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If you are thinking about Vaser liposuction, safety is almost certainly one of your first concerns. It is a fair question. Any procedure that involves anaesthetic, small incisions and the removal of fat carries a degree of risk, and a good clinic will be open with you about what those risks are and how they are managed.
The short answer is that Vaser liposuction is widely considered safe when performed by an experienced surgeon in a properly equipped clinic. The longer answer, which is what this guide explores, depends on your health, the area being treated, the volume of fat removed and the skill of the surgeon carrying out the procedure.
What Vaser liposuction actually involves
Vaser stands for Vibration Amplification of Sound Energy at Resonance. It uses ultrasound energy delivered through a fine probe to gently break down fat cells before they are removed by suction. Because the ultrasound targets fat tissue specifically, surrounding nerves, blood vessels and connective tissue are largely left alone. This selective approach is one of the main reasons Vaser is often described as a gentler alternative to traditional liposuction.
At Health Excel’s Vaser liposuction clinic, the procedure is carried out by Dr Leonardo Fasano using local anaesthetic with sedation in the majority of cases. This means you remain comfortable but do not need a full general anaesthetic, which in turn reduces some of the most significant risks associated with cosmetic surgery.
Is Vaser liposuction safe?
For the right candidate, Vaser liposuction has a strong safety record. The main reasons are the selective nature of the ultrasound technology, the use of tumescent fluid (a mixture of saline, local anaesthetic and adrenaline) which reduces bleeding and discomfort, and the option to avoid general anaesthetic.
That said, no surgical procedure is risk free. Possible complications include:
- Bruising and swelling, which is normal and usually settles within a few weeks
- Temporary numbness or altered sensation in the treated area, which typically resolves over a few months
- Seroma, a small collection of fluid that can sometimes form and may need to be drained
- Infection, which is uncommon when sterile technique and antibiotics are used appropriately
- Contour irregularities, such as small dips or asymmetry, which are more likely if the surgeon lacks experience with the technology
Serious complications, such as deep vein thrombosis or significant fluid imbalance, are rare with Vaser when volumes are sensible and the patient is properly assessed beforehand.
Who is a safe candidate?
Vaser liposuction is best suited to people who are at, or close to, a stable healthy weight and who want to refine specific areas of stubborn fat. It is not a weight loss treatment. During your consultation with Dr Fasano, your medical history, BMI, lifestyle and goals will all be reviewed to make sure the procedure is appropriate for you.
You may not be a suitable candidate if you have uncontrolled diabetes, a bleeding disorder, significant heart or lung disease, or are pregnant or breastfeeding. Smoking also affects healing, so most surgeons will ask you to stop for several weeks before and after surgery.
Is Vaser liposuction painful?
Most patients are surprised by how manageable the experience is. During the procedure itself, the combination of local anaesthetic and light sedation means you should feel no sharp pain, only mild pressure or movement.
Afterwards, the treated area tends to feel sore, tight and bruised, similar to the feeling of an intense workout or a deep tissue massage. This usually peaks in the first 48 to 72 hours and improves steadily from there. Simple painkillers such as paracetamol are typically all that is needed, and many patients return to desk-based work within a week.
Wearing a compression garment, staying gently mobile and following the aftercare advice from your surgeon all help to keep discomfort to a minimum. You can read more about what to expect in our guide to post-operative treatments and recovery.
Is Vaser liposuction permanent?
The fat cells removed during Vaser liposuction are gone for good. Adults have a relatively fixed number of fat cells, so once they are suctioned out of an area, they do not grow back.
However, the fat cells that remain can still grow larger if your weight increases significantly. This is why surgeons emphasise the importance of a stable weight and a healthy lifestyle to protect your results. If you maintain a steady weight, balanced diet and regular activity, the improved contour you see after Vaser can last for many years, often indefinitely.
Will my skin look smooth afterwards?
One of the advantages of Vaser is that the ultrasound energy can encourage some skin tightening as the underlying fat is removed. For mild to moderate skin laxity, this is often enough. If you have more significant loose skin, Dr Fasano may suggest combining Vaser with Renuvion skin tightening in the same procedure to give a smoother, firmer result.
How to make your procedure as safe as possible
The single biggest factor in a safe outcome is choosing the right surgeon and clinic. When considering Vaser liposuction, it is sensible to:
- Check that your surgeon is on the GMC specialist register and has substantial experience with Vaser specifically, not just general liposuction
- Ask to see genuine before and after photographs of their own patients
- Make sure the clinic is registered with the Care Quality Commission
- Have a thorough, unrushed consultation where every question is answered honestly
- Be wary of unusually low prices, which often reflect compromises on safety or expertise
You should also follow pre-operative instructions carefully, including stopping certain medications, avoiding smoking and arranging support for the first few days at home.
Book a consultation with Dr Leonardo Fasano
Vaser liposuction can be a safe and highly effective way to refine your shape when it is carried out by an experienced surgeon and tailored to you. If you would like to find out whether it is the right option, the next step is a personal consultation.
Dr Leonardo Fasano sees patients at Health Excel in London and Birmingham and will assess your goals, your suitability and the realistic results you can expect. To arrange your consultation, please contact the Health Excel team and a member of the clinic will be in touch.