Enhanced Skin Retraction in Body Contouring in Adults with Sole VASER Ultrasound Assisted Liposuction


  • Federico Giovagnoli Medicine and Surgery at Vita-Salute San raffaele University, Milan, Italy
  • Alberto Di Giuseppe University of Padua, Padua, Italy


Ultrasound Assisted Liposuction, Skin Laxity, Skin Retraction, Helium Plasma, Body Contouring, Older Patients


The Authors introduce ultrasound-assisted liposuction (UAL), in older patients, as a body contouring procedure, capable of enhancing skin retraction beyond the normal deflation that accompanies the fat removal . Lately, new technologies have been introduced to treat skin laxity, such as Renuvion Helium Plasma, and different combinations of them have been experimented and performed, such as UAL and PAL accomplished with plasma gas source. On the contrary, the Authors feel and show that, by simply using sole subdermal UAL, it is still possible to achieve amazing results of skin retraction in different areas of body contouring, in adults. In this study, we present results of 40 patients (age ranging from 50 to 67 yo) treated with sole VASER UAL. We evaluated skin retraction objectively, by measuring the shrinkage of the treated areas, by using microdot tattooing with India Ink . 6-months post op results show the successful enhancement of skin retraction obtained with the sole UAL technique, despite laxicity of skin. The Authors also report two cases of complications, after body contouring procedures in the abdominal region, performed by other surgeons who combined UAL with PAL and plasma gas source. In conclusion, we state that VaserLipo, as sole technology, used in subdermal layer, can safely enhance skin retraction, if properly performed by a well-trained surgeon, even in older patients, in all areas, minding that a minimum amount of fat is present. 


Kim, Youn Hwan M.D.; Cha, Sang Myun M.D., Ph.D.; Naidu, Shenthilkumar M.R.C.S.(Ed.), M.Med.(Surg.); Hwang, Weon Jung M.D., Ph.D.. Analysis of Postoperative Complications for Superficial Liposuction: A Review of 2398 Cases. Plastic and Reconstructive Surgery 127(2):p 863-871, February 2011 . https://doi.org/10.1097/prs.0b013e318200afbf

John Marquis Converse: Reconstructive Plastic Surgery Second Edition 1977. 78-103. https://doi.org/10.1097/00006534-198110000-00141

Doolabh V. A Single-site Postmarket Retrospective Chart Review of Subdermal Coagulation Procedures with Renuvion. Plast Reconstr Surg Glob Open. 2019 Nov 20;7(11):e2502 .https://doi.org/10.1097/gox.0000000000002502

Sachin M Shridharani, Paul G Ruff, Vaishali B Doolabh, Edward M Zimmerman, The Safety of Contraction of Subcutaneous Tissue Following Liposuction Procedures, Aesthetic Surgery Journal Open Forum, Volume 6, 2024, ojad112. https://doi.org/10.1093/asjof/ojad112

Moraya Alqahtani, Nehal Mahabbat & Khalid Fayi (2023) Rare complication of coupled VASER liposuction and Renuvion technologies: a case report, Case Reports in Plastic Surgery and Hand Surgery, 10:1. https://doi.org/10.1080/23320885.2023.2181175

Paul G Ruff, Gaurav Bharti, Joseph Hunstad, Bill Kortesis, Barry DiBernardo, Richard Gentile, Steven Cohen, Allison Martinez, Sachin M Shridharani, Safety and Efficacy of Renuvion Helium Plasma to Improve the Appearance of Loose Skin in the Neck and Submental Region, Aesthetic Surgery Journal, Volume 43, Issue 10, October 2023, Pages 1174–1188. https://doi.org/10.1093/asj/sjad055

Cimino, W.W. (2006). VASER-Assisted Lipoplasty: Technology and Technique. In: Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28043-x_34

Cimino, W. W.. “Ultrasound-Assisted Liposuction: Past, Present, and Future .)2006( ”. https://doi.org/10.1007/3-540-28043-x_32

Cimino, W.W. (2012). Ultrasound-Assisted Lipoplasty: Basic Physics, Tissue Interactions, and Related Results/Complications. In: Prendergast, P., Shiffman, M. (eds) Aesthetic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20113-4_40

Barry E. DiBernardo, Randomized, Blinded Split Abdomen Study Evaluating Skin Shrinkage and Skin Tightening in Laser-Assisted Liposuction Versus Liposuction Control, Aesthetic Surgery Journal, Volume 30, Issue 4, July/August 2010, Pages 593–602. https://doi.org/10.1177/1090820x10380707

Alam, M., Pongprutthipan, M., Nanda, S. et al. Quantitative evaluation of skin shrinkage associated with noninvasive skin tightening: a simple method for reproducible linear measurement using microtattoos. Lasers Med Sci 34, 703–709)2019( . https://doi.org/10.1007/s10103-018-2646-y

Di Giuseppe, A., Cimino, W.W., Giovagnoli, F. (2023). Ultrasound-Assisted Liposuction (UAL) with VASER Technology in Body Contouring. In: Di Giuseppe, A., Bassetto, F., Nahai, F. (eds) Fat Transfer in Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-10881-5_13

Di Giuseppe, A., Giovagnoli, F. (2023). Body Fat Grafting Contouring in the Male Patient. In: Di Giuseppe, A., Bassetto, F., Nahai, F. (eds) Fat Transfer in Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-10881-5_18

Di Giuseppe, A., Giovagnoli, F. (2023). Body Fat Grafting Contouring in the Female Patient. In: Di Giuseppe, A., Bassetto, F., Nahai, F. (eds) Fat Transfer in Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-10881-5_10


2024-05-14 — Updated on 2024-06-25