**4.4 Abdomen: men and women**

The abdomen area is the most popular area treated by VASER liposuction [19]. A nicely balanced and well-defined abdominal wall is usually what defines a healthy body figure. This area is the focus of visible differences between males and females. As stated previously, men prefer a more athletic, six pack figure, while women prefer natural contours reducing the "tummy" area, not emphasizing abdominal musculature. Preparing clients for this procedure should be done in a standing position. Drawing directly on the surface and marking defined areas to correct, should be completely discussed, and planned with them. It is at this moment, a clear plan is developed and explained, as to what can be achieved and what is not possible. Planning for males, involves defining of flat abdominal wall muscles (six-pack),

*VASER Liposuction - How to Get Natural Results with Ultrasound Assisted Liposuction? DOI: http://dx.doi.org/10.5772/intechopen.100154*

**Figure 6.** *Before and one year after VASER liposuction.*

the linea alba and linea semilunaris regions. In women, a more subtle and gentler approach is used, creating more sensual contours defining linea semilunaris. In some instances, in women, linea alba can be defined as well, more often in slender clients. The procedure preparation is similar for both, using 3–4 liters of tumescent fluid, after application with VASER device at 70%, a waiting time of 10–15 minutes is needed. The ports used here are VENTX, with a diameter of 3.7 mm. The VASER probe cannula is set at a continuous mode, for deeper tissue reduction. However, if fibrous tissue is encountered, for example from previous operative scars, then an increased strength of the VASER device is needed, about 80–90%. A three grooved VASER probe cannula can be used. As this helps in producing maximal reduction of fatty tissue volume. At all times, the fatty tissue distribution and quality must remain symmetric. Leaving an abdominal wall subcutaneous fat layer of about 1–1.5 cm is important to retain a more natural abdominal wall contour. The liposuction process can last from 20 to 30 minutes as needed to achieve desired results (**Figures 8**–**10**).

**Figure 7.** *Before and 3 months after operation – Back view.*
