**10.3 Water jet-assisted liposuction**

Water jet-assisted liposuction (WAL) targets a thin fan-shaped water stream into soft tissues to release fat lobules from the matrix. WAL can yield lipoaspirates well-suited for fat grafting but does not improve overall liposuction results or skin retraction after treatment [38, 39]. Although the aspirated fat is of excellent quality with minimal bleeding, the time required to aspirate even one area was found to be inefficient in our hands and excessively prolonged operative time in combined procedures. This, and the lack of improved outcome in liposuction or skin quality, made WAL a nonviable option in our practice.
