VASERlipo™ is a revolutionary technique for removing unwanted fat pockets from the abdomen, hips, thighs, arms, back, knees, neck, and chin. This form of liposuction can also reduce the appearance of cellulite. Unlike traditional techniques used in most Washington, D.C. practices, VASERlipo liposuction targets fat cells without damaging surrounding tissue. This targeted, less aggressive approach is more precise, gets exceptionally smooth and shapely outcomes, and has much faster recovery times.

Dr. Paul G. Ruff IV, FACS of West End Plastic Surgery is one of the first plastic surgeons certified to perform this advanced type of liposuction in the Washington, D.C. area. If you want to learn more about VASERlipo, request a consultation online or call our office at (202) 785-4187 and a member of our knowledgeable staff will schedule a consultation.


Before & After Liposuction

For more photos of our patients, please view our photo gallery.

Are You a Good Candidate for VASERlipo?

An ideal candidate for VASERlipo, sometimes called LipoSelection®, is within 10 to 15% of his or her target body weight, exercises regularly, eats a healthy diet, and has fat deposits or areas of cellulite that have been resistant to dieting and exercise. At your initial consultation, your surgeon evaluates your individual risks and recommends the appropriate procedure for achieving the results you desire.

Some areas of the body are better suited for LipoSelection than others. The regions that generally produce the best results are the hips, abdomen, outer thighs, and neck. However, VASERlipo allows surgeons to work with such precision that even delicate areas such as the face can be successfully enhanced.

Your Consultation With Your Surgeon

Prior to scheduling your VASERlipo procedure, you will meet at length with your surgeon and their team at West End Plastic Surgery to determine whether the procedure is right for you and to answer any questions you may have. At this initial consultation, the areas you would like to improve will be evaluated, and you will discuss how you want these areas to look after surgery. Specific limitations of the surgery will also be discussed.

Your surgeon and their team at West End Plastic Surgery will:

  • Explain the VASERlipo procedure
  • Clearly discuss the potential risks of the procedure
  • Outline in detail how the surgery is performed and what you can expect before, during, and after the procedure
  • Provide detailed cost and payment information
  • Answer all your questions

You will be asked to provide:

  • Details about your medical history
  • A list of all medications you currently take including over-the-counter medications such as aspirin, vitamins, and herbal supplements
  • Information regarding your tobacco and alcohol use

How Liposuction Is Performed

Your liposuction procedure will be performed in our state-of-the-art surgical suite or at one of the area hospitals where our surgeons operate. They have the top technology and special training required to perform this simple and relatively painless procedure that can give you the body you desire.

In most cases, local anesthesia with deep sedation can be used. The surgery takes from 1 to 5 hours to complete, depending on the extent of the areas being treated. The anticipated length of your procedure will be discussed with you at your initial consultation.

To begin the procedure, the doctor makes a tiny incision in the area to be treated. Unlike traditional liposuction, the incisions required for VASERlipo are extremely small and heal very quickly. A special saline solution that helps numb the site and shrink blood vessels is injected into the targeted area. Dr. Ruff, Dr. Ramineni. Dr. Patrick and Dr. Hannan then insert a very thin device that emits ultrasonic waves into the incision area. They are able to use the energy of the sound waves to precisely break down the structure of the targeted fat cells into liquid form. Because the ultrasound energy simply bounces off vital tissues such as nerves, blood vessels, and connective tissue, it leaves them virtually undisturbed.

Once all the targeted fat cells have been turned into liquid form, your surgeon inserts a small cannula. This tube is gently moved under your skin to precisely remove the liquid created by the sound waves. Because VASERlipo uses refined ultrasound technology, there isn’t the immediate swelling that occurs with liposuction, allowing the doctor to much more precisely sculpt the areas being worked on. Unlike traditional liposuction, which causes immediate swelling and bruising, VASER LipoSelection causes no immediate — and very little long-term — bruising, so the doctor can more accurately see the actual results as they happen. This less aggressive approach creates surgical outcomes that are much closer to desired results than traditional liposuction. Stitches are used to close the incisions, gauze dressings and tape are applied over the surgical area, and a compression garment is placed over the treated areas.

What to Expect During Liposuction Recovery

Activity When
Shower or Bath Day After Surgery
Back to Work 2 to 3 Days After Surgery
Driving As Soon as You Feel Comfortable
Normal Activities As Soon as You Feel Comfortable
Fading of Scars Several Months to 1 Year
Final Contour 3 to 6 Months

Immediately After Your Surgery

In most cases, VASERlipo surgery is performed on an outpatient basis. You usually go home shortly after your surgery is completed. You may be sleepy from the anesthesia and the area around your incisions will be sore, so you will need to have someone drive you home. Once you go home, someone will need to stay with you for the first 24 to 48 hours. Pain medication will be prescribed to alleviate as much post-surgery pain as possible.

The First 24 to 48 Hours After Your Surgery

During the first 24 to 48 hours after your procedure, you may experience mild to moderate discomfort. The doctor will prescribe pain medication to alleviate as much of the discomfort as possible. In most cases, you can remove the dressings over your incision the day after your surgery. There will be slight swelling, tenderness, and bruising in the area of the incisions; this should disappear within 3 to 4 weeks after surgery. Your discomfort level will improve rapidly after the first 2 days.

The First Two Weeks After Surgery

You will notice a marked improvement in your discomfort level during the first few weeks after your surgery. In fact, you can most likely resume all normal activities within 2 to 3 weeks of surgery.

  • You may experience temporary swelling, bruising, tenderness, or a burning sensation. These conditions are all normal and will gradually disappear.
  • You may shower as soon as you feel comfortable doing so.

Resuming Your Normal Routine

Everyone heals at different rates, and you are the best judge of when you are ready for certain activities, but the following are general guidelines:

  • You can most likely return to work or school within a week of your surgery.
  • You should walk every day beginning the day of your surgery to promote fast and effective healing.
  • You can resume driving as soon as you experience no pain.
  • You can most likely return to your physical exercise program within 6 weeks of your liposuction. Our patients are encouraged to plan an exercise program and discuss it with the staff prior to resuming exercise.
  • The scars caused by the incisions should be protected from sunlight for at least a year after surgery.

Things To Be Aware Of After Your Surgery

  • You may experience a loss of sensation or numbness in the area of your surgery. This is entirely normal and may take several weeks to disappear.
  • The skin in the area of your surgery may appear shiny due to swelling. Within a few weeks, the swelling will disappear and the skin will return to a normal appearance.
  • You may notice a tingling sensation in the surgical area. This feeling is a result of the healing of the nerves in the area and will go away within several months of your procedure.
  • The final results of your surgery may not be apparent for up to 6 months after the procedure.

What Are Possible Side Effects or Risks?

As with all surgical procedures, there are risks associated with VASER LipoSelection surgery. During your initial consultation with Dr. Ruff and staff of West End Plastic Surgery, your individual risks will be assessed and discussed. As with any surgery, you can help reduce the risks by closely following the pre- and post-surgery instructions provided to you. And your surgeon and their team will be with you every step of the way to ensure a safe and pleasing outcome.

Some possible side effects include:

  • Infection
  • Changes in asymmetry of the surgical area
  • Wavy or irregular skin contours
  • Scarring

How Long Will the Results of Your VASERlipo Last?

With VASERlipo, you finally have a simple and relatively painless way to reshape areas of your body that have collected excess fat deposits. Although there are limits to the amount of tissue that can be removed, in most cases you can achieve the results you desire. These results last for several years. The fat cells in the areas treated are permanently removed. A healthy lifestyle, regular exercise program, and maintaining an appropriate weight keep your body in the best shape possible.

Questions You May Have

Are there other procedures that could be done along with VASERlipo?

If more extensive reshaping and contouring are required, you may elect to undergo a variety of additional contouring surgeries such as a tummy tuck or mommy makeover. These options will be discussed with you during your initial consultation.

Will my insurance coverage pay for my liposuction surgery?

VASER LipoSelection surgery is considered cosmetic surgery and, therefore, is not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial consultation.

For more answers to some of the most frequently asked questions about liposuction, visit our Liposuction FAQ page.

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