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Medications are administered for your comfort during the surgical procedure. An anesthesiologist will administer general anesthesia, which is usually required for this procedure. Doctors who recommend local anesthesia for this procedure are usually dermatologists. The procedure usually takes much longer and is more painful when done this way.

For more information about our VASER® liposuction procedure, please contact us online or call us at We look forward to helping you look your best.


The procedure typically takes about one to two hours depending on the individual and certain surgical variables. There are six basic steps to a VASER® liposuction procedure.

Step 1 – Marking

Dr. Alexander will make special anatomic marks on the areas to be treated while you are standing. These marks are critical to achieving an even result. This will also give you the chance to discuss the areas to be treated.

Step 2 – The incision

Tiny incisions are made close to the areas to be treated. Usually one incision is required per area.

Step 3 – Tumescent Fluid Infusion

Dr. Alexander will inject tumescent fluid into the treatment areas. Tumescent fluid is a mixture of lidocaine and epinephrine. The solution helps expand the tissue layer, while the lidocaine numbs the area, and the epinephrine works by shrinking the blood vessels. This will not only help to control bleeding during the procedure, but will help to minimize bruising during your recovery.

Approximately 1cc is placed for every cc of fat that will be removed. This is called the “superwet” technique. The “tumescent” technique places about 3cc for every cc of fat removed. This is done when the procedure is going to be done under local anesthesia.

Step 4 – VASER® Emulsification of Fatty Tissue

We then insert a small probe that emits ultrasonic energy. The energy travels in high-frequency waves that are dispersed evenly from all sides of the probe. This energy causes the VASER® probe to vibrate, selectively breaking apart the fatty tissue on contact. The ultrasonic energy actually works by emulsifying, or liquefying, the fatty tissue. As the energy is targeted only toward fat, the surrounding connective tissue, blood vessels, and nerves are preserved. The probe also delivers energy to the under side of the skin, helping tighten loose skin.

Step 5 – Liposuction, Removal of Fatty Tissue

Using small cannula and a back-and-forth motion, the fat is removed from the body using a gentle suction device or massage. This specialized suction device removes the liquefied fat while minimizing trauma to the surrounding tissues. The VASER® Lipo technique preserves these important tissues to promote an enhanced patient experience.

Step 6 – Closure

Sutures are used to close the incisions and a compressive garment is placed.

Traditional liposuction removes unwanted fat through a process called avulsion. This is a physically demanding surgical technique on both the surgeon and the patient. It uses a suction device to tear apart surrounding tissues in order to break up fatty deposits. Any tissues, such as nerves, vessels, or collagen structures in the fatty layer that get pulled into the suction cannula will be torn or damaged. This can lead to increased pain and bruising, and a long recovery time.

VASER® Lipo uses state-of-the-art ultrasound technology designed to gently reshape your body. Ultrasound is actually sound energy that travels in waves. What makes this approach unique is that these waves can be targeted specifically to fatty tissue. The high energy waves cause the VASER® probe to vibrate and liquefy the fatty tissue on contact. A specially-designed suction device is then used to gently remove the liquefied fat, while preserving the surrounding connective tissue, blood vessels, and nerves.

Why is it important to leave these other tissues in place? If blood vessels and nerves aren't damaged, you experience minimal bruising and pain. Preserving connected tissues enhances healing and promotes good skin retraction. With its minimally-invasive approach, VASER® Lipo provides smooth, predictable results and fast patient recovery.

During the healing process, your skin will retract to give you a smooth, natural-looking result.

Doctors report that patients are able to go back to work within days after their VASER® Lipo procedure. One patient reported the following of her recovery experience after her VASER® Lipo treatment, "Two previous traditional liposuction treatments left me in pain and with considerable bruising, as well as weeks-long recovery. What a difference with my recent VASER® Lipo treatment...I had no bruising or swelling...and returned to work the Monday following my Friday procedure."

You should begin to see results within the first few weeks. Your results will continue to improve with time as the tissues in the treatment area heal, with final results revealed between 3 and 6 months.

VASER Liposuction

BEFORE AND AFTER VASER Liposuction: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA) VASER Liposuction: Before & After Photos: Alexander Cosmetic Surgery San Diego, California (CA)

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