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Vaser Liposuction

Vaser Liposuction

VASER Lipo in London

At Hans Place Practice Dr Mike Comins, will carry out your VASER Liposuction procedure. Dr Comins is one of the UK’s leading VASER Lipo doctors. He invites all prospective patients to make a Consultation appointment to discuss their suitability for VASER Lipo treatment.

What is VASER Lipo?

VASER Liposuction uses targeted ultrasound technology designed to selectively remove fat and help reshape your body. The VASER procedure is powerful enough to tackle larger areas of fat, for example on the tummy, flanks or thighs. Additionally, VASER is also precise enough to work in delicate areas like the neck

The procedure

The VASER Liposuction procedure takes place in a minor surgical theatre. No general anaesthetic or hospital stay are required. Consequently, Vaser is a day case procedure. Depending on the individual, it is usually a one-off treatment. You will usually be able to leave the clinic 30-45 minutes after your VASER procedure.

Find out more about the VASER procedure by viewing our VASER FAQs. Or read some of our reviews written by clients just like you.

Body shaping with VASER lipo

VASER Liposuction can be used to remove fat for both men and women. It removes fat from the abdomen, thighs, upper arms, neck, buttocks, back, flanks and hips. Almost any area of the body with stubborn fat pockets can be reshaped using VASER.

The results of VASER Liposuction treatments are impressive. Before you make an appointment, take a look at our before and after VASER Liposuction photos.

Book your consultation today or find out more about the range of VASER Liposuction techniques at Hans Place Practice in London:

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Your Questions Answered

Prior to VASER Lipo treatment, the area to be sculpted or reduced is filled with a special saline and local anaesthetic solution through small incisions (3-6 mm). This helps numb the site and shrink the blood vessels (to minimize blood loss and reduce bruising). This solution also wets and fills the area to be treated, making it easier to break up fatty tissue with the VASER Lipo System’s ultrasound energy. The VASER ultrasound is a small probe that transmits sound energy to break up and emulsify fatty tissue on contact while preserving the other important surrounding tissues. The VASER probe is especially good for treating deep and superficial fat which helps achieve a smooth finish. After the VASER process, the liquefied fat is removed through an aspiration process designed to minimise damage to surrounding tissues. Finally Dr Comins sculpts the area using an array of specific suction canulas. We do offer additional IV sedation for anxious patients.

Vaser Lipo is not a substitute for a healthy diet and exercise programme but it can help slim down areas of stubborn fat. Although there are limits to the amount of fat that can be removed, we can assist you with your decision about potential areas for VASER Lipo sculpting, anticipated results, and the recovery process.

We have experienced great success VASER Liposuction in all of the following areas: abdomen, thighs, knees, buttocks, hips, back, arms, male breasts, love handles, chin, neck areas and just about any other body part you need treated.

Most people report soreness around the VASER treatment area for 2-5 days. Particularly when moving. This is helped with painkillers and we do recommend you try and take 2-5 days off work after the procedure. Thereafter you may experience a dull background ache for 1-4 weeks. You may also have bruising. You will experience some swelling which does take time to settle. Swelling will be helped by following our comprehensive aftercare instructions and advice.

All common side effects and complications will be discussed during your pre-treatment consultation.


There are limits to how much fatty tissue can be safely taken from the body within one VASER Lipo session. This depends on your general health, weight and your body fat percentage. There is also a limit as to how much local anaesthetic ( Lidocaine) can safely be uses in a single treatment session. Lidocaine toxicity is a serious complication and needs to be taken very seriously.

We normally advise no more than about 3.5-4 litres or 4-5% of your body weight removed during one session. If more fat needs to be removed or the treatment is limited by a maximum lidocaine dosage another VASER Lipo treatment can be performed 1-6 weeks later. Excessive and overly aggressive removal of fat  can be dangerous to your health and lead to seromas, burns, contour irregularities and abnormal looking results that are near impossible to correct. Treatments require experience and an understanding of the body’s response to such treatments so if necessary, we believe it is better to have a  touch up treatment to optimise your results, rather then risk serious health consequences or permanent deformities due to excessive or overly aggressive liposuction.

VASER Liposuction is not intended as a weight loss solution. The goal is to create a slimmer silhouette. You may not notice a significant amount of weight loss, but you should be pleased with your slimmer new shape.

There are many types of liposuction treatments using various devices, these include traditional liposuction, laser liposuction, MPX laser, body jet liposuction and others. As yet there is no robust clinical  evidence to suggest one is better or safer then another and most modern forms of liposuction are generally considered equally safe and effective when performed by an expert surgeon/doctor on properly selected patients. RealSelf, a well known community driven website for cosmetic medical and surgical treatments has Vaser liposuction ( March 2019) as one the highest rated types of liposuction with 90% of clients saying it was ‘worth it’, this is closely followed by MPX smartlipo (89%), traditional liposuction (88%), laser liposuction (85%) and body jet at 57% .  Dr Comins favours the vaser device but you should always keep in mind that its really the skill and experience of the operator and the aftercare that determine the results.

Vaser lipo should not be confused with Vaser Mid or Hi def.  Vaser Hi Def is a technique not a tool. This type of procedure is much more meticulous and requires skill, expertise and specialised training and is different than other types of liposuction. Not everyone that does Vaser liposuction is trained in Vaser Hi and Mid Def.  Hi and Mid def can be associated with more downtime and a higher risk of minor complications such as seromas. Adherence to our robust post operative protocols and  follow ups/ monitoring is essential  so that any such issues can be avoided or dealt with straight forwardly, quickly and effectively.

The choice of which type of liposuction you have is entirely up to you. It should be based on what you feel most comfortable with. There is no clinical evidence to suggest that any type of liposuction is safer or more effective than others.

The skill of the operator is the most significant influence on the quality of the results you get. The quality of aftercare is another crucial factor in determining your results. 

The Vaser liposuction treatment is usually performed over one session with an additional touch up treatment to maximise results after six months if required. Touch up treatments are usually small and reasonably quick procedures designed to make sure your results are the best that can be achieved. If multiple areas are to be treated then you may need to have your treatment split over 2 sessions 1-6 weeks apart.

During your consultation you will be thoroughly assessed by Dr Comins. As part of the examination he will assess your skin. Generally speaking, excessive overhang, excessive stretch marks or severe skin laxity may mean you are unsuitable for VASER Lipo.

Dr Comins may recommend a ‘tummy tuck’ or another surgical options as the treatment of choice for you.  VASER Lipo can lead to some skin retraction and tightening. This is why some clients, who may not have been suitable for traditional Liposuction because of skin issues, may suit VASER Lipo.

Clients with mild to moderate skin laxity Dr Comins may suggest a Renuvion to be done at the same time as Vaser lipo. Sometimes INTRAcel or Velasahpe 3 is recommended after the VASER Lipo Treatment

VASER lipo is not suitable for use on your face. It can be used on the chin and neck but not directly on your face. Other procedures are more appropriate for dealing with issues like fat beneath your eyes. You should speak to Dr Comins during your consultation to find out more.

VASER lipo is not designed to deal with cellulite. It can sometimes improve the appearance of cellulite, but there is no guarantee. There may be other options you can explore, such as Velashape 3. You should speak to Dr Comins during your consultation if this is something you wish to address

VASER Lipo is a sculpting technique. It is ideal for creating a more aesthetically-pleasing shaped bottom. This can be done without the need for implants or fat transfers. predominantly by shaping the fat around the bottom area, such as the thighs, lower back and flanks.

We have prepare a comprehensive guide on ‘getting ready for your vaser lipo’ (see our patient resources section)  This purchasing recommended supplements to help with bruising ans swelling, extra dressings, body brushes for self MLD, We may also ask you to stop certain medication such as aspirin and Ibuprofen

The average time for the procedure is between two and three hours. The time can vary depending on the number of areas you are having treated and the size of those areas.

For the first 24-48 hours after the surgery, some of the wounds will likely leak and drain the anaesthetic fluid onto some specific absorbent pads. This is a positive sign, as it means your body is not retaining extra fluids. During this time you should change your bandages regularly and wear loose clothing that you do not mind getting stained.

Dr Comins will make every effort to keep the wounds as small as possible ( usually 3-6mm) and hidden (nipple/skin border in men, under the breasts, tummy button, below the bikini/ pant line etc). Once the wounds have healed, they will be small and in most cases, very difficult to see. For darker skin tones we may recommend additional creams to help prevent pigmentation.

Not all patients will need to have surgical drains after their procedure. You are more likely to need them if you are having a large amount of fat removed from your back or abdomen. If a drain is required, this will be a small corrugated open drain ( not tubes etc). These will need to stay in place for 3-4 days. You will need to come into the practice to have it removed by a member of our team.

The length of time will depend on the location of the treatment.

For under chin treatments you need to wear it for three days. After that, you can switch to just using it overnight for the next three weeks.

For other parts of the body, you should wear your compression garment at all times for 3-6 weeks. Dr Comins will advice you on your garment before and after your treatment, as this does sometimes also depend on how swollen you are, how much fat was removed and your skin consistency. We also recommend specific foam pads and for the abdomen and flanks a tight Velcro binder to wear for the first 2-3 weeks too. 

We recommend that you get up and moving as soon as you feel able to do so. Going for a walk can aid your healing.

You can usually start gentle exercise after two weeks, as long as you avoid using the parts of the body you had treated.

After four weeks, you can return to moderate exercise. We recommend that you gradually ease back into your exercise routine after this time. You can begin to work your way up back to more intense exercise after six weeks, but do listen to your body and the recommendations of your doctor.

We recommend that you wait 7-10 days before you take a flight. When you do fly, you should stay hydrated and active. This will reduce your risk of developing DVT. Again, if you have any concerns, Dr Mike Comins will be happy to discuss what’s recommended for your specific circumstances.

Dr Mike explains what is VASER Lipo?

VASER Liposuction uses targeted ultrasound technology designed to selectively remove fat and help reshape your body. The VASER procedure is powerful enough to tackle larger areas of fat, for example on the tummy, flanks or thighs. Additionally, VASER is also precise enough to work in delicate areas like the neck.

At a glance


Stubborn areas of fat on arms, neck, torso and legs


Advanced liposuction techniques


1-3 hours


Local anaesthetic with or without oral or iv sedation


1-7 days


1-5 weeks depending on areas

Should Consider

Combing with Renuvion for extra skin tightening and /or Vaser Hi and Mid definition liposuction for a more toned, sculpted look


£3100 + depending on amount of areas

Find out more

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