Waistline Narrowing

Waistline Narrowing is one of the most popular requested procedures when it comes to women.

The narrowing of the waist allows for the creation of exaggerated curves, characterized by the “~” Tilde curve turned upright that depicts an optimized female silhouette.

Until recently, achieving a dramatic waistline narrowing was a difficult task for most surgeons. This was because the fat around the flanks and lower back that must be removed to narrow the waist is very fibrous and difficult to remove using traditional liposuction techniques.

Fortunately, with the advent of VASER technology, this fat can now be comprehensively removed. With high definition VASER liposuction, we can get over 90% reduction in fat volume around the waistline so that your skin retracts up to your muscles; this ability to remove the fat comprehensively makes knowledge of muscle anatomy of the lower back and flanks invaluable. It also means we can often do abdominal etching to give men a “six-pack” and women a “four-pack”. To add to the beauty of each patient, consider the ideal buttocks shape using fat transfer.

In addition to narrowing the waist, patients also can tighten any skin redundancy or rolls that may be apparent using minimally invasive Renuvion® subdermal coagulation treatments performed simultaneously during your liposculpture procedure. Less frequently, a tucking procedure may be implemented either simultaneously or in a staged fashion to achieve desired results. 

Waistline narrowing using our high definition protocol will result in a dramatic waistline to buttocks differential that results in aesthetically superior contouring. Finally, strict postoperative protocols using custom-fitted compression garments with foam in-lays as well as frequent lymphatic massages provided at our surgical centers will ensure the maintenance of our optimized narrowing results.

A 38-year-old female 3 months following VASER high definition liposuction of the abdomen, back, flanks, and fat transfer to the buttocks following mini-tucking procedure to achieve a optimally narrowed waistline.

Intro to High Definition Liposuction

A 25-year-old female following VASER high definition liposuction of the abdomen, back, medial thigh, and lateral thighs, and fat transfer to the buttocks (BBL), as well as a breast lift with implant augmentation to achieve maximal waistline narrowing.

A 27-year-old female demonstrating eye-popping narrowing of the waist following a full tummy tuck with muscle plication in the front and Vaser high definition liposuction with Renuvion® skin tightening of the back and flanks as well as fat transfer to the buttocks.

A 43-year-old female showing Waistline Narrowing using VASER high definition liposuction of the medial thighs, flanks, lower back, and abdomen, as well as a mini tummy tuck and BBL.

A 21-year-old female following VASER high definition liposuction of the abdomen, flanks, back, and buttocks reshaping to achieve waistline narrowing

A 29-year-old female who shows Waistline Narrowing after VASER high definition liposuction of the abdomen, medial thighs, lateral thighs, back, and flanks, as well as a BBL and skin tightening Renuvion® technology.

A 39-year-old female who has undergone VASER high definition liposuction of the flanks, lateral thighs, and lower back and breast revision with implant exchange and abdominoplasty to achieve Waistline Narrowing.

waistline narrowing

A 45-year-old female following simultaneous VASER high definition liposuction of the abdomen, flanks, lower back, upper back, scar revision of the abdomen, abdominal flap advancement, mini tummy tuck, and fat grafting to the breast and buttocks to achieve waistline narrowing.

waistline narrowing

A 35-year-old female following VASER high definition liposuction of the abdomen, flanks, lower back, middle back, upper back, fat grafting to the buttock, and breast augmentation.

Waistline narrowing requires maximal removal of soft tissue fullness, i.e. excess fat, as well as tightening of skin redundancy at the waist level. To achieve this, the VASER ultrasound technology is used to first liquefy the fat prior to liposuction. In a small number of patients with skin redundancy, Renuvion minimally invasive helium plasma-activated radiofrequency is used to tighten the skin.
You can expect exaggerated curves around the waist region when viewed from both the front and back. The classic "Tilde curve = ~ " has been used to describe this exaggerated curve. When waistline narrowing is achieved using VASER liposuction and Renuvion skin tightening, patients should expect maximum waistline narrowing and elimination of any skin redundancy.
When using VASER liposuction it is important to recognize that all of the fat layers will be comprehensively removed. In the flank region, i.e. middle back region, the fat is distributed in three layers, i.e the superficial, middle, and deep layers. Whereas the deeper fat layer is loose and easy to remove, the middle and superficial layers are very fibrous and difficult to remove with traditional liposuction. However, since VASER liposuction melts the fat in all three layers, it allows for maximal fat removal down to the waistline muscles. Overall, VASER liposuction provides the ultimate modality for fat removal in the waist region.


First, you need to quit smoking cigarettes and even marijuana as they contain nicotine that is detrimental to the microvessels that deliver oxygenation to your skin. Following the aggressive removal of all fat from your waistline, the skin can become compromised. We recommend that you avoid all smoking for one month prior to and two weeks following surgery. Marijuana is even more critical and must be avoided postoperatively as it will vasodilate your microvessels causing leakage of blood and unnecessary blood loss. The next item is to avoid all blood-thinning medications, nutrients, and food products. A few of the more popular items that need to be avoided include all aspirin-like products (called NSAIDS), fish oils (omega 3 fatty acids), Ginko Biloba, and almonds. We will provide you, a list of all products to be avoided for one month prior to and two weeks following surgery. Finally, high definition liposuction can result in significant blood loss in the tumescent solution thus necessitating a higher than normal blood count. Your blood level will be checked early and an iron supplement may be advocated to increase your blood count prior to surgery as needed.
The ideal waistline should be positioned at the point of maximum indentation which should be located between the subcostal margin and the lateral crest of the hip bone. This area should be maximally narrowed both when viewed from the front and the back and is located approximately one inch above the belly button.
The waistline indentation is created by the prominence of the rib cage superiorly and lateral hip bone inferiorly that border the softer middle indentation spanned by the external oblique muscles. When contouring the waistline, the fat over the external oblique muscle is maximally removed in order to create an exaggerated curvature that is aesthetically desirable.
You will be able to return to work after 10 days following waistline narrowing surgery. In addition, patients are urged to return to full physical activity as soon as 2 weeks following high definition liposuction waistline narrowing.


Tummy tucks are required when there is significant skin laxity and in many cases, this is due to pregnancy. The other procedures should be no problem to perform in conjunction with one another, the bigger issue is finding the surgeon you want to work with. I suggest finding a board-certified plastic surgeon who specializes in these procedures. As an official trainer of VASER liposuction, I perform full-body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of the degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome.
This has revolutionized the plastic surgery industry due to its ability to reach 30-40% more fat than traditional Liposuction procedures. One of my favorite applications of this is waistline narrowing. With VASER, we can contour that entire region and etch the flanks, abdomen, and thighs to accentuate an aesthetically pleasing hip ratio.
The ultimate option for you to have a transformative result for both your liposuction and BBL is the VASER liposuction technique. When performed by a VASER specialist, the results can be "jaw" dropping.
You are a great candidate for HD VASER Liposuction. VASER technology has revolutionized the plastic surgery industry. One of my favorite things to do with it is waistline narrowing. With Vaser, we can contour that entire region, reaching all the way down to the deep fat layers to maximize fat removal.
Please do not waste your money on these fat removal modalities; now that you have a deformed contour your definitive treatment is to get high definition liposuction with comprehensive removal of all of the fat with VASER liposuction and skin tightening with Cool Helium Plasma.

If you want dramatic waistline narrowing and maximizing buttocks size enhancement you must consider high definition liposuction. This requires;

a) VASER technology

b) Power X liposuction cannulas

c) Cool Helium Plasma skin tightening procedure. 

Spending 3700$ will not get you the results you deserve. FYI high definition liposuction of your back will take 4 hours and will cost 10K. I would save your money and do it right.

The best option for you to narrow your waist would be to liposuction your abdomen, flanks, love handles, and lower back region; you may want to transfer the fat to your buttocks which will make your waist look even narrower.
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