What is VASER® High Definition Lipo-sculpture (VASER® Hi Def™)?
VASER® Hi Def™ (VHD) is an advanced body contouring technique. It is performed with ultrasound-assisted lipoplasty technology (VASER® LipoSelection®).The results reveal a sculpted, well toned, natural musculature intended generally for fit men and women who seek greater visibility of their muscular detail.
How is it different from traditional liposuction?
What high definition liposculpture does is to remove the deep and superficial fat which blocks the detail of the underlying muscles.While the goal of a regular liposuction procedure is just to trim away fat to make a patient slimmer, VASER® Hi Def™ demands a surgeon to go one step further going into places previously off limits to liposuction and sculpting the body in such a way never before achieved by conventional liposuction.
Who are ideal candidates for VASER® Hi Def™?
Since high definition liposculpture is designed to be a sculpting procedure rather than a de-bulking technique, the appropriate candidate is the person who has good muscle tone without excessive amounts of fat or lax skin. VASER® Hi Def™ is most effective for those who are already physically fit, and seek to add an even greater, more chiselled and sculpted look to their efforts. The procedure can change the perception about liposuction and should be viewed as an adjunct to a fitness program and not as a failure to treatment.
Who developed VASER® Hi Def™ (VHD)?
Colombian plastic surgeon Alfredo Hoyos developed high-definition lipo-sculpture. The objective is to create a sculpted, athletic appearance by improving the contours of the subcutaneous fat and the definition of the underlying muscles. Successful outcomes depend on intensive training in the surgical technique combined with an understanding of how superficial anatomy influence external appearance.
Who performs VASER® Hi Def™ in Singapore?
The success of the procedure depends on the well-trained hands and artful eye of the surgeon. It is the surgeon’s appreciation for the relationship between superficial anatomy and physical appearance that enables this procedure to achieve the desired results. The success of VHD is just as reliant on its technology as it is on the practitioner using it. At NeuGlow, you are in excellent hands.
How is VASER® Hi Def™ performed?
The procedure involves precisely performed, deep and superficial liposuction around muscle groups in the abdomen: the chest in men and the lower back and gluteus in women using ultrasound assisted lipo-plasty (VASER®).
The VASER® instrument selectively liquefies the fat and allows the surgeon to target specific fat layers to create the desired sculpted appearance of the muscles without damaging connective tissue.
What goes on during a VHD procedure?
The procedure is performed with tumescent anaesthetic infiltration. The first step is to mark the muscle bellies that will be enhanced. In women, high definition liposculpture targets the serratus muscles, the obliques and the rectus muscle in the abdominal area as well as the gluteus and perispinal muscles in the lumbosacral curve. In males, the same abdominal muscles are targeted with attention also directed to the transverse tendinous intersections within the rectus abdominous muscle in order to create a washboard appearance. In addition, the pectoralis muscles are enhanced because of their contribution to the anterior topographical view.
The sculpting procedure begins with fat removal that creates a “picture frame” around the muscles to be enhanced. Next, the surgeon performs more precise sculpting that leaves behind small amounts of fat to amplify the underlying muscle tone.
What happens after a VHD procedure?
After the procedure, patients must wait about a month before returning to their exercise routine. The first evidence of the improved muscle definition can be seen after about two weeks, when the post-procedural edema has appreciably resolved.
What are the possible complications?
The risk of seroma is slightly increased with this procedure probably because it involves removal of the superficial fat.
Seroma is less likely with a traditional liposuction that primarily involves removal of the deeper layers of fat. However, if it occurs it is easily treatable in the office and does not adversely affect the final result of the high definition procedure.
Clinical Research
After deep and superficial infiltration, emulsification was performed using VASER® technology in continuous mode for high de-bulking and in pulsed mode at lower power for more delicate areas and the immediate sub-dermal plane. De-bulking was performed using ventilated cannulas, beginning in the deep layers and continuing to the mid-lamellar layer and between muscle groups. Superficial emulsification was performed to define the relevant anatomy for the muscle groups in each treatment area. Transitioning was then performed to define the superficial anatomy landmarks by de-bulking some of the remaining fat over the muscles and smoothing the surfaces over the mid-lamellar area.
A total of 306 patients were treated in two separate series; 281 by the senior author (AEH) and 25 by the co-author (JAM) Satisfactory results were obtained in 257 patients (84%). No cases of skin necrosis occurred. Minor complications included 20 cases of seroma, 9 cases of port site burns, and 5 cases of prolonged swelling.
VASER®-assisted high-definition liposculpture is an aggressive approach to body contouring that enables the surgeon to perform body sculpting of the superficial tissues to define the 3-dimensional surface musculature in a wide range of patients. However, it is a difficult and time-consuming procedure with a high learning curve that is appropriate only for highly experienced surgeons (Aesthetic Surg J 2007; 27:594–604).
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