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4D VASER Hi-Definition Liposuction (men)

The 4D VASER Hi-Definition liposculpture is an advanced liposuction technique  that involves not only removing fat but meticulously sculpts and defines your curves and brings out the athletic figure in you.  This revolutionary minimally invasive procedure leverages ultrasound energy to emulsify the fat without harming the surrounding structures.  It is the only liposuction procedure that has been clinically proven to cause skin retraction with minimal bleeding and minimal risk of contour irregularities.   There’s significant improvement in body contouring with the high-definition liposuction over traditional liposuction.

This procedure involves liposculpture of the abdomen, the back, the arms with fat transfer to the chest or shoulder in men ,and to the buttock in women to enhance one’s features.

The procedure involves infusing the area with tumescent fluid to reduce post-operative pain and to minimize bleeding.  This is then followed by emusifying the fat with a vaser probe without harming the surrounding nerves, vessels, and other tissues.   Liposuction is then performed with a series of multiple  curved cannulas to sculpt the curvature of the body, and a series of straight cannulas to etch the fine details of the musculature and achieve an athletic sculpted appearance.

Clinical Study


A multicenter, prospective randomized controlled trial in 2012 recently showed that the VASER-assisted liposuction resulted in a statistically significant improvement in skin retraction of 53 percent relative to the traditional regular liposuction (17 percent per liter versus 11 percent per liter, p = 0.003). Moreover, the VASER-assisted liposuction group also resulted in a statistically significant reduction in blood loss of 26 percent relative to the traditional liposuction (p = 0.019 with n = 20 using a two-tailed t test).



• The VASER-liposuction method demonstrated improved skin retraction compared with traditional/conventional liposuction.

• The VASER-liposuction method demonstrated reduction in blood loss compared with traditional liposuction.

• No serious complications reported in a clinical study involving VASER liposuction in over 70,000 VASER liposuction procedures.

• No burn complications, contour irregularities or prolonged swelling seen in one clinical study.

• No revisions needed after a VASER liposuction found in a multi-center pilot study.



• Single procedure results with speedy recovery times

• Less bleeding & more skin retraction

• Improved body contouring over traditional liposuction

• Refines and accentuates appearance of muscles

• It’s the RECOMMENDED type of liposuction for treatment of gynecomastia in men

What is the 4D VASER Hi-Definition Liposuction?

  • The 4 D High-definition liposuction, also known as hi-definition liposuction, hi-definition liposculpture, or simply hi-def lipo, is a surgical procedure  that involves suctioning excess fat out of target areas of the body to create a slim, muscular and athletic appearance in different areas of the body.     

  • This procedure may involve transferring fat to different areas of the body, such as the chest muscles in men or buttock in women (Brazilian Butt Lift), to enhance one's features. 

  • Typically the procedure may involve liposculpture of the arms, abdomen, flanks, back, and possibly thighs.  This would be based on an individual basis since every patient is different.

  • Make sure your plastic surgeon is certified and trained to perform the 4D VASER High-Definition liposculpture.  

  • Dr. De La Cruz learned the art of the 4D VASER High-Definition Body Sculpting with Dr. Alfredo Hoyos in Bogota, Colombia in addition to 9 years of surgical training in Plastic Surgery, General Surgery and Microsurgery in the United States.

  • Dr. De La Cruz is also a painter and a sculptor.  He was classically trained in figure sculpting with world renowned French Sculptor Philippe Faraut.

Figure 1:  Before and After VASER Hi-Definition Liposuction performed by Dr De La Cruz

What are the procedures involved in a 4D VASER High-Definition Liposculpture?

  • This procedure consists of  high-definition liposculpting of the abdomen, flanks, back, arms, and  possibly the thighs or chest in men with gynecomastia.   

  • In men, fat may be transferred to the deltoids to improve the shoulders or to the chest to create a more masculine pectoralis muscle. 

Figure 2: Before and After VASER Hi-Definition Liposuction performed by Dr. De La Cruz

Patient Safety During Surgery


Dr. De La Cruz values patient safety during your surgery.  For large volume high-definition liposuction, there are certain criterias that should be met before your plastic surgery.

  1. For patients who have co-morbidities, such as Diabetes, obstructive sleep apnea, a medical and cardiac clearance are required prior to surgery. For patients whose age >45, a cardiac clearance from a cardiologist is required by Dr. De La Cruz prior to your surgery.  Safety is priority in our practice.

  2. Prevention of Infection:  During your surgery, a per-operative intravenous antibiotics are given to prevent a wound infection.

  3. DVT Prophylaxis:  Dr. De La Cruz calculates your Caprini Score to evaluate your risk for Deep Venous Thrombosis. All patients would have an intermittent sequential compression device during your surgery to prevent a DVT.  Moreover, an anti-coagulant, such as Heparin or Lovenox, is given to further reduce your risk for a Deep Venous Thrombosis. 

  4. For large volume high-definition liposuction patients, all patients are admitted in the hospital overnight to monitor your recovery.  A hospitalist and Dr. De La Cruz would typically oversee your care while you are in the hospital.

  5. The use of the VASER liposuction system is associated with less bleeding when it comes to large volume liposuction.  A randomized clinical trial had shown that the VASER liposuction is associated with less bleeding during surgery when compared with traditional tumescent liposuction.  This is key when it comes to large volume liposuction.  It is essential to minimize your risk of bleeding when it comes to undergoing this procedure.


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