VASER – Body Shaping Aesthetics

In our daily life, we live, travel and work in the outside world with our make-up and stylish outfits that reflect our style. As the day slowly ends, we return home, make-up is removed, clothes are taken off. At that moment, we are left alone with our body that cannot be taken off like an outfit. Now close your eyes and imagine yourself in front of the mirror, you and only you…

In your youth, when your metabolism was working faster, you remained slim no matter what you ate, and some of us didn’t even need sports, right? However, there are plenty of people who did not have such luck even in their youth, and at a rate that cannot be underestimated. Or perhaps you are fit as a fiddle, but you might have a fat distribution disorder accompanied by some hormonal disorders because of pregnancy and excessive weight gain due to some medications. all these can result in problems in your body shape.

For whatever reason, we have a problem. So how do we solve it? Unfortunately, this situation requires your support, unlike many other aesthetic surgery applications. You should not consider a tummy tuck, liposuction or combined procedures as a weight loss technique. These procedures will be helpful and support your body shaping. Therefore, a very important task awaits you: to slim by losing weight. When I tell patients this they sometimes react and say well if I am going to lose weight by myself why did I come here? I can understand them very well, but the thing is that there is fat accumulation especially in the front of our abdominal muscles as well as behind them, and we cannot reach the fat behind those muscles with a tummy tuck or liposuction. After losing weight, of course, you will look better than before and you will lose fat, but you should not be satisfied with that. The situation is similar when we consider other body parts. We cannot perform liposuction on every square centimeter of your entire body. Anyway, for the healthiest procedure and minimum risk, you should not lose more than 5% of your body weight in fat. Vaser liposuction technology, on the other hand, is a surgical procedure that helps increase the fat extraction rate to 5-10%. You should never measure the success of a body contouring surgery by the numbers on the scale. After all, the goal is to give you the best shape for your body, not to lose weight.


Does sagging occur after Liposuction?

One of the most important issues to consider when deciding on liposuction is to answer the question of whether skin will sag or recover after fat has been removed. Regardless of which body part is the issue, if skin cannot recover and sags after fat removal, liposuction must be supplemented with lifting procedures. If the area we are talking about is the inside of the legs, the procedure will be called a thigh lift (medial thigh lift), if it is the abdomen, it will be called a tummy tuck (abdominoplasty, tummytuck), if it is inside the arm, it will be called an arm lift, for the back it will be called a setorsolift. Both surgical groups are very different from each other. If only liposuction is to be performed, 4-6 mm small incisions  are made and the special probe of the VASER ultrasonic liposelection device is inserted, and only the fat tissue is dissolved, and then the liquefied fat is removed by VASER from the same incision area with special cannulas. In addition, a motor-assisted aspirator system such as microair or lipomatic can be used to collect the dissolved fat,. These small incisions will require 1 or 2 stitches and the stitches will dissolve on their own. Sometimes the holes can be left open for faster removal of edema, and then edema removal can be supported by massage.

Since the incisions are small, the probability of leaving a scar is very low. After the procedure, I will ask you to wear a corset for 8-12 weeks. Again, after the 3rd week, we can perform applications such as LPG, massage, lymph drainage. This accelerates lymph circulation and helps you to go through the next process more comfortably. The fat removed from the body with the VASER liposelection technique are living fat cells. Fat cells cannot renew themselves and do not increase numerically again. However, it should not be forgotten that the remaining fat cells in the body can continue to store fat. Therefore, you have to pay attention to your diet and exercise after liposuction.

VASER Liposelection has several important features that distinguish it from classical liposuction. The first of these is that with the frequency of the emitted sound wave only liquefies the adipose tissue and makes it expendable, which means advanced protection of blood vessels, lymphatics and nerves around the adipose tissue or in the adipose tissue. Another advantage is that it increases the fibroblastic activity under the skin with a special mode and technique. So what does this mean? Fibroblasts increase the synthesis of collagen by activation and cause tightening of the skin. The procedure enables the tightening of the skin of many borderline patients and save them from a more comprehensive surgery and incisions. If we are of the opinion that the skin will not recover in the areas where fat has been removed despite the VASER, it should be accompanied by a lifting process. As the name suggests, there must be a free edge in the lifting process so that the lifting can be done. In a tummy tuck (abdominoplasty), an incision is made with this free edge extending down from both hip bones in the form of an arc which remains camouflaged inside the underwear. If a thigh lift is done, the incision is hidden in the groin area, where the leg connects to the trunk. If the arm is to be lifted, an incision is made along the inner edge of the  arm.

Absorbable sutures are used in both a tummy tuck and thigh lifting, and the incision area is stitched aesthetically, I recommend wearing a corset for 8-12 weeks. It would not be correct to say that this procedure is absolutely painless. I often ask my patients who have had both surgeries before, which was more painful, a tummy tuck or a cesarean? No patient has ever said a tummy tuck was more painful than a cesarean section. This may give you an idea about tummy tuck surgery.

In tummy tuck, we repair not only the loose and sagging skin that is visible, but also the slackened abdominal muscles within (rectus diastasis). In the first week after lifting surgery, your movements will be very slow, it will take time for you to get used to your situation and speed up. You will have to wait 6 months to do serious sports. In recent years, endoscopic tummy tuck surgery has also been applied and is frequently asked about. However, this procedure can be applied to a very limited group of patients. Patients who are suitable for endoscopic tummy tuck surgery should not have excess skin that needs to be removed, but there should be muscle weakness that needs tightening. In this case, endoscopic abdominoplasty (tummy tuck) can be performed through small incisions similar to liposuction holes. And of course, the absence of a any scars makes it legendary.

Of course, both tummy tucks can be combined with VASER liposuction, usually it is decombined. Swelling and bruising occur in both tummy tucks (abdominoplasty) and liposuction (fat removal), it is very natural. And it differs from person to person. Don’t worry about it. No matter what procedure you have, you have to take care of your diet.

Do you recommend a Six Pack ( Hi-Def) ?

Want a sixpack? If so, Hi-Def or High Definition Lipoplasty is for you. Of course, not every candidate is suitable for HI Def. To qualify for Hi Def, you must not have sagging. The second important detail is that you should not forget that the result is only visual. In other words, your fat does not turn into muscle in this process, we shape your fat like a sculptor and create a false muscle image.

Can Removed Fat Be Injected?

It certainly can and the results are very nice indeed. Fat tissue is an extremely valuable tissue. If your boy needs volume to get into shape, we use these fat tissues. After the extracted fat tissue is washed with special solutions, filtered and prepared, it can be injected into the buttocks, Brazilian buttocks (BBL), a feminine face can be obtained by injecting the material into the forehead, a more dynamic energy can be obtained with plump cheeks by filling hollow under-eyes or lips, nasolabials, jawlines can be filled. I just don’t like and do not recommend fat injections into the breasts. I have already written why in other articles 🙂

Frequently Asked Questions about Body Shaping Surgeries;

When can I get up? 

In VASER Liposelection (ultrasonic fat removal), you get up 4-6 hours after the operation, and 8 hours after a tummy tuck, and start walking little by little. In VASER Liposelection (ultrasonic fat removal), nothing will challenge or limit you, other than a slight discomfort you will feel. However, for the first week after the tummy tuck you will have difficulty walking upright. In the first week you will feel a tightness in your abdominal area, but by the end of the first week you will notice that you can walk upright. This is perfectly normal and proves that your abdominal muscle sheath was tightened during surgery.

When can I do sports? 

After a tummy tuck, you can take fast walks and do arm and leg exercises at the end of the 1st month, but it is better to start medium-level sports after the 3rd month, and to wait for the 6th month for heavy sports. At the end of the first year, you are free to act as if you had never had an operation. If you only have a VASER liposuction, you can start taking brisk walks in a few days and go back to your standard sports and swimming within two weeks. Sports will be extremely beneficial for the surgery as it will increase your lymphatic circulation.

Do I Have to Wear Corset After Body Shaping? 

Wearing a corset for at least 8-12 weeks so that the post-operative edema will pass faster and there will be no serum accumulation under the skin is an important detail that I prioritize. Moreover, the new corsets are extremely modern and in a wide variety, there are corsets that enable you to join in social life immediately and not challenge you.

Do I Have to Diet After Surgery? 

You should not confuse the purpose of our surgery which was to put you into your ideal body shape; you had a body shaping operation, we did not change your metabolism or speed it up. Therefore, of course, you must pay attention to what you eat and drink after the operation. That is something we all have to do.

Will I have permanent scars? 

In tummy tuck surgeries, the fading of any scars is directly proportional to the recovery speed. While some patients recover almost completely, other patients have scars that are a little more obvious. For a long time, I routinely apply fractional laser to surgical scars after all types of surgery. This way I get surgical scars to heal faster. In VASER Liposelection (fat removal), the surgical scars are so small that you can ignore them. However, a rule that I have said for every surgery applies here as well. We are talking about incision scars, but the most important detail here is how carefully that incision is sutured. Did you get the message :).

Will There Be Bruises After the Surgery? 

Since it is a large-scale surgery, swelling and bruising are the norm in the postoperative period. The time that it takes for bruising to fade varies from person to person. Therefore, it is very difficult to give a certain time period. This period can be 1 week or 1 month. Of course, with the ultrasonic fat removal technology (VASER) we use, bruising is much reduced compared to classical liposuction. In fact, every patient more or less knows that bruising will eventually pass quickly. It would be much more logical to focus on the shape to be achieved, not the bruising.

Can I Have a Child After Surgery? 

Becoming pregnant and giving birth to a child 1 year after tummy tuck surgery does not pose a health problem. There is no time restriction for pregnancy in VASER Liposelection (fat removal).

Do I Have to Have Massage After Surgery?

In both liposuction and a tummy tuck, a circulation mechanism called the lymphatic system is subjected to surgical trauma. The lymphatic system is popularly known as the system through which leukocytes circulate. Temporary cessation of this system is the main cause of swelling. Applications that put pressure on the skin such as hand massage, pressotherapy, swimming increase lymph drainage after this type of surgery and can relax the person. Of course, even if it is not done, it will not have a negative impact on the result of the surgery.

Is It Better To Lose Weight Before a Tummy Tuck? 

It certainly is. After performing liposuction (fat removal) all around your body, lifting is not a logical practice. The ideal thing is to perform a tummy tuck after the person’s body mass index approaches normal because there is a maximum limit of taking fat from the body and it is not possible to get fat from under the abdominal muscles, that is, around the internal organs. As a result, yes, lipo-abdominoplasty is performed on overweight people, but the result is far from perfection. If the person has not been able to practice the diet discipline required for this surgery and has not lost weight, this irregularity will continue after the surgery and the weight problem will recur.

Should I consult with a doctor of Internal Medicine? 

If we are talking about a problem at a level that requires obesity surgery, it would be a very correct approach to get support from an endocrinology specialist. Among our patients who believe that tummy tuck and liposuction procedures are their last salvation, insulin resistance, diabetes, syndrome X, and hyperlipidemia are encountered at a rate that cannot be underestimated. Therefore, these medical problems should be resolved first, and if necessary, interventions for obesity surgery such as sleeve gastrectomy should be planned. After these plans, steps should be taken to initiate body shaping surgery.

Can Diabetics (Diabetes) undergo this Surgery? 

Yes, they can have this and any other surgery. The important thing here is the HbA1c value. If this value is within normal limits, it means: This patient has managed to keep his blood sugar level under control for at least the last 3-4 months. Then you can have this surgery. Otherwise, it is risky to have surgery due to delay in wound healing and susceptibility to infections. These surgeries require the patient to be extremely knowledgeable and participatory. If you are ready, we can support you on this path and do our best to give you your ideal body image.

Body shaping, as in all other aesthetic surgery procedures, is a procedure that can make everyone happy if patient expectations and the surgeon’s skills can converge at a common point. As you can see, the subject is extremely comprehensive, so do not panic and consult us with some few photos. See you…