Patient Info

Patient Education Beverly Hills

What is VASER Hi Def Liposculpturing?

VASER Hi Def Liposculpturing, VASER Hi Def Liposculpture, VHD Liposculpturing are synonymous terms that can be used interchangeably. VHD Lipo is the newest and most advanced technology and techniques for enhancing, augmenting, developing out and defining the muscular structures of the abdomen (six pack abs), pectoral muscles (pecs), obliques, latissimus dorsi (lats), serratus, back muscles, biceps and triceps. The ultimate objective of VHD Lipo is to give the man that ripped athletic look (click for example of one of our patients). Make no mistake; no other liposuction technique can produce these types of results because they weren’t designed to. Before we get into further details about this revolutionary technique allow us to provide you information about the technology and science of VASER. VASER stands for Variable Amplitude Sound Energy Resonance and it is an ultrasonic instrument. VASER is produced by Sound Surgical Technologies. Their scientist and biomedical engineers developed a patented technology with their ultrasonic unit called “LipoSelection”. In LipoSelection the Vaser’s ultrasonic sound waves are selective to target the fat. The sound waves break up fat for removal while leaving nerves (tiny nerves that are in the fatty layer), blood vessels (tiny blood vessels in the fatty layer) and connective tissue largely undisturbed. The VASER treatment emulsifies the fat (turns it into a milk shake like substance); once emulsified, the fat is easily removed (by a special cannula) with minimal disturbance to the important structural tissue to yield skin retraction and smooth results. This technology also promotes a relatively bloodless procedure that is also less physically taxing on the surgeon and therefore one can focus more finesse and mental energy on the procedure (for your information liposculpturing procedures are the most physical and strenuous procedures of all of the cosmetic surgical procedures).

Who is a candidate for VASER Hi Definition Liposculpturing?

The best candidates for VHD Lipo are those who are at or near ideal weight (BMI of 22-25) and they have good skin elasticity (meaning that they don’t have loose skin). Although candidates with less than optimal conditions can also get fantastic results (click on the before and after pictures of one such patient). Ultimately the surgeon is the judge as to who would benefit from VHD Lipo.

What are the risk and complication of VASER Hi Def Liposculpturing?

These procedures are very safe with rare complications. The main complications are bleeding and infection which are less than 1%. For an idea of risk and their frequency please review the following information on.

Nonfatal complications from lipoplasty and lipoplasty combination procedures for 94,159 lipoplasty procedures performed by ASAPS members: Sept 1, 1998, through Aug 31, 2000

Complication Percent Rate (1 complication in every procedures)
Skin slough .0903% 1 per 1107
Ultrasound-assisted lipoplasty skin burns 0.0712% 1 per 1404
Deep vein thrombophlebitis 0.329% 1 per 3040
Pulmonary embolus 0.0266% 1 per 3759
Excessive blood loss 0.0149% 1 per 6711
Fluid overload 0.0138% 1 per 7246
Fat emboli 0.0053% 1 per 18.868
Cannula penetration of abdominal cavity 0.0021% 1 per 47,619
Lidocaine toxicity 0.0021% 1 per 47,619
Surgical shock 0.0011% 1 per 90,909


The Supplement, Fitness and Diet Industries are multibillion dollar industries but sometimes all the supplements, diets, fitness, gyms and trainers in the world can’t take you over the top and give you that ripped look you want (especially the ABS). I know because I am a supplement, fitness, diet addict with a killer AB program. Now I had nice abs but I couldn’t get that ripped look, but what do you think of me now after my VHD Lipo? (click on link to see Dr. Matlock’s ABS). With VHD Lipo we can do the same for you. We are talking to you from personal experience because we both had the procedure and we know what you want and we know how to produce it for you.

What can I expect during the consultation process?

The consultation process is simple and structured to meet your needs whether you are in town, national or international. If you are in town you can call the office (310-859-9052) to make an office appointment. If you are in California and out of the Los Angeles area you can elect to receive a consult via phone, email, or Skype. All of these consultation avenues can be set up via calling or emailing the office at . If via Skype (video) provide us your Skype name and we will give you a time we will contact you for your Skype video consultation. For the telephone, email and Skype consults we will need for you to provide us emailed pictures of your body (front, side and back with your shirt off).

For out of town, national and international patients you can receive a consult via phone, email, or Skype. These can be arranged by emailing the office at Simple request the type on consult you want and one of our surgical consultants will make all the arrangements. The process is simple and quick and in most instances you can have your consult that day. But if you happen to be in town we would be happy to schedule an in office consult for you.

What happens at my operation?

The choice of anesthesia is normally made during the consultation phase. We offer local, local with IV sedation, epidural, twilight, and general anesthesia. Right before surgery in the pre-op area we mark your body to provide our surgical guide. These markings are very detailed and specific. The markings are defining the outline of the muscle structures, their tendinous insertions and their relationships with the surrounding musculature. The markings require dynamic muscle activity and for example when we mark the ABS you will be asked to perform a modified crunch when laying flat so that the linea semilunaris (outer borders of the abdominal rectus muscles) on both sides can be outlined; then while flat the linea alba (the midline depression that separates the ABS); then you will be asked to stand up and contract the abdominal rectus muscles so that the transverse tendinous insertions (linear depressions between the abdominal rectus muscles that delineate the 6 pack). Then we have you do an isometric exercise by putting the palms together down by the waist and push. This contracts the Pecs so that they borders of the Pec muscles can be outlined so that the definition can be brought during surgery. Another essential part of VHD Lipo is to separate out the muscle groups and the area between the Pecs and above the ABS is marked. Attention is then turned to the Lats and the medial border (by the arm when it is at the side of the body) is outlined with the marker and all of the fat in the arm pit is marked. The removal of this fat markedly outlines the lats and the outer border of the Pecs. Then the hips are marked to give you that V Cut (big upper body and little waist) and define the obliques. This also helps to define the para-spinal muscles (lower back muscles) as well. These are the areas that the majority of the men get.

After the markings are done you are transported to the operation room where you receive the anesthesia of your choice after which you are prepped and draped. Then small incisions about the size of this line ___ are placed in the groin (2), inside the belly button, and one in each areola at the bottom. All incision points have protective plastic skin ports placed. All incisions are strategically placed, small and virtually invisible when healed. A solution called tumescent which contains a pain medication (lidocaine) and a vasoconstrictor (epinephrine) to minimize bleeding is injected into the fatty tissue to prepare the tissue for the Vaser, suction of the emulsified Vaser fat, fine tuning with a liposculpturing cannula and then ultimately chiseling out the muscle structures. The same process is performed on all the areas to be treated. The abdomen, Pec, and axilla areas are treated first in the following manner: The Vaser probe is placed through the groin skin ports and the superficial fat under the skin is treated then attention is turned to the skin port in the umbilicus (belly button) to treat the upper abdomen. Then the incision points in the areola are used to treat the superficial tissue between the Pecs and the ABS at the top as well as the bottom and outer borders of the Pecs. This superficial Vaser work also promotes skin tightening so that it “shrinks wraps” back down on the new VASER Hi Def body. Also from these ports the axilla and inner border of the lats are treated. Now that the superficial work is done the process is sequentially repeated to treat the deep and intermediate fat. The Vaser tissue effect emulsifies the fat making it like a milk shake. Then a traditional cannula is placed to extract the emulsified tissue and it is further fine tuned with the cannula to bring down the subcutaneous tissue (fat layer) to the desired level. After this special techniques are used to chisel out the muscles. After the front of the trunk is complete the patient is turned to the side to perform the same process on the hip to define the obliques, separate out the muscle groups (obliques from ABS) and provide that V look. The exact same procedure is performed on the other side. For men having the above noted areas the procedure usually last about 2 to 3 hours.

With the completion of the surgery you are placed in a compression garment (elastic biking suit) and taken to the recovery room where you will be recovered by the nurse and checked in on by the anesthesiologist and surgeon before being discharged home or to the hotel. The recovery process is 1 to 2 hours.

What happens after my surgery?

During your pre-op phase you will have been given prescriptions for pain medications (Percocet), antibiotics, and a muscle relaxer to have filled prior to surgery. When you return home or to the hotel the first day most patients say they don’t have much discomfort because the tumescent fluid had lidocaine in it which is a local anesthetic. The only thing that you have to take is the antibiotics for 7 days. The next day you may note some stiffness for which you can take some of the muscle relaxer as prescribed and use the pain medication as well. You will also note drainage from the incision sites in the groin, belly button and on the sides of the hips. This is the tumescent fluid mixed with a little blood and this drainage is normal because 50% of the tumescent fluid comes out at the surgical procedure and 50% stays in and leaks out over the next 48 hours. It is best to put towels down under you in the car and bed to soak up the leakage. You will have an appointment to see us on the fourth day and after this if you are from out of town you can return home via car or airplane depending on your destination. For the patients who are in town you will be seen two more times in a 6 week period and for those who are out of town they can rest assured that our system works because of the detailed pre-op preparation and post-op information. If you should have a question you can email us and get a response that or you can call and if during office hours you can speak to one of the surgical consultants or the doctor. For after hours it doesn’t matter where you are in the world feel free to call and you will be crossed connected with one of the doctors. Remember complications are extremely rare.

The compression garment has to be worn for 4 weeks, the first two weeks around the clock (you even sleep in it) and the last two weeks you just wear it during the day and you don’t sleep in it. You can take the garment off an hour during the day to wash it and shower. The most important thing about the garment is don’t let it create a depression in the skin because we don’t want a build up fluid because of the crease point. We want everything healing equally. The compression garment should provide adequate tightness but not be overly tight. High compression elastic garment reduce overall swelling by compressing subcutaneous lymphatic capillaries and inhibiting the uptake of large osmotically active molecules.

You can return to work in 4 to 7 days and start working out, massaging and stretching in 10 to 12 days. In your work out you will feel that your body is very tight but work through it (decrease the reps or weight or both). Massaging using a flat head massage machine through the areas daily helps to move post operative swelling. Massaging seems to reduce postoperative pain, and may help smooth contour irregularities. You will note that bruising is minimal and it will go in about two weeks. Don’t sun bath until all the bruising is gone because it can prolong it. Bottom line we don’t want you sitting or laying around. The more that you get up and move around the quicker you will get back in the swing of things.

Everyone heals differently; you will note some mild swelling of the surgical sites and surrounding areas. A lot of this is down in 2 to 4 weeks but sometimes it can last longer with VHD Lipo. You will see a great deal of your results in 6 to 8 weeks but you will have continued results out until 4 months. We recommend that you don’t buy clothes for 6 weeks because your body will continuously change.

Regarding your diet, it is important that you get plenty or protein in during your recovery phase because your body is healing. You may note that your appetite is decreased the first two weeks but this is OK. If you take supplements it is fine to resume those 7 days after surgery. We will give you a diet that we developed which is excellent to teach one how to eat properly. Also this 6 week post op recovery time is an excellent time to drop additional weight if you need to, based upon your ideal weight. Additional weight reduction will only enhance your overall result.

How much does VHD Lipo Cost?

Prices vary based on the person’s body structure. If you would like to get a quote, please contact our office at 310-859-9052 or email

How To Get The Most Out Of Your Surgery

  1. First of all you have picked the right surgeon who is skilled in performing these Hi Tech/definition procedures.
  2. Thoroughly educate yourself on the procedure prior to your office consultation. An educated patient is an informed patient and this will allow you to get the maximum out of your consultation.
  3. Understand the extreme importance of the skin and subcutaneous tissue (fatty tissue) elasticity on the outcome of the procedure. Discuss the quality of your skin and subcutaneous fatty tissue with you surgeon in regards to your surgical outcome. Also remember that the better the muscular tone the better the outcome as well. Bottom line be realistic and reach a realistic outcome with your surgeon.
  4. Moving forward with your procedure: Read all the provided pre-operative and post-operative information prior to your surgery.
  5. Take all medications as instructed by your surgeon.
  6. Properly wear the garment as instructed and above all do not let the garment crease into your body because this can hamper the healing process above and below the crease.
  7. Message the body as instructed by your surgeon/instructions. This will assist in the healing process.
  8. Keep all of of your follow up appointments.
  9. Start the suggested diet (high protein low carb and fat). This will assist in your recovery and healing process. Start exercising when instructed by your surgeon/instructions. This diet and exercise program are key in maintaining and enhancing your surgical result/new body.
  10. Take this experience as a opportunity to build upon your new body your surgeon has provided.