Liposuction is the aspiration of fat from the body using a suction technique. This can be of various forms: traditional suction-assisted liposuction, VASER liposuction, Waterjet Liposuction, etc.

Liposculpture is using liposuction to sculpt the body into a more pleasing shape. In other words, liposuction done well is effectively liposculpture. This is most obvious in thigh surgery, where sucking away every fat cell will have disastrous cosmetic results. So the surgeon effectively slims the treated area, plus produces a moe pleasing overall form: truly sculpting, which is an art.

Sculpting during liposuction surgery is not always easy, particularly since most forms of liposuction surgery involve tumescent infiltration to reduce bleeding. This engorges the tissues and can distort the overall form. Add in the fact that the patient is lying down, which causes shifting of fat lumps.

Waterjet Liposuction has the huge advantage of not using the tumescent technique. Infiltration is with enough local anaesthetic solution for tissue anaesthesia (and vasoconstriction to reduce bleeding). So the tissues are not engorged and distorted. Liposculpture is thus more accurate. Add in the fact that the procedure can be done under twilight sedation, this allows movement and turning. Although there is still some movement in the tissues, it does allow easier assessment intra-operatively when the patients can co-operate with commands.