Laser is the latest innovation attempt to improve fat removal. It uses a heat source, the laser, to break the fat cells open so that they can be suctioned out. Proponents use it near the skin to get more tightening of the skin. However, this heat source in the wrong hands and even with trained people can lead to burns or over heated fat leading to large contour irregularities or scarred skin. When utilized correctly it will have similar effects as standard or power assisted liposuction with the possibility of some skin retraction. Because of the complications we have seen from other physicians, we do not utilize this method.