**5. Outcomes and results**

With the combination of sound liposuction technique and energy-based technologies we have seen excellent results with improvement in skin laxity. Whenever possible, we treat the trunk circumferentially. Below we demonstrate our abdominal contouring results with and without energy-based technologies, with the addition of an abdominoplasty, and with the addition of abdominal etching.

#### **5.1 Case 1: circumferential trunk liposuction with SAFE technique**

This is a 33-year-old female who desired circumferential trunk contouring. We performed circumferential trunk liposuction with the SAFE technique using the MicroAire PAL handle and 4 mm Mercedes tip and basket tip cannulas. In addition, she received breast and buttock fat grafting to enhance her result. Each buttocks was grafted with 250 cc and the breasts were grafted with 250 cc and 200 cc. A total of 1660 cc of excess fat was removed (**Figure 3**).

#### **5.2 Case 2: circumferential trunk liposuction with VASER and Renuvion**

Case 2 is a 36-year-old female who desired trunk contouring. Circumferential trunk liposuction with VASER and Renuvion was performed. She also received fat grafting to her breasts. The total VASER time was 5 minutes and 53 seconds to the posterior trunk. Renuvion was performed in 4–5 passes per treatment area. The total excess fat removed was 1360 cc (**Figure 4**).

#### **5.3 Case 3: full abdominoplasty with circumferential trunk liposuction**

This 42-year-old patient desired trunk contouring. She presented with rectus diastasis, excess abdominal skin, and abdominal striae; necessitating skin removal

**Figure 3.** *Preoperative photographs. Patient is shown 3 months postoperatively with significant improvement in abdominal contour.*

and repair of her diastasis. She underwent circumferential trunk liposuction and full abdominoplasty with rectus muscle plication. VASER was used to treat the posterior trunk (**Figure 5**).
