There are different types of liposuction, depending on the device used to remove the fat from the body: 1. Suction-Assisted Liposuction (SAL) is one of the oldest techniques of removing fat and it works by using negative pressure to suck the fat away from the body via a cannula. It can be effective in the hands of a skilled surgeon however, it can be more time-consuming, can cause more trauma to the tissues and fatigue for the surgeon, as well as prolonged recovery compared to other liposuction techniques. Over the years, technology has evolved and this type of liposuction has been superseded by more advanced liposuction devices. 2. Power-Assisted Liposuction (PAL) uses a vibrating cannula to remove fat from the body. It is more effective than SAL, especially in large-volume liposuction procedures, as it removes fat with minimal tissue injury and fatigue for the surgeon. As a result, recovery time is shorter. 3. VASER (Vibration Amplification of Sound Energy at Resonance) Liposuction, also known as Ultrasound-Assisted Liposuction (UAL), involves a low-frequency ultrasound emitted from the tip of a cannula. The ultrasound breaks down and emulsifies fat, which is then removed using a power-assisted liposuction (PAL) cannula. It is suggested that the device can remove fat with minimal bruise, swelling and blood loss and fast recovery compared to other liposuction devices however, the evidence in the literature to support this, is so far limited. In addition, VASER liposuction can also tighten the skin thus, creating a more athletic look. It is particularly effective in areas where the fat is dense, such as the back and the flanks. VASER is well-suited for all areas of the body especially those resistant to diet and exercise. VASER allows for a much more precise targeting of fat pockets compared to traditional liposuction techniques. 4. Laser-Assisted Liposuction (also known as SMART Liposuction) uses Laser technology at the tip of the cannula. The emitted laser beam, breaks down fat cells, coagulates the blood vessels and tightens the skin. This device is associated with minimal swelling, bruise and a faster recovery. It can be performed under local anaesthesia, intravenous sedation (also known as ‘twilight’ anaesthesia) or general anaesthesia. Based on the current literature, SMART liposuction does not appear to be superior or safer compared to other liposuction techniques. Dr Vourvachis will discuss with you all the liposuction options and theirs and cons of each option, and will help you decide the option that will give you a result that matches your needs and expectations.