Vaser 360 Lipo: Sculpting Your Torso Tight

Written and medically reviewed by Dr Edwin Anthony, Lead Clinician, Contoura Medical (GMC 4776646) · Last updated 11 October 2026

Vaser 360 Lipo is ultrasound-assisted liposuction that treats the torso all the way round: upper and lower abdomen, flanks and lower back. It suits adults near their ideal weight wanting a narrower waist, and Dr Edwin Anthony performs it at Langham Hospital, Marylebone.

What Vaser 360 Lipo treats

Vaser 360 Lipo is a single, planned operation on the midsection. It covers four linked zones:

• The upper abdomen, above the belly button
• The lower abdomen, including the lower tummy bulge
• The flanks, often called love handles
• The lower third of the back, where fat tends to roll over a waistband

VASER ultrasound loosens the fat in each zone before it is removed through small entry points, and Dr Anthony blends the areas into one another so there is no step between front and back.

Why treat the waist all the way round

Many people who ask about their stomach are really bothered by the width of their waist. Treating only the front can leave the flanks and lower back looking fuller by comparison, and the change is less noticeable in clothes or from the side. Working around the whole circumference reduces the waist measurement more evenly and gives a more balanced silhouette from every angle.

Who it suits, and its limits

The typical patient is an adult, 18 or over, close to their goal weight, with a waistline that has not changed despite steady diet and exercise, and with reasonable skin quality. It is surgery, so you need to be in good general health and a non-smoker.

It will not tighten separated stomach muscles or remove an overhang of skin after pregnancy or major weight loss. If you have a firm, rounded stomach that pushes outwards, much of that may be visceral fat. The NHS stresses that liposuction is not a treatment for obesity, and Dr Anthony will tell you plainly if another route would help you more.

How it compares

Preparing for surgery and the day itself

1. Weeks before: stop smoking, eat well and stop medicines or supplements that increase bleeding, as advised in your tailored pre-operative checklist.
2. Plan ahead: arrange around a week off desk work and someone to help at home for the first day or two.
3. On the day: Dr Anthony marks your torso while you stand. The procedure is done under local anaesthetic, and IV sedation is available if you would like it.
4. Going home: you are usually ready to leave about an hour after the procedure finishes, wearing your compression garment.

Recovery week by week

• Days 1 to 3: soreness, tightness and tenderness are at their most noticeable. Prescribed pain relief helps.
• Days 5 to 7: things become noticeably easier. Many people return to desk-based work at about one week.
• Weeks 1 to 3: compression is worn day and night. Pre-planned lymphatic massage helps swelling move.
• Weeks 4 to 6: compression continues for around eight hours a day.
• Weeks 6 to 12: most of the refinement in shape happens.
• Months 3 to 6: final contours settle, depending on how you heal.

Results, risks and safety

Most people aim for a smaller waist and a more athletic outline. Your result depends on your starting shape, how your fat is distributed, your skin and your healing. The fat removed does not return, but remaining cells can grow with weight gain. Results cannot be promised.

Risks include bleeding, infection, fluid collections, contour irregularity, numbness, prolonged swelling, pigmentation change and, rarely, blood clots. Published data give a sense of scale:

• In a nationwide analysis of 69,424 liposuction patients, ultrasound-assisted liposuction had an overall complication rate of 1.4%, with haematoma (0.5%) and infection (0.3%) the most common problems across all techniques.
• A series of 261 VASER patients covering 783 treated areas removed an average of about 2.3 litres of aspirate, and 78% said they would have the procedure again.

Why patients choose Dr Edwin Anthony

Circumferential work relies on judgement about how the back, sides and front meet. Dr Anthony has built that judgement over 14 years of dedicated VASER practice and more than 1,500 VASER procedures, after NHS plastic surgery and burns training and further training with Dr Alfredo Hoyos. He is Lead Clinician at Contoura Medical (GMC 4776646), a Trinity College Dublin graduate (MB BCh BAO) with MRCS (Edinburgh), and he carries out every operation personally at Langham Hospital, under its CQC registration.

Related procedures

• VASER liposuction overview
• Vaser 4D Lipo for torso plus other areas
• Vaser Hi-Def for defined abdominal muscles
• Micro Lipo for a single small pocket
• Quantum Vaser Lipo if skin laxity is a concern
• Fees: see our price list

Book a consultation at Langham Hospital, 77 Hallam Street, Marylebone, London W1W 5HB, or by video, by calling 020 3890 1911. Consultation fees are fixed and are not deducted from treatment prices. Your full price for Vaser 360 Lipo is confirmed in writing after consultation, with IV sedation, if chosen, and hospital theatre fees itemised. Finance is available through Chrysalis Finance. Book a consultation

Frequently asked questions

Sources

1. Liposuction, NHS
2. Nationwide Analysis of Complications and Risks Associated With Types of Liposuction in 69,424 Patients, Aesthetic Surgery Journal
3. Safety and Efficacy of Third-Generation Ultrasound-Assisted Liposuction: A Series of 261 Cases, Aesthetic Plastic Surgery (PubMed)