How much does VASER Lipo cost for Gynecomastia Reduction?

Here are some before and after photos of Gynecomastia reduction with VASER.

These are typical examples of my work.

When quoting for Male breast Reduction with VASER prices start at £2800. Post Op aftercare massages are extra at about £100-150 per session depending on the therapist. Sometimes, in larger cases, the price may increase to £3-4000 as the surgical time will be longer. And finally there may be an additional fee for hi definition of the pectorals and anaesthetic and hospital fees.

Costs of VASER liposuction to thighs

Some women are slim around the waistline, but their inner and outer thighs are disproportionately bigger, making it very difficult for them to find clothes to fit properly. Often their waistline can be 1-2 sizes smaller than their hips / thighs. No matter how much they exercise or diet, they struggle to lose the fat from their thighs. I'm afraid that usually, the only solution is fat removal with VASER liposuction and recently good results are possible with Cooltech Fat Freezing.

So what is involved in VASER liposuction to the thighs?

The outer thighs are classed as 1 area, and the inner thighs are classed as another area. So to have both the inner and outer thighs treated, you would need to budget for 2 areas. It is not recommended to treat all the way around the thighs in any single sitting as this could lead to serious lymphatic complications, so I avoid treating the anterior part of the thigh in the same surgery as the other two areas.

On operation day, I agree the areas to be treated with the patient in front of a mirror and then make the surgical markings with the patient's approval.

The surgery is performed under IV Sedation (twilight sedation) by my consultant anaesthetist, for a pain free experience. Don't believe the hype about pure tumescent anaesthesia being painless - it is definitely not. Its tolerable (just) but not pain free. I start with the patient lying on their front and I place a small 5mm incision in the crease below each buttock (so it is hidden), and this allows me to treat the back half or each inner and outer thigh. In fact this is where most of the fat lies anyway, so the majority of the work is done in this position. The patient then rotates onto their back, and I then place another 5mm incision in each groin, being careful to avoid important vessels and nerves such as the femoral structures. These incisions give me access to the front part of each outer and inner thigh, and the scars will heal in the groin which is usually covered up by underwear or bathing costumes.

After the surgery you will be placed into compression leggings designed to minimise swelling and bruising and maximise the smoothness of the contour. I recommend Manual lymphatic drainage and pressure therapy for at least 10-20 sessions over the next 6 weeks to help remove swelling and prevent unevenness.

How much does VASER Lipo cost?

There are 5 components to the fees generally:

1. The surgeon's fee
2. The hospital's fee
3. The anaesthetists fee
4. The post-op therapists fee
5. Compression garments

At Riverbanks Clinic, all of the above are packaged into one convenient price for you with no hidden extras. Our current fee for treating inner and outer thighs under IV sedation with 10 aftercare sessions starts from £4800 (as of August 2013) but please check current fees when enquiring.

Before and after pictures of VASER Liposuction to thighs

Here are some examples of my work at Riverbanks:

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

© Dr Ravi Jain 2013

If you would like to make an appointment with me to find out if VASER Lipo is an option for you, I am available in Harley Street and Harpenden on 01582762877.

Is CoolSculpting an alternative to VASER Lipo?

Coolsculpting by Zeltiq, is a relatively new treatment where it is possible to reduce fat in localised areas by 25-40% according to clinical research. This is done without any surgery or any incisions, but simply by freezing the fat cells via a vaccum cup. The Coolsculpt system has gained popularity world wide and has been widely accepted by clinicians due to the good research and results achieved. But is it better than VASER Liposuction?

What is Coolsculpting?

Top dermatologist Dr Rox Anderson from the USA conducted a clinical study on the effects of Coolsculpting on fat cells and identified that up to 40% of fat cells which were frozen would die and would eventually disappear from the patient after about 3 months. This ground breaking study paved the way forward for cryolipolysis (fat freezing).

Coolsculpting works by applying a vaccuum cup to the fatty area (eg stomach, love handles, inner thighs) and then gently freezing the fat. This process is initially mildly uncomfortable due to the suction. Then once the tissue is frozen, the area goes numb. About 60-70 mins are needed to have an adeuqate effect. Then the cup is released and the frozen tissue is massaged til flat. This can be a bit sore for some people, but it only lasts a few minutes.

Over the next few weeks, you may experience numbness over the treated area or some mild discomfort. Occasionally there is some minor bruising, like a big love bite!

Results tend to start to show at about 4-6 weeks with end results at 3-6 months. Naturally it is important to maintain a healthy diet and lifestyle for best results and often. Often, combining fat freezing with radiofrequency treatments or Ultrasound and lymphatic massages helps gets even better results.

What is CoolTech?

CoolSculpt is a first generation system for fat freezing, and like most other first generation systems, is quickly superceded by later generations with modifications which improve the whole system. One of the biggest limitations of CoolSculpt is that it only has 1 cup and so can only treat 1 area per hour. This makes it very time consuming and also costly for patients. Another limitation of Coolsculpt is that the cup size and shape lends itself to creating pockets of fat removal with sharp borders, so that it is possible to see possible indentations after coolsculpting.

4 weeks after 1 Cooltech treatment

4 weeks after 1 Cooltech treatment

Cooltech is a second generation cryolipolysis system which offers significant advantages over its predecessor Coolsculpt. First of all it has TWO cups instead of one, allowing two areas to be treated at the same time, saving the patient a significant amount of money and time. When typical prices per cup with Coolsculpt are £800, you can see how much money can be saved with Cooltech where prices are typically £800 for up to 2 cups!

Secondly, the shape of the Cooltech cup is more graduated, and this allows better blending with the untreated tissues, and therefore giving more natural looking results with no obvious indentation as is possible with the Coolsculpt.

How does Coolsculpting compare with VASER Lipo?

I think Coolsculpting can be as good as a very mildly performed VASER Lipo, but not as good as total body contouring with VASER Lipo. It also depends on the area treated. Lower abdomens probably respond best. But I think if you are considering a totally new torso / waistline speak to your surgeon about the possible results with either system. You may be surprised!

Not all six pack abs look the same

Four Pack Abs

Many men who dream of a six pack often trawl through fitness magazines or search through the internet, looking for the ideal looking six pack that they would like to achieve. However, even if they reach the desired body fat % and muscular physique to reveal their six pack. they may not be happy with their results because of their very individual anatomy.

You see, we are all very different and have our own muscle shapes and sizes and these are genetically predetermined. This is what I have to explain to all my VASER 4D liposuction patients, because I am only going to be able reveal their natural anatomy and not create a 'perfect six pack' if they don't have one.

If your surgeon disregards your own natural anatomy and gives you a 'perfect' shaped sixpack, when you naturally have a 4-pack or an 8-pack, then the results are going to look extremely unnatural. This is no more than the outdated method of abdominal etching and not the highly advanced Vaser 4D Sculpt technique.

Not all sixpacks look the same

For sure, most male patients have a six pack, but the exact layout is very different. Some lie above the umbilicus, while other start below the umbilicus as seen above. Some men have 10-pack while others

have only a 4-pack.


In patients whose muscular anatomy is very obvious during their consultation, I perform an ultrasound scan to help locate their muscles, so that their VASER 4D liposuction surgery provides the most natural looking results possible.

Before and after pictures female VASER 4D

Here are some examples of results at 8 weeks after VASER 4D Lipo in females. Final results tend to show at about 6 months.

This lady is very slim but has some stubborn pockets of fat in her lower belly and on her love handles (flanks) as well as her outer thighs. Because of her excellent skin tone and no stretch marks, she was suitable for VASER 4D, technique to create the most feminine shape with VASER Liposuction. 

New body by Dr Ravi Jain

As you can see, amazing results can be achieved very quickly and she has a brand new shape. Results will continue to improve up to 6 months after surgery, when the real definition will start to reveal itself.

VASER Lipo for Chin and Jowls

For many patients, a facelift can be avoided by having Chin & Jowl Lipo using the VASER system. In fact, a lipo lift can be extremely rejuvenating. It is important to recognise that this is a small liposuction surgical procedure with a relatively quick recovery. One will have to wear a head strap for 3 days 24/7 and then for 12-16 hours a day for a 3 more weeks. During the first 3-4 weeks after surgery have some ultrasound and manual lymphatic drainage massages to help reduce fibrosis and promote skin retraction. There are a few risks associated with lipo to the chin & neck.

If you follow all the instructions above for VASER Chin & Neck Lipo, you could achieve results like these:

For more information on chin & neck lipo, visit our website. 

What are the benefits of foam compression after liposuction?

In the UK there is a wide variation in the level of aftercare following liposuction, ranging from simple compression strapping for a couple of weeks, to 12 weeks of compression suits with foam padding as well, together with regular manual lymphatic drainage sessions.

I believe strongly in the benefits of well fitted compression suits for at least 3 weeks 24/7, then for 3 week 12 hours a day for regular VASER Lipo. After more sculpting procedures such as VASER 4D, I would add in extra foam padding as well as increasing the during of compression suits to 8 weeks instead of 6.

The whole aim of liposuction aftercare is to reduce swelling and therefore pain, and also improve the final cosmetic result. Foam padding significantly reduces pain and is very useful if a lot of swelling is anticipated, or, the compression garments cause creases in the skin.

Patients aren't really pleased about it when I instruct foam padding but, it is in their interests and they appreciate it after a couple of days, especially when they see the improved results.

I tend to advise foam padding for the whole torso with all Vaser 4D procedures. I also advise foam padded belts for treating lower abdomens and flanks. But at Riverbanks we have various sizes of padding to fit the area we wish to provide additional compression to.

Vaser Lipo Pre-op Instructions

Once you have made a decision to proceed with VASER Lipo I tend to advise my patients the following pre-op instructions:

4 weeks before surgery

• Start high intensity interval training 3-4 times a week. This will help to burn up any internal fat, which cannot be removed during surgery.
• Try to introduce a gluten-free diet to reduce bloating and also some excess fat.
• Start taking slimming teas such as Jade Fusion every day to help reduce weight further. You will need about 4-6 cups a day.
• Stop smoking as this significantly increases the chances of infection, wound complications and anaesthetic problems.

2 weeks before surgery

• Stop alcohol intake as this will thin your blood and increase blood loss during surgery
• Attend your pre-op assessment with my nurse where you will receive your prescription for your surgery, and be fitted for your compression garments. You will also be risk assessed for deep vein thrombosis and any anaesthetic risks. At this appointment any outstanding balances will need to be settled.

24 hours before surgery

• Pack your day bag for surgery day to include loose fitting clothing of dark colours
• Take your prescribed medications as instructed, so make sure you have collected them from your local pharmacy.
• Drink lots of water - about 3-4 litres of water during the day before surgery to hydrate yourself which will help speed up your recovery
• Have a really good 'cheat meal'!
• Do not eat or drink 8 hours before your surgery time

Who is the ideal patient for VASER Lipo?

I was asked this question by The Good Surgeon Guide on my twitter feed last week, and its a great question.

Contrary to popular belief, VASER Lipo can be used on all sorts of body sizes, though the best results come from those who are NOT that overweight. Clinically obese people (i.e. those with a BMI of over 30 unless extremely muscular) who are looking for a surgical solution to weight loss should see a bariatric surgeon instead, as VASER lipo is not about weight loss but about reshaping your body.

So who is the ideal patient?

Well, from the last 350 patients I have treated, I can say that the ideal patient is male or female, with an age of 38 years old, weighs in at about 75KG and has a BMI of 26.

Before and After VASER to Abs, Flanks and Hips

So as you can see, our VASER patients are generally not overweight but do have trouble spots they want rid of. The split between male (37%) and female patients (64%) is narrowing each year and I suspect in 5 years I will treat as many men as women.

So what sort of areas do patients request to have treated?

Below are my top 5 treatment requests for VASER Lipo:

1. Abdomens & Love Handles 
2. Gynaecomastia (Man Boobs)
3. Saddle bags (Outer thighs)
4. Double chins
5. Upper Arms

The demand for VASER 4D body sculpting is increasing at a dramatic rate and its not surprising as for many its a much more cost effective solution that having all of the above areas treated individually. On top of that, you also get a much more athletic look.

Before and After VASER 4D Sculpt

If you would like to schedule a consultation with Dr Jain, please fill out our enquiry form or call 08000325415.

Written by Ravi Jain