women usually gain weight from the lower abdomen, stomach and legs, while men gain weight from the upper body and abdomen.


In, Vaser liposuction method ultrasound waves are used only to damage to the fat tissue. As the fatty tissue becomes liquid, the veins, nerves and connective tissues around the fat tissue are not damaged, thus, less bruising and a faster recovery are seen after surgery. The fats melted by Vaser method are removed from the body by vibrating cannulas in PAL method. By this means, irregularities and fluctuations in the skin previously seen after the liposuction are prevented.


In body contouring, also known as Hi-Def or 4D, it is possible to have a more athletic body structure close to the normal weight but with regional fat deposition.



It is possible to obtain a six-pack image by contouring the fat in the abdomen by using Hi-Def (4D) body contouring method. In order to provide balanced body look in the patient whose abdomen is made more muscled and thinner, a muscular body look can be provide by fat injections to the chest, arms and shoulders.


Hi-Def in Women (4D) body contouring process can be given an athletic appearance to the abdomen, thigh and back area can be thinned and a suitable body shape can be obtained. Fats taken from other parts of the body are injected into the butt to obtain a thinner waist and wider and rounded hips.


In my patients, I perform Hi-Def (4D) body contouring surgeries by using Vaser and PAL methods together. In this way, I would like to minimize the irregularities that may occur after the surgery and achieve a faster recovery time and a better body contouring.


How does VASER work?

The VASER ultrasound is a small probe that transmits sound energy to break up and emulsify fatty tissue on contact while preserving the other important surrounding tissues. The VASER ultrasound affects the body in three steps. First, a saline solution or tumescent fluid mixed with an anesthetic will be injected into the targeted area. Then, ultrasound probes will be inserted into the skin through a small incision to break up the fatty tissue. Later on, the fatty tissue will gently start to break apart, and a cannula will be used to vacuum out the fatty tissue and most of the fluid through the same port.


 What is the difference between VASER lipo and standard liposuction?

In standard liposuction, the fatty tissue breaks apart mechanically with the support of cannula. As this process is highly mechanical, it might not have a homogenous appearance. In vaser liposuction, fatty tissues are broken apart with an ultrasonic device named Vaser. Then, liquid fat is removed by cannulas. Thus, the appearance will be more homogenous and flat. Besides, Vaser liposuction provides heat under the skin. This helps tighten the skin instead of sagging skin.


What areas of the body can liposuction treat?

Fat between skin and muscles are removed by liposuction. Except the fat in the abdomen, the fat in almost all parts of the body can be removed by liposuction.



What is the maximum amount of fat removed during VASER liposuction?

Maximum amount of fat removed during liposuction is equal to 10% of the patient’s body weight. However, the removed fat is measured in liters instead of kilograms. For example, a maximum 7 liters of fat can be removed from a patient, who weighs 70kilograms.


Does VASER liposuction only remove fat cells?

VASER liposuction does not only remove fat cells but also liquid used before liposuction and blood. Before liposuction, epinephrine in solution is injected to help reduce blood loss. Some amount of this solution is absorbed by the body while remaining is removed together with fat.


What are the most popular areas for liposuction among women?

Abdomen, waist and flanks (love handles) are among the most popular areas for liposuction among women. Especially the fat around the bra line bothers women patients. Also, upper arms, legs and thighs are highly preferred areas to undergo liposuction. In recent years, jowl liposuction is becoming popular as well. Jowl liposuction is highly efficient for reshaping and contouring neck and jaw lines.


What are the most popular areas for liposuction among men?

Fat is deposited on the trunk among men. For this reason, gynecomastia, abdomen, waist and love handles are the most popular areas for liposuction among men.


How long should the patient wear a corset after the surgery?

It is recommended to wear a corset for 6 weeks. Wearing a corset helps liquid retention by covering the skin tight. It also helps stick loose skin with the tissues.


How long after the surgery can the patient see the final results?

After Vaser liposuction, the patient will have swelling. It takes around 2 months for the swelling to leave the body. After 2 months, the patient can see the final result by 80%. In fact, fat cells continue breaking apart and skin continues dwindling. For this reason, it may take up to 1 year for the patient to see the ultimate result.


How long after the surgery can the patients return to normal daily life?

Depending on the size of the surgical areas, the patients can return to daily life after 10 days.


How long after the surgery can the patients start doing workout?

The patient can start doing cardio exercises in the second week after the surgery. Doing workouts and diets free from salt and carbohydrates help eliminate swelling from the body. After 4-6 weeks, the patients can get back to their normal workout routine.


Do the patients gain weight in the same area where they had liposuction?

The number of fatty cells in liposuction areas decreases. Thus, in case of weight increase, the patients will gain less weight on the liposuction areas.


If I gain weight after liposuction, do I put on more on the areas where I did not have liposuction?

This is one of the most frequently asked questions. Gaining weight is related to body types and hormones. You always gain weight on the same areas of your body. So, before liposuction, where you put on weight will be the same area that will enlarge when you gain weight in the post-liposuction period.  The fatty cells have unlimited potential for growth. If you start gaining weight and continue gaining more, the number of fatty cells in the liposuction area will start increasing.


Is it possible to combine VASER liposuction with BBL (Brazilian butt lift)?

BBL is one of the most popular surgeries among women. The patients also require reshaping the body. For this reason, vaser liposuction is combined with BBL. These patients usually get thinned by undergoing vaser liposuction in the abdomen, love handles, and waist areas. Fat stores, which are removed from these areas, are transferred to buttocks during BBL surgery. As a result, the patients will have thinner waists and larger buttocks.


Should I get a lymphatic massage after VASER liposuction?

Lymphatic massage helps much during recovery from liposuction. Lymphatic massage can be applied either by hand or device. In the early post-surgical period, we recommend getting a lymphatic massage by hand. Especially after removing the surgical scar dressing, the first massage is given by our nurses. Later on, receiving lymphatic massage for 2-3 times a week helps speed up the recovery process as well as provide an aesthetic and contoured appearance.


Can I have cold lipolysis or other thinning techniques after VASER liposuction?

There is no drawback of using any external thinning devices or methods after Vaser liposuction. Instead, these techniques will help you have a more contoured look.

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